Headline payments to practices are achieved only if all targets are met. My practice does not think we will be able to do this in the first year and so are not expecting to achieve the headline payment.
This funding is dependant on making savings so we will also plan an exist stratagy, hoping for the best and planning for the worst.
Intent of Bolton contract is good.
CCG have to balence budget.
KPIs, 40% of payment, include reduction in total prescribing, and total referrals and total minor a and e attendances and total OOH. While some af the prescribing is wasteful and some of the attendances will be "inappropriate" professionals will need to ensure any reduction in activity is done safely, clinically appropriately and within guidence standard 80 of duties of a doctor. Hence LMC and CCG request for guidence.
Our practice does not think we can do this for at least two of the standards and so do not expect to achieve the headline payment.