The NCSP in London-A focus on quality and productivity

Meroe Bleasdille –NCSP Regional Facilitator London Marie Kernec- NCSP Programme Manager

Maintaining the focus on young

people’s sexual health • Sexual health including Chlamydia and STI testing is an important public

health issue for young people.

• 2010/11NHS Operating Framework business as usual for all Tier 2 VSI including the Chlamydia target 35% and the DH has confirmed a commitment to continue the NCSP after April 2011

• Young people are entitled to high quality, youth friendly sexual health services in their local community that provide access to both testing and treatment in a timely manner.

London Q1-2 2010/11

32.3% of PCTs have met their internal target!

CS = NCSP Core Services

London - Internal trajectory

Data as of 01.10.10. Based on VSI criteria

Proportion of positive cases by venue type

Data as of 1.11.10. NCSP tests only. Based on those aged 15-24 years. VSI criteria

Percentage of positive index patients reported as treated:

Data as of 29.10.10

Internal target

Number of partners treated per index case

Data as of 29.10.10

Quality Assurance in London

• Young people need to receive clear and consistent safer sex messages when offered a test

• Quality assure all elements of the Chlamydia testing pathway and curtail malpractice

• Continue to meet results turnaround standards • However as a region we need to limit barriers to

treatment at all stages of the Chlamydia pathway

Suggested Chlamydia Indicator 2011/12

• Outcome based (not process based)• Prevalence – not practical to measure at local level • ‘Composite’ indicator of variables predicting fall in prevalence

(coverage and positivity) • At PCT or its equivalent level • Measurable with routine data collections • NHS Outcome Framework Consultation – submission• Rates of chlamydia diagnoses in 15 to 24 year olds (all

venues) per 100,000 population with positivity within a range

SummaryNCSP Costing Tool - Context

• Following 2009 NCSP costing review and guidance • Following NAO report and PAC response • Liberating the NHS White paper – greater transparency in costs ;

supporting the NHS to deliver on QIPP • Linked with SH tariffs development : Provider Pathway Analytics • Main objectives :

– to support PCTs to identify their chlamydia testing costs for previous year

– to support PCTs to plan costs for subsequent year – to provide benchmarking

• Developed with input from commissioners • Delay (roll out originally planned during summer 2010) ;current

reviewed timeline : finalisation of the tool beg. Dec 2010 ; roll out Dec 2010 / Jan 2011

Summary NCSP Costing Tool Submission

• Choose year 2009/10 – 2010/11 – 2011/12

• Create a contract for each service or provider and submit costs and activity data

General Practitioner; Sexual and Reproductive Health 3rd sector; GUM; Termination of Pregnancy; Community pharmacy; Remote testing; Outreach; Other providers; Kits provision or assembly; Laboratory..

• Sexual Reproductive Health block contract pre-populated with costs from the NCSP costing study 2009 (similar to costs from SRH tariff development)

• Sexual Reproductive Health tariffs will be built in

• Coordination and overheads

Example – Submission

Summary NCSP Costing Tool Reports and key outputs

Cost and activity break down report• Overall cost per “test” (=per testing episode, whole chlamydia testing

care pathway)• Overall cost per positive • Cost per client negative ; cost per client positive• Detailed costs per step of the chlamydia testing care pathway• Detailed costs per channel / settings (to support operational strategy)

Benchmark reports• Benchmark on all costs described above• Compare costs to similar size PCTs• Compare costs to national/ regional average• Identify where it could be possible to reduce costs throughout the

pathway

Example - Report

Next steps

• Tests / costing study 2009 and a few PCTs• Finalisation of the tool beg. Dec 2010• Roll out - Dec 2010 / Jan 2011• RFs support in each region• NCSP central support• Adapted training sessions – early 2011

Thank you