Population health is the ICS focus.
PCN DES puts GPs in driving seat.
Federations etc can hold employment and sickness risk and support training + HR.
The world economy looks dire.
I think that this is a good deal and step forward for primary care. Commissioners love at scale solutions and this gives us skin in the game.
Peter Patel for President!
In my area we have a £1.00 per patient prescribing incentive scheme based on reduced spend or coming in under national astro PU.
This does not take into account deprivation or prevalence, despite the fact that CCGs have prevalence and deprivation taken into account in their budgets.....it would be too complicated to do this for individual practices.
We need to generate our own referral data and peer review the quality, then reflect the workload better in the funding formula!