NHS England CCG commissioning NHS England North Midlands

NHS England CCG commissioning NHS England North Midlands www. england. nhs. uk

2016/17 contract changes • A national investment in the contract for 2016/17 of £ 220 m to uplift the contract and take account of increased expenses, including: • A pay uplift of 1% • Increase in vaccinations & immunisations item of service to £ 9. 80 • Changes in the value of QOF point to £ 165. 18 • A revised national GMS price of £ 80. 59 • Funding to cover increased business expenses including CQC costs • All vaccs & imms programmes are to continue in 2016/17 with the exception of changes to meningococcal B, meningococcal C and meningococcal ACWY (see below) www. england. nhs. uk

2016/17 contract changes cont • Further commitment to expand improve the provision of online services for patients. • GP practices will be encouraged to transmit prescriptions electronically using EPS Release 2 • GP practices will be encouraged to make referrals electronically using the NHS e-Referral Service • Online access to clinical correspondence • Apps for patients to access services • Shared discharge summaries and event posting • Not exhaustive list – see letter 29 April 2016. www. england. nhs. uk

DES 2016/17 • The Extended Hours and Learning Disabilities schemes will be extended for a further year. • The Avoiding Unplanned Admissions (AUA) enhanced service will be extended for a further year from 1 April 2016, with minor changes to clarify timeframe for care reviews. • Dementia diagnosis and support DES not extended. It is felt that QOF indicators and clinical guidelines are sufficient. www. england. nhs. uk

Vaccinations and Immunisations (1) Unchanged programmes • Childhood immunisation programme • Hepatitis B (new-born babies) vaccination programme • Measles mumps and rubella (aged 16 and over) • Rotavirus vaccination programme • Pertussis (pregnant women) vaccination programme • Seasonal influenza and pneumococcal polysaccharide vaccination programme • Childhood influenza vaccination programme • Shingles Routine & Catch-Up programmes www. england. nhs. uk

Vaccinations and Immunisation (2) Changes to • An increase in the item of service fee for vaccinations and immunisations to £ 9. 80 • For meningococcal B, it has been agreed to withdraw the catch-up element, as well as to withdraw the delivery of paracetamol • It has been agreed to remove the infant dose of Men. C from the Childhood Immunisation Programme from April 2016 • Extend the Men. ACWY 18 programme to allow opportunistic vaccination of 19 -25 year olds www. england. nhs. uk

Core funding (1) Uplifted for 2016/17 A summary of the recent changes to the GMS Global Sum Price per weighted registered patient: • 2013/14 • 2014/15 £ 66. 25 £ 73. 56 • 2015/16 (1 Apr) £ 75. 77 • 2015/16 (1 Oct) £ 76. 51 • 2016/17 (1 Apr) £ 80. 59 > 11. 03% increase (£ 7. 31) > 3. 0% increase (£ 2. 21) > 0. 9% increase (£ 0. 74) 5. 9% increase (£ 4. 45) ave 15/16 Significant changes reflect the transfer of funding from Enhanced Services, Seniority payment changes and QOF to core practice funding. www. england. nhs. uk

Core funding (2) April 2016: The increase from £ 76. 14 (average across 2015/16) to £ 80. 59 of £ 4. 45 is derived from: • 85 p is inflationary uplift • 50 p is the reinvestment of MPIG • 30 p is reinvestment of seniority • 73 p is the reinvestment into the global sum of the monies from the withdrawn directed enhanced services (Dementia - £ 42 m) • £ 2. 07 is other elements paid through global sum, i. e. NIC 3. 4% rate abolition, superannuation increase, CQC fees, indemnity insurance www. england. nhs. uk

Web Resources GMS contract & DES information: http: //www. nhsemployers. org/GMS 201617 NHS England Policies: www. england. nhs. uk/ourwork/d-com/primary-care-comm/ www. england. nhs. uk