Request 1.1

"Providers must report regularly to PCTs on their compliance with the Quality Requirements."

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?

Response 1.1

We do not ask our GP OOHs provider to routinely send this information through to the CCG.  The provider is, however, expected to be able to demonstrate compliance against the quality standards as and when requested.   The contract clearly states that the OOHs service will fully meet national standards, including the National Quality Standards. The GP OOHs service is performance managed against an agreed set of KPIs and the CCG receives monthly performance reports and holds bi-monthly performance meetings to review. 

Request 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."

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?

Response 1.2

The CCG does not routinely request a copy of the random audit from the GP OOH provider however it would expect the OOHs provider to provide this as this is included in the contract as per 1.1 above.  The CCG holds bi-monthly performance meetings with the GP OOHs provider and this includes performance against quality; there is a standard agenda item of Patient Engagement.  Friends and Family tests are undertaken by the service and shared with the CCG. 

Request 2.1

In 2013 NHS Commissioning Board (CB) introduced a service called Risk Profiling and Case Management Scheme. It was an "enhanced service".

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?

Response 2.1

All practices were signed up to this Directed Enhanced Service.  At the time there were approximately 41 practices.

Request 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?

Response 2.2

None, it was not the responsibility of the PCT to notify NHSCB.  Practices signed up directly.

Request 2.3

What risk profiling evaluation tool was procured by you for the GP practices belonging to you?

Response 2.3

Health Numerics Risc Stratification tool.

Request 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.

Response 2.4

Rotherham CCG does not hold this information as this was prior to the establishment of CCGs.

Request 2.5

What criteria did you specify to GP practices belonging to you for case management?

Response 2.5

Level 3 patients were recommended for case management, for up to 5% of the practice list. The risk tool determined level 3 using an algorithm.