The following support article summaries the requirements for the Network DES contract for 2020/21 and offers guidance around how Ardens can help you achieve these requirements. Please see NHS England guidance here.
Enhanced Health in Care Homes
For PCN's patients who are living in the PCN Aligned Care Home(s), its suggested clinicians to deliver a weekly 'home round'. Please see pages 46 and 47 of the NHS England guidance for further information.
Ardens have provided searches to help practices monitor care home activity. To locate the searches, navigate to the Population Reporting module > Ardens Searches > Ardens Manager National Cntract Reports > Current Financial Year I PCN DES > Care Home folder.
Early Cancer Diagnosis
Our understanding of the service specification is that practices should work together to achieve the QOF QI Early Cancer diagnosis.
The Quality Improvement for Early Cancer Diagnosis requires practices to improve participation in the national cancer screening programme, and also improve referral and safety-netting practices for patients suspected of having cancer.
Ardens have a number of resources to support these requirements.
The Ardens Cancer screening searches (which can be located in Population Reporting > Ardens Searches > Ardens Main Searches > Cancer screening searches folder), identifies uptake for bowel and breast screening for those patients eligible.
The Cervical screening uptake and call/recall folder contains searches to identify eligible patients that are yet to have cervical screening and due either a 1st, 2nd or 3rd invitation.
The Ardens Fast Track Safety Netting Tools allows practices to keep track of patients referred for a 2WW fast track referral. The tools include alerts to warn clinicians if a patient is yet to be seen within 3 weeks. Further information of the Ardens Fast Track Safety Netting tools can be found here.
To monitor achievement of cancer activity and identifying work that still needs to be done relating to PCN DES. Access the Population Reporting module > Ardens Searches > Ardens Manager National Cntract Reports > Current Financial Year I PCN DES > Cancer folder.
The Clinical Activity folder (once run) will report on the diagnosis, referral and screening activity recorded for this fiscal year.
The Work to do folder identifies work to be done. This is mainly patients that have not had screening advice recorded in this fiscal year. The practice also have the option to narrow down to specific groups of patients, such as Learning Disability, Transgender and BAME.
To complete the work to do, access the patients displaying in the Population Reporting tab, check if a patient has been given advice and code appropriately.
The Ardens Cancer Template includes a Cancer Care Review page to complete the review for the patient.
Additional Roles Reimbursement Scheme (ARRS)
Each PCN may employ Allied Health Professionals to work with GP Practices.
Social Prescribers and Clinical Pharmacists may wish to use the Ardens Social Prescribing and Signposting Template to record activity. This template can be located in the Ardens > Other templates > Social folder.
Please note - there is now an available social prescribing referral code which is reflected both in the template and associated searches.
Physiotherapists may wish to use the Ardens Musculoskeletal Template to record activity. This template can be located in the Ardens > Other Templates > Musculoskeletal folder.
Ardens have created a suite of searches to help practices and PCNs to monitor the activity of the Allied Health Professionals. To access the searches, navigate to the Population Reporting module > Ardens Searches > Ardens Manager National Cntract Reports > Current Financial Year I PCN DES > Team Activity folder.
The Team Activity folder contains searches broken down by role:
Run the searches individually or by entire folder to view the results.
Structured Medication Reviews (SMR)
PCNs should identify specific groups of patients who need a SMR. To support practices to identify target populations, Ardens have created a suite of searches.
To access the searches, navigate to the Population Reporting module > Ardens Searches > Ardens Main Searches > Ardens Manager National Cntract Reports > Current Financial Year I PCN DES > SMR folder.
Investment Impact Fund (IIF)
PCNs have already been allocated 27p/weighted patient through the PCN support funding stream and this covers Apr-Sep 2020. The remaining £24.5m funding will be available for PCNs to earn through the new IIF, which will operate in a similar way to QOF (with each indicator allocated a certain number of points). There are six indicators:
- PR01: Percentage of patients aged 65+ on 31 Mar 2021 who have received a seasonal flu vaccination. 72 points, minimum achievement 70%, target full payment 77%. All activity between 1 Sep 2020 and 31 Mar 2021 included.
- HI01: Percentage of LD patients who have received a LD health check. 47 points, minimum achievement 49%, target for full payment 80%. All patients on LD register as of 31 Mar 2021 are included. All activity between 1 Apr 2020 and 31 Mar 2021 included.
- PC01: Percentage of patients referred to social prescribing. 25 points, minimum achievement 0.4%, target for full payment 0.8%. All activity between 1 Apr 2020 and 31 Mar 2021 included.
- MS01: Percentage of patients aged 65+ prescribed NSAID without gastro-protection. 32 points, minimum achievement 43%, target for full payment 30%.
- MS02: Percentage of patients aged 18+ prescribed oral anti-coagulant and anti-platelet without gastro-protective. 6 points, minimum achievement 40%, target for full payment 25%.
- MS03: Percentage of patients aged 18+ prescribed aspirin and another anti-platelet without gastro-protective. 12 points, minimum achievement 42%, target for full payment 25%.
Please note - the "MS" indicators are "inverse indicators" and the target is as few patients as possible. Only prescribing between 1 Oct 2020 and 31 Mar 2021 is included.
For 2020/21 each IIF point will be worth £111 and there will be 194 points available to each PCN. Payments are linked to prevalence and unweighted list size on 1 Jan 2021. This means that PCNs with a higher prevalence and/or larger list-size than the national average will receive more funding.
Ardens have created a suite of IIF searches to support practices monitor achievement and a summary of work still to do. To access the searches, navigate to the Population Reporting module > Ardens Searches > Ardens Main Searches > Ardens Manager National Cntract Reports > Current Financial Year I PCN DES > IIF folder.
The Clinical Activity folder is broken down by sub folders relating to the 6 indicators.