FINANCE: The South of Tyne PCTs have agreed to reinvest money not paid to hospital trusts under the 30 day readmissions rule in initiatives “aimed at actions to reducing these readmissions, improving patient outcomes and experience and reducing additional pressure on the urgent care system”.
A paper to the PCT Cluster’s chief operating officer says: “A major challenge for the 2011-12 contract round was the implementation of the revised rules
relating to 30 day emergency re-admissions [non payment for emergency re-admissions within 30 days of discharge], to hospital. This complex piece of guidance had the potential to severely impact on individual acute providers and as a consequence a strategy was developed to ensure the pragmatic implementation of this [payment by results] rule whilst ensuring the intended benefits of reducing re-admissions and improving patient experience were achieved.
“…agreement has been reached with all three of our local acute providers to reinvest funding attributed to 30 day emergency re-admissions in line with a locally agreed protocol to ensure speedy development, authorisation and implementation of local initiatives. These initiatives will be funded from the 30 day emergency re-admission fund and will be aimed at actions to reducing these readmissions, improving patient outcomes and experience and reducing additional pressure on the urgent care system.”
The contracting round also involved emerging GP commissioners. The paper says: “In preparation for a greater role in the future in respect of provider management, GP Commissioner leads were briefed on contract negotiations with relevant providers and their advice and involvement sought on key issues.”