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Practitioner & Counter Services NSS Involving People Event 5 th March 2014 Canderside
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Practitioner & Counter Services NSS Involving People Event 5 th March 2014 Canderside.

Jan 11, 2016

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Page 1: Practitioner & Counter Services NSS Involving People Event 5 th March 2014 Canderside.

Practitioner & CounterServicesNSS InvolvingPeople Event5th March 2014Canderside

Page 2: Practitioner & Counter Services NSS Involving People Event 5 th March 2014 Canderside.

Topics

Who are P&CFSWhat we doHow do we do itKey successesTop priorities & opportunitiesQ&A

Page 3: Practitioner & Counter Services NSS Involving People Event 5 th March 2014 Canderside.

Practitioner & Counter Fraud Services

One of six NSS strategic business units

Scottish Health Service CentreCounter Fraud ServicesPractitioner Services

Page 4: Practitioner & Counter Services NSS Involving People Event 5 th March 2014 Canderside.

Conference and event organisation 6 suites ranging from

10 to 110 delegates Conference centre located at

Western General, Edinburgh Full range of conference facilities, audio visual, catering,

registration and delegate management More info on http://www.shscctc.scot.nhs.uk Event organisation throughout Scotland, webinars More info on http://www.shscevents.co.uk

National Committee Services Supporting national committees, e.g. National Appeals Panel,

Scottish Dental Practice Board

Page 5: Practitioner & Counter Services NSS Involving People Event 5 th March 2014 Canderside.
Page 6: Practitioner & Counter Services NSS Involving People Event 5 th March 2014 Canderside.

Primary Care

25 million GP consultations 5.5 million patients registered with a GP 1.9 million eye examinations 4.5 million dental registrations 5.5 million dental courses of treatment 100 million prescription items 1 in 10 patients see GP weekly 80% of patients see their GP at least once a

year GP “footprint” across whole system

Page 7: Practitioner & Counter Services NSS Involving People Event 5 th March 2014 Canderside.

Primary care

82% of all patient interactions with the NHS are in a primary care setting

Page 8: Practitioner & Counter Services NSS Involving People Event 5 th March 2014 Canderside.

Core services

Paying primary care service providers20% of NHS Scotland budgetGeneral medical practice £770mDentists £380mCommunity pharmacy £1200mOptometry £90m

Managing patient registrationsCommunity Health Index, dentistry, minor and

chronic ailment services

Page 9: Practitioner & Counter Services NSS Involving People Event 5 th March 2014 Canderside.

Core services

Medical records servicesPaper and electronic GP record management

Dental patient servicesApproval of complex/expensive treatment plans Independent quality examination reports for dental

treatment provided

Payment verificationVerification and audit of £2.2bn payments

Data analysis and practice visitsInvestigations Reporting and working with NHS Boards

Page 10: Practitioner & Counter Services NSS Involving People Event 5 th March 2014 Canderside.

How we do it

Resources600+ staff across 4 sitesAdministrative and clinical£25m revenue funding£5-8m project funding

Operating at scale High volume transactions including scanning Multi-skilling Shared/common information technology platforms, systems and

processes ISO accredited processes

Page 11: Practitioner & Counter Services NSS Involving People Event 5 th March 2014 Canderside.

Key successes

New GP contractElectronic medical record transferElectronic and tooth specific dental

claimsePharmacyFree eye examinationsFree prescription charges

Page 12: Practitioner & Counter Services NSS Involving People Event 5 th March 2014 Canderside.

Top priorities & opportunities

Health & Social Care integration2020 visionShifting balance of carePositive patient identification in

secondary careEyecare integration and

e-payments

Page 13: Practitioner & Counter Services NSS Involving People Event 5 th March 2014 Canderside.

Top priorities & opportunities

Unique perspective across all of primary careScale, capacity and capability“Institutional” knowledge and skillReuse, sharing and learning

Increasing health impactExploitation and joining up for patient

health benefit

Page 14: Practitioner & Counter Services NSS Involving People Event 5 th March 2014 Canderside.

Questions