January contract calendar
In the first of a new series of monthly planners, Dr Bob Button looks at the key new contract dates in January for GPs and their practice managers
Return your capitation figures, carefully checked, to the PCT so your registered list size is available for the calculation of the global sum. This is a necessary first step to considering whether an MPIG will be needed.
You should have received your indicative global sum from the PCT. Check the figures. Appeal is possible.
Talk to your LMC.
You must have returned your completed interim aspiration utility to the PCT.
You should know roughly when the PCT is planning to discuss your aspirations on quality and outcome points. You need not have completed all the preparations but you do need to know how you propose to achieve your aims. Quality preparation payments of £9,000 per average practice were paid in October 2003 to help fund this work which should by now be well advanced. Do not concentrate just on the clinical list there is a good financial return to be had from the administrative list.
You should also have the clinical conditions prevalence figures for your practice. These, with details of adjusted amounts per point, will enable you to start looking at the potential income levels.
You should by now have got the necessary 100 per cent reimbursement backdated from April 1, 2003.
Remember the PCT has to take the financial risk if it has not yet got extra funds. You are not required to give the PCT any more time.
You should have completed your Read code review to ensure you are claiming under the proper classifications, enabling your clinical data to be counted for Q&O.
Check whether the PCT has decided what enhanced services it wishes to commission from GPs, and be ready to respond if you are interested in any of them.
Has your PCT given a final date for taking over responsibility for out-of-hours? If so, be ready to give notice to your deputising organisation. Failure to do so might mean penalty payments.
PMS practices should have received details of:
· How Q&O will be applied
· Notional MPIG and GS figures to enable them to decide whether to switch back to GMS.
The third direct enhanced service (violent patients) has to be implemented by February 1 by PCTs. It may be worth asking what is going to happen.