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Practices to be paid an average of £20,000 to avoid unplanned admissions

The new avoiding unplanned admissions directed enhanced service will be a maximum of £2.87 per patient

Ingrid Torjesen

Friday, 04 April 2014

Practices will be paid an average of £20,000 in 2014/15 to deliver the new avoiding unplanned admissions directed enhanced service, it has been revealed. The new directed enhanced service will assign vulnerable patients a named GP and has been introduced to reduce pressure on hospitals.

A maximum payment of £2.87 per registered patient is available for the new directed enhanced service, which will be worth up to £20,340 to the average practice with a list size of 7,087 patients. Payments through the directed enhanced service will be staggered throughout the year.

Guidance from NHS Employers on the new unplanned admissions directed enhanced service says that practices will be paid 45% of the directed enhanced service up front, followed by three quarterly payments, worth 20%, 10% and 10% of the total, if they manage to maintain the minimum number of at-risk patients with a named, accountable GP, and then a final end-year payment worth 15%.

Practices participating in the unplanned admissions directed enhanced service will have to identify a minimum of 2% of patients at high risk of unplanned admission, put these patients on a register assign a named, accountable GP, and a care co-ordinator where relevant.

The GP will work with the patient, their carer and the care co-ordinator, if applicable, to develop a personalised care plan. This will outline how the patient's care needs will be addressed to reduce the risk of hospital admission. The patient will also have access same-day telephone appointments, if they are not already available.

The DES will also require reviews of emergency admissions and A&E attendances of patients on the case management register to understand why they occurred and whether these could have been avoided.

Practices will have until 30 June to sign up for the new directed enhanced service.

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