The role of the practice manager has probably been somewhat evolutionary, primarily due to the growing administrative demands placed upon general practitioners.
Highlights in Update 88 Section 3. Contracts and finance Welcome to the May update of the Handbook of Practice Management. 1 April 2013 marked the end of the NHS as we knew it and the beginning of the new order following the implementation of the Health and Social Care Act. This Act brought in the most radical reform of the NHS since it was founded in 1948. Many Clinical Commissioning Groups were 'authorised' and hold major purse strings. Local authorities have new responsibilities and funding for public health, and will take a greater role in improving health and reducing health inequalities. The establishment of Health and Well Being Boards hosted by local authorities bring together the NHS, public health, adult social care and children's services, including elected representatives and Local Healthwatch, to plan how best to meet the needs of their local population and tackle local inequalities in health. These are just three of our many changes which will have a major impact on the NHS, GP practices and the care of patients.
Happy new year to all the readers of HOPM. The focus of this update is on Information Management (Chapter 12). We have updated sections on the Electronic Prescription Service (EPS), Paperless Accreditation, Summary Care Record and use of Information Technology (IT) in the administrative aspects of practice management.
Welcome to update 94. Basic effective management skills are often taken for granted and over recent years the opportunities for practice managers and GPs to develop management skills have become limited. That's why we have spent time updating Section 7 (Basic Management Techniques). The chapter gives an introduction to management skills and what we hope is a range of useful techniques and suggestions. We hope you find it informative and helpful in the work place.
This update concentrates on Chapter 2, the Primary Health Care Team. The authours felt it was timely to update this chapter for two main reasons.Firstly, with the CQC inspection regime in full swing, early evidence suggests that areas leading to problems for practices are the essential outcomes concerning our staff. This specifically includes, requirements relating to works, staffing and supporting workers. This chapter should answer questions around competencies required, mandatory training and continuing professional development.Secondly, it is important to note that in the tight financial landscape that General Practice finds itself in and which will continue over the coming years, that staff costs account for around two thirds of all practice expenditure. Hence maximizing the output from the staff you have is important and reviewing your staff numbers and mix to see if they match the needs of the practice and your population. This may mean looking at the skill mix and workforce planning. Hopefully this chapter and others in HOPM will give food for thought.Wishing all our readers the best.
Welcome to Update 91! The end of PCTs in England has seen significant changes in the funding and development of GP practices. In addition, changes to disability discrimination legislation have meant that we felt it worthwhile to overhaul Chapter 11. We hope that you find the updates useful. It is worth bearing in mind that not everything has settled following the Health and Social Care Act, and we will keep you informed of further developments. For example, NHS Property Services Ltd is very new and it's role and responsibilities are not fully understood (!).As we write, the BMA and NHS Employers have negotiated changes to the GP contract for England for 2014-2015. The key changes include the following:• The QOF will be reduced by 341 points, of which 238 will be transferred to core funding and 103 to Enhanced Services • Seniority will be removed over a six-year period, with a redistribution of released funds to all practices as an addition to core funding • The introduction of a new Enhanced Service on unplanned admissions • Three of the four imposed Enhanced Services from 2013-2014 will be removed • New IT systems requirements will be introduced, including the ability for patients to book appointments online and access their Summary Care Record • Every patient aged 75 and older will be assigned a named accountable GP to ensure coordinated care.Over the coming updates we will make sure that we provide information on managing and applying the 'new' contract. Some of us will feel that we are in for yet another change. As a Greek philosopher once said, 'change is the only constant'! Wishing all our readers all the best for the season and new year.
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Welcome to Update 92 where we concentrate on chapter 3: Contracts and Finance.The financial year of 2013 -2014 has been challenging to say the least. The reorganisation of the NHS in March 2013 has taken a full twelve months to settle down. Only now are the new organisations finding their feet. This has caused a degree of angst in practices as many of our historical contacts are no longer in post or are working in new roles creating a gap with lost expertise. Practice Managers have been required to work with new and evolving systems and develop new contacts in the new organisations.
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