1. I refer to the (Dept of Health) DH’s, “National Quality Requirements (NQR) in the Delivery of Out-of-Hours Services” 2006 document (attached) in pages 5 to 7, in clause 3.5.1 on page 10 of “2014/15 APMS Contract – 18.06.14 v1.0.”
1.1 “Providers must report regularly to PCTs on their compliance with the Quality Requirements.”
Q Please tell when these Out-of-Hours (OOH) reports were sent between 2014 and March 2015 from Out-of-Hours (OOH) provider to you?
National NQR are part of the monthly reporting cycle of the contract. It is a contractual obligation for the GP OOH provider to submit this information on monthly basis. The OOH NQR information was sent on monthly basis between 2014 and March 2015.
1.2 “Providers must regularly audit a random sample of patients’ experiences of the service (for example 1% per quarter) and appropriate action must be taken on the results of those audits. Regular reports of these audits must be made available to the contracting PCT. Providers must cooperate fully with PCTs in ensuring that these audits include the experiences of patients whose episode of care involved more than one provider organisation.”
Q. FOI: Please tell when these Out-of-Hours (OOH) reports were sent between 2014 and March 2015 from Out-of-Hours (OOH) provider to you?
Patient surveys were sent quarterly between 2014 and March 2015.
2. In 2013 NHS Commissioning Board (CB) introduced a service called Risk Profiling and Case Management Scheme. It was an “enhanced service”.
2.1 How many agreements of GP practice belonging to you did you have in place by 30 June 2013 for the risk profiling and care management enhanced service?
NHS Calderdale CCG does not hold this information. NHS England was the commissioner for this service at the times referenced above. We suggest that you submit this question to NHS England for their response at firstname.lastname@example.org.
2.2 Which GP practices belonging to you did you notify NHS CB that were participating by 31 August 2013 in the Risk Profiling and Case Management enhanced service?
Please see response to question 2.1.
2.3 What risk profiling evaluation tool was procured by you for the GP practices belonging to you?
The Bradford Risk Profiling Tool.
2.4 Please supply a template of your audit form or quote data entry fields if its a database that GP practices belonging to you were meant to complete or be guided by quarterly.
A copy of the CCG’s audit form is provided as a PDF with this letter.
2.5 What criteria did you specify to GP practices belonging to you for case management?
The recommended NHS England specification criterion was recommended.