|
Prescribing
Monitoring Document
The
Prescribing Monitoring Document (PMD) shows the
cost of prescribing to enable management of the
drugs element of unified budgets. A new PMD report
is produced each month, and the data presented
is based on a single month of prescribing. PMD
within the electronic Prescribing & Financial
Information for Practices service is a 2-page
report, which is suitable for printing. The first
page is a Practice Statement (an Annual Return
in March) the second, an Annual Profile of Cumulative
Expenditure.
Header Information
enlarge
The header information on the Statement and Annual
Return contains:
- Title
For months other than March, the title of 'Practice
Prescribing Monthly Statement' appears, while
for March the title appears as 'Practice Prescribing
Monthly Return'. If the practice is a PMS Pilot,
this will be indicated here with a slightly
different title to that of a practice: 'PMS
Pilot Monthly Statement'.
-
Reporting Period
For months other than March, this will contain
a statement number and a date. Statement refers
to the financial year, so statement number 1
refers to April, number 2 to May, and so on.
The calendar month and year that the statement
refers to is also displayed here. For March,
the text 'Annual Return, March <year>'
appears instead.
- Practice
Information
For the practice to whom the PMD report relates,
the practice name appears here along with the
practice code and the practice's address.
- Practice
Parent
The name of the PCT to which the practice belongs
is displayed here along with the PCT's code.
Back
to top
Report Content
Expenditure
enlarge
This section shows expenditure against the target
budget. The following details are provided:
- Target
budget for the current year
The prescribing amount allocated for the current
financial year (April - March). If your practice
moves to a new PCT mid-year and you retain your
patients, you will also retain your existing
budget as this has been set according to the
needs of the practice if your target budget
needs to change mid-year, these changes need
to be agreed with your PCT. If your practice
splits, the budgets will need to be agreed with
your PCT and will normally be prorated with
list sizes.
-
Expenditure for the current month (rounded to
the nearest £)
Note: some of the costs incurred for the dispensing
of prescriptions are excluded from the expenditure
figures; these are professional fees, on-cost,
oxygen cylinder delivery service and oxygen
concentrator services.
- Cumulative
Expenditure (rounded to the nearest £)
The expense incurred by the practice for the
current financial year to date.
- Forecast
Out-turn
This is a forecast of the expected annual expenditure.
This can be compared with the target budget
to establish whether the practice is on target
for expenditure, for example; if the Forecast
Out-turn is greater than the target budget,
and if current expenditure levels are maintained,
the target budget will be exceeded at the end
of the financial year. This figure does not
appear on the Annual Return or the statements
for April and May
For
further information about Forecast Out-turn,
including how it is calculated, see the Prescribing/PMD
Technical Guide.
- Total
Annual overspend OR Total Annual underspend
This figure only appears on the end of financial
year Annual Return for March. This is the difference
between the total expenditure for the year,
and the target budget for the year.
Back
to top
Breakdown of expenditure by major BNF therapeutic
group
enlarge
This
section gives a breakdown for each of the current
national top six British National Formulary therapeutic
groups. In addition there are separate breakdowns
for dressings and appliances. The remaining chapters
are grouped together in the 'All other' category.
The following details are provided for each category:
- Expenditure
for current month
- Expenditure
of this group as a percentage of combined groups'
expenditure for this month
- Cumulative
expenditure (i.e. expenditure in the current
financial year to date)
- Cumulative
expenditure of this group as a percentage of
combined groups' cumulative expenditure
From
this table of information you can see where your
expenditure is incurred and how it is distributed
between the therapeutic groups. If you require
a further breakdown of the prescribing in any
of the BNF chapters, then this information may
be obtained from the Practice
Prescribing Detailed Information and Prescribing Analysis Report.
enlarge
Pie
charts representing this month's and the year
to date's expenditure are shown.
Back
to top
Annual Profile of Cumulative Expenditure
enlarge
This
section of the statement gives monthly expenditure
details for the whole of the previous year (April
to March) plus details for the current year to
date. The information provided is cumulative.
For example, April contains April details only,
May contains April's and May's. It shows expenditure
to date for each of the months. The header information
displayed is the same as that for page 1, except
the title will always display 'Annual Profile
of Cumulative Expenditure'. The following details
are provided for each month:
- Basic
price
The cumulative expenditure for net ingredient
cost
- Discount
This is calculated from the basic price, using
the latest available national average discount
percentage
- Container
Cost
The amount paid for container costs for items
prescribed by the practice
- Actual
cost
The basic price less the national average discount
amount calculated plus the container cost.
- Percentage
of amount
The percentage of the target budget expended
up to and including that month. If the target
budget is exceeded then this value will be greater
than 100%.
enlarge
A
bar chart representing the annual profile of expenditure
graphically is shown. Each month has three entries;
expenditure for this month in the previous year,
expenditure for this month in the current year
(blank if the current month is in the future)
and target expenditure for this month, calculated
according to the national trend of proportionate
spend.
Back
to top
|
