GP Prescribing Quality Scheme 2015-16
Objectives:
1. To support delivery of the identified Medicines Optimisation initiatives, and drive costeffective prescribing.
2. To balance the requirement to deliver savings with a requirement to recognise the quality
of prescribing.
3. To offer achievable incentives to all practices, and be as transparent and as easy to
understand as possible.
Prescribing Quality and Savings
Action
Savings Achievement: Practices to implement a savings plan to achieve
a savings target based on potential switches and projects (Eclipse) –
discussed at Practice Visits
Antibiotic Prescribing for Upper Respiratory Tract Infections (URTIs)
GPPQS Payment
Up to 25p per
registered patient
10p per registered
patient
URTI toolkit
2015-16.docx
Diabetes and Frailty
15p per registered
patient
Managing Type 2
Diabetes in Frailty
Polypharmacy strategy- implementation of one focus project e.g.
 HARMs
 Anticholinergic load
 Benzodiazepine review
 Bisphosphonate Review
 PPI review
10p per registered
patient
Polypharmacy
Strategy Final version 1.6.docx
Polypharmacy
Strategy Review Report.docx
Practice Elements- Prescribing Budget
2015/16 Prescribing Outturn v Budget
0 – 2% Underspent
2 – 4% Underspent
4 – 6% Underspent
6 – 8% Underspent
8 – 10% Underspent
10 – 12% Underspent
12 – 14% Underspent
14 – 16% Underspent
16 – 18% Underspent
>18% Underspent
GPPQS Payment
10p per registered patient
20p per registered patient
30p per registered patient
40p per registered patient
50p per registered patient
60p per registered patient
70p per registered patient
80p per registered patient
90p per registered patient
100p per registered patient
Locality Element - Prescribing Cost Growth
Growth Rate (year to Mar 16)
GPPQS Payment
0.0 – 0.5% Below England Rate
10p per registered patient
0.5 – 1.0% Below England Rate
20p per registered patient
1.0 – 1.5% Below England Rate
30p per registered patient
1.5 – 2.0% Below England Rate
40p per registered patient
2.0 – 2.5% Below England Rate
50p per registered patient
2.0 – 2.5% Below England Rate
60p per registered patient
© Kernow Clinical Commissioning Group
Report title
2.5 – 3.0% Below England Rate
3.0 – 3.5% Below England Rate
3.5 – 4.0% Below England Rate
>4.0% Below England Rate
70p per registered patient
80p per registered patient
90p per registered patient
100p per registered patient
Enablers
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Practices to meet with the CCG’s Pharmaceutical Advisors and nominated Prescribing
Support Technician in the spring/summer to discuss the priorities and opportunities at the
practice for the year and develop a “Practice Plan”.
The CCG will provide all practices with a detailed pack of prescribing information,
identifying any areas where there may be potential savings available.
The CCG’s Prescribing Support Technicians, Pharmaceutical Advisors, and Clinical
Leads for Medicines Optimisation will support practice-based work on prescribing
throughout the year.
The CCG Prescribing Team will provide relevant protocols and audit packs to support
both quality improvement and cost saving prescribing projects.
Practices may use any remaining monies from previous GPPQS payments to support
prescribing work.
Eclipse Live
Administration
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In the event of an overall KCCG prescribing budget underspend, payments will be
unlimited. In the event of an overall overspend; the payments under this scheme will be
capped at £550K.
In the event of a dispute – e.g. if a practice’s population had changed significantly in-year
and they wished this to be taken into account – a KCCG Panel will consider
representations from practices and will have the power to adjust payments due.
Please see the document below for guidelines on how monies secured under the practice
element of this scheme can be used/spent.
Use of GPPQS
Monies April 15.doc
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Monies secured under the locality element of this scheme must be used in line with local
protocols and policies.
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