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NHS Shared Business Services tied to performance indicators in key LMC victory

By Andrew McNicoll | 12 Dec 2011

LMC leaders have won a series of key concessions in a controversial deal for the takeover of family health services by NHS Shared Business Services.

In response to LMC opposition to the deal, which covers 10 trusts in southwest England, NHS SBS – a joint venture between the Department of Health and private firm Steria - has agreed to write 63 performance measures previously seen as ‘aspirational' into its contract.

NHS SBS has also guaranteed that call handling for patients and practices will be based in the South West, after complaints elsewhere that GPs were unable to get hold of NHS SBS staff to resolve local issues.

Monica Owens, NHS SBS marketing director, said: ‘NHS SBS has committed as part of its negotiations with the South West, to contractually underwrite 63 key performance indicators (KPIs) to ensure best practice service delivery.'

'The 63 KPIs are recognised by family health service leaders as being aspirational; the decision by NHS SBS underscores our commitment to providing the highest levels of service quality and assurance.'

In its latest newsletter Gloucestershire LMC welcomed the concessions, but said GP leaders would be monitoring the success of the transfer.

‘The GPC would very much like to have feedback on how the transfer from Family Health Services to NHS SBS goes, and would like specific details of any significant failings by the supplier,' it said.

READERS' COMMENTS

Mark Mccartney, GP Partner,
12 Dec 2011
Thank you Pulse. "NHS SBS – a joint venture between the Department of Health and private firm Steria". Was this arrangement something that was set up after a tendering process? What exactly is the relationship between the DoH and Steria? Maybe Pulse can investigate for us, as no-one else seems to know.
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Anonymous, PCT,
13 Dec 2011
The Kpi's are completely meaningless. If SBS fail on every service they can only be fined an overall maximum of 13% of the baseline. There is no incentive for them to increase resources and the south west service wil be as poor as the East Midlands and London. If the South West were making a proper assessment they would have wanted the quality in place to begin with. As it stands 35% of the current FHS work can be outsourced to India. If the public were aware of thei there would be an outcry. Let's hope the the legal disputes that Unison have raised will stop this insanity.
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Anonymous, PCT,
13 Dec 2011
SBS turned up to one national specification project group and took these 63 KPI's under false pretences. SBS had volunteered to pilot the 63 KPIs as part of national FHS developmental work however failed to feed back in to the pilot process but instead used the KPI’s in their south West proposal. The draft set of KPI’s had been developed by the group prior to any involvement from SBS who literally turned up to one meeting and took the work that the rest of the group had spent time developing. This in line with the SBS ethos which is to take anything available in the public domain but to protect anything internally using its private sector standing stating that it is “commercially sensitive information”.
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Anonymous, Manager,
13 Dec 2011
The whole process feels incredibly underhand. Discussions surrounding the South West service apparently commenced in 2010, the end service users (General Practice) were only invited to comment once the decision had been taken late 2011. We are now invited to meet with SBS - only to ensure that this does not fail!

This, in my opinion based upon current experience of SBS, will be a costly exercise where the patients and General Practice alike will suffer. The knowledge and experience of local FHS staffs will be a significant loss to the NHS family. In a service where confidentiality is so very important the government appear to be able to share with whomever they like - this will be an insurance driven system before long all thanks to the coalition .
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Anonymous, PCT,
19 Dec 2011
All the doubts in existance about the unlawfullness of the Shared Business service can now be tested as Unison deem it serious enough to mount a legal challenge. Let's hope that this puts an end to all the uncertainty about the SBS take over in the south west and perhaps qulaity will after all be safeguarded.
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