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Key Challenge 1 Objectives
I Delivery
We have established a series of measures to gauge the efficiency and effectiveness of our day-to-day service delivery. These areas are funded within our baseline allocation, which is determined by the Department of Health. With the exception of our managed finance and HR services and of certain payment and information services delivered outside England, these are produced at no direct charge to the end user and access to these services accords with DH policy.
Performance Improvement and Efficiency Targets
We operate a number of performance improvement programmes that cover work over a number of directorates. Some of these are explicitly linked to significant development work - such as the new data capture process within the overall reengineering programme (Objective 7). The budget for 2003-04 has been allocated to incorporate appropriate efficiency savings. Based on the outturn of 2002-03, these will be translated into unit cost measures derived from our costing model and will be monitored quarterly against an appropriate target figure.
| 1 |
Payment |
| KC1 |
A McDonald/J Smith |
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Each working day, the PPA processes over two million prescription items, determining reimbursement and remuneration levels through to payment. Annual payments to contractors made on behalf of the NHS now total around £6 billion. Our payment service centres on the direct reimbursement and remuneration of pharmacy contractors in England. We also provide payment schedules covering dispensing doctors and personal administration by GPs in England and schedules for Jersey and Guernsey.
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Budget 2003-04 £42.5 million
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| Objective |
To achieve cost-effective reimbursement, remuneration and payment services. |
| Targets |
1. Payments to be made to schedule (Appendix A)
2. Payments to be authorised to schedule (Appendix A)
3. Accuracy to be at least 99.8% net - (net cash variance in month) |
| 2 |
Information |
| KC1 |
D Ball (C Dalton/A McDonald) |
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Each processed item is recorded to form the basis of our prescribing, dispensing and financial information services. The database that underpins ePACT.net and our other prescribing and dispensing information services is the largest of its kind in Europe. It currently contains entries detailing prescribing trends within NHS primary care over the last three years. This information is provided regularly to all GPs and their management organisations in the NHS.
Our services to prescribers, dispensers and patients revolve around our information-hub. Our core information services provide electronic prescribing management information that enable PCTs/StHAs to performance manage poor prescribing practice and adverse trends and to manage prescribing costs. We will continue to improve the mechanisms for delivery and support of our prescribing information services. There is demand for richer information services to support prescribing and dispensing management in Primary Care.
We also provide information and reports covering the volume of work we undertake to highlight emerging trends in prescribing and dispensing.
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Budget 2003-04 £7.3 million
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| Objective |
To provide timely and accurate information and analysis on prescribing patterns, costs and trends to appropriate levels within the NHS, in support of improving patient care. |
| Targets |
Key products to be provided to schedule (Appendix A)
ePACT.net
Toolkit
PCT Board Report
IPP
PACT (Paper) - Standard and Catalogue
PCA
PMD
Hospital ePACT
PD1
PD2
Volume & Cost of Prescribing - quarterly (reported periodically) |
| 3 |
Reimbursement Policy (i Drug Tariff) |
| KC1 |
C Dalton |
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The PPA provides regulatory support services for the Department of Health to enable it to manage reimbursement policy. We produce the Drug Tariff monthly, which is distributed to designated NHS bodies.
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Budget 2003-04 £0.5 million
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| Objective |
To provide regulatory services which promote the effective use of public funds within the NHS |
| Targets |
1. Drug Tariff to be delivered to designated NHS bodies three days before the month in which it is applicable. (Appendix A.)
2. Process applications for the addition of new products to Drug Tariff Part IX, reporting quarterly on work volumes and efficiency. |
| 3 |
Reimbursement Policy (ii PCDD) |
| KC1 |
C Dalton/D Ball |
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The NHS PCDD is made available to the distributors of databases and to those who produce GP and Pharmacy systems to enable them to incorporate it into their systems. The regular updates are available to these suppliers under contract. PCDD forms the first delivered element of the UK Clinical Products Reference Source (UKCPRS) |
| Objective |
To provide regular, weekly updates to the PCDD, to expand the contents of the PCDD towards all licensed medicines in line with Editorial Board Policy. |
| Targets |
1. PCDD updated weekly to schedule
2. Meet the level of coverage determined by the independent PCDD editorial board |
| 4 |
Benefits (i Low Income Scheme) |
| KC1 |
A McDonald |
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The NHS Low Income Scheme receives approximately one million claims per year. Each claim is assessed and certificates are issued to those who qualify. These are linked aspects of the PPA's core business process - prescription processing.
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Budget 2003-04 £4.5 million
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| Objective |
To administer the Low Income Scheme in a timely, effective and efficient manner to provide a service at the level of excellence expected by the stakeholders. |
| Targets |
1. To assess 93% of claims accurately (cumulative yearly target)
2a.) clear 98% of all complete claims within 15 working days of receipt
2.b) clear 97.5% of Resubmitted claims within 5 working days
2c.) clear 97.5% of Miscellaneous items within 5 working days |
| 4 |
Benefits (ii Certificates - PPC/MedEx/MatEx) |
| KC1 |
A McDonald |
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We provide a service across England to provide exemption certificates to those entitled to them and to provide upon application and payment prescription pre-payment certificates.
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Budget 2003-04 £2.5 million
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| Objective |
To provide effective and efficient delivery of pre-payment and exemption certificates at the level of excellence expected by the stakeholders. |
| Targets |
1. Applications are processed and certificates despatched within 21 working days.
2. The internal performance measures of the service will be formally reviewed and re-targeted by 30 September 2003. |
| 4 |
Benefits (iii Tax Credits) |
| KC1 |
A McDonald |
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Benefit certificates will be provided to those in receipt of a relevant Tax Credit and their partners. The source data will be provided by the Inland Revenue. Performance criteria have yet to be agreed between the parties.
This is linked to objective 13 which covers the process under development which will become operational during the year |
| Objective |
To provide effective and efficient delivery of exemption certificates at the level of excellence expected by stakeholders. |
| Targets |
Once established, applications are processed and certificates despatched within 21 working days from receipt of data from Inland Revenue. |
| 5 |
Managed Support Services |
| KC1 |
John Smith/M Siswick |
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A range of services complements the core business process. Principal amongst these are Finance and Human Resources. This objectives focuses on these areas. In addition, we provide IT Development, Hardware, Software and Network support, Infrastructure Management and Logistics. There is chargeable, IT Development support to DH initiated projects contracted to third parties, including providing service to support the PSU and NPC websites. These aspects of our managed support services are monitored through the IT Directorate Plan.
Our main managed support services are operated under service agreements and are with, amongst others, the Modernisation Agency, The NHS University and the Expert Patient Programme. We are committed to monitoring the continued effectiveness of these arrangements.
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Budget 2003-04 £0.7 million
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| Objective |
To successfully manage the provision of Financial and HR services to the PPA's existing shared service organisations, in line with agreed protocols and to scope where appropriate additional managed services. |
| Targets |
Quarterly performance report |
| 13 |
Tax Credits |
| KC1 |
A McDonald |
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This development is linked to the continuing discussions underpinning Objective 4(iii). |
| Objective |
Development work required to deliver objective 4 (iii) involves: development of an effective data transfer process from Inland Revenue providing required information concerning Tax Credit recipients, issue of exemption cards, dealing with associated telephone queries and correspondence, including claims for refunds. |
| Targets |
System to be established and implemented by June 2003 |
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