Transcript HIV Data Pilot Results Meeting Welcome Introduction Pilot

Adult HIV Outpatient PBR Tariff Development
National Reference Group Meeting
21/05/10
Welcome and Introductions
Chair Opening Remarks
Recap:
DH Sponsorship
NRG
Task/Working Groups
Initially covering Birmingham, Greater Manchester and
London
Commissioners, Clinicians, Finance, HPA, BASHH, BHIVA
Increase in SHA region participation in costings and working
groups
Broadening expertise, input and participation prior to national
consultation
Project Principles Recap
National mandatory tariff based on open access with appropriate
reimbursements for providers
Adult service outpatient tariff
Agreed national pathway based on national standards of care and
ensuring quality of care and outcomes
Based on patient year of care
High cost diagnostics included
System will validate in year movement in patient care
subsequently:
(PWC evaluation recommendations)
ARV drugs options considered through scoping and feasibility
Potential data flow through SUS
Review of national standards within service provision
Rapid Assessment Feedback and Project Way Forward
Rapid Assessment
(in acknowledgment of lack of project management and
leadership and potential project drift)
PM and PL undertook a series on one to one and small group
consultation on status of project and key issues with current
NRG and other stakeholders
Increased links to other regions and participated in SHA or
network meetings to provide information on project and solicit
key participants and contacts
Rapid assessment feedback:
Still strong support for project and strong commitment by
current participants
Willingness to increase and involve new stakeholders with
people keen to be involved
Clear need for strengthened project plan, key outcomes and
better communication both within current stakeholders and
externally
Stability with project team and DH commitment
Restate project aims and key outputs
Focus on developing currency and robust consultation
Project Way Forward
Continued DH commitment and solution to project management
and financial situation
Project Plan with new timelines developed with key roles and
responsibilities for delivery to project team
Project Lead and Project Management role
Strengthen links and involvement of PBR team
Task orientated working groups and better communication
New members of working groups and where appropriate NRG
Collation of national contacts for commissioning and clinical input
and future consultation
Development of communication strategy and consultation plan
Scoping and feasibility of ARV inclusion
Scoping and feasibility of ARV inclusion if tariff development
Recommended by PWC
PbR future development is to limit exclusions and therefore we
consider ARV costs in tariff Development
Agreed to undertake feasibility of this for HIV tariff and make
recommendations
Project lead to manage process and set up small working group
under same conditions as other groups
ARV inclusion feasibility to include:
Produce HIV drug feasibility study by collect and collate trust and consortium Drug data
produce drug analysis and comparative reports
make decision on way forward
Produce HIV drug costs Produce HIV drug costs options
Consult on Drug Cost options
produce drug measures and data items
Work in infancy although requires early solution
Small sub/task group to be formed asap to consider options and
initial considerations
NRG discussion required with key areas and points of view
expressed
ARV inclusion NRG discussion
Options
Do not include ARV in any tariff
ARV tariff developed in line with PbR options:
National Currency/National Price
National Currency/Local price
Local Currency/Local price
What is achievable and acceptable when considering ARV
inclusion in tariff?
What are the main areas for consideration – e.g maintaining
levers and competitive prices
if ARV tariff is not feasible at National currency/national price
then what can we do to support services and commissioning
e.g guidance, regional or local benchmarking, commissioning
data set, consortium arrangements
Website and Communication Strategy Update
Communication Strategy in development – required input
from all stakeholders especially BASHH and BHIV and also
requires rapid consultation on requirements or processes
for pubic patient consultation
The strategy will outline:
Objective of project
Communication objectives, principle and key messages
Key audiences
Preferred/Appropriate channel of communication
Requires comments on draft and shaping of process and key
messages to key audiences
Draft to be sent out for comments early next week
Proposed key Communication Tool will be HIV PbR Website
Agreed that English Commissioner Website managed by NAT will
be developed to provide key website service
Three Levels of Access Envisaged
Public – non secured
Professional – non secured and secured
Stakeholder/project participants – secured
Both public and secured pages will contain:
Project background and identified documentation for viewing
PbR FAQ section
HIV Outpatient FAQ section
Ability to send in comments and queries via a specific email
address and will be managed externally for response
A section specifically for potential consultation questions that
stakeholders can be refered too as appropriate
Downloading facility
Notification facility for/of questions or enquiries sent to specific
email address
Registration facility for further information and notifications
Links to other websites such as DH, BASSH,BHIV etc
Secured Pages will contain:
Ability for the creation, editing and commenting on identified
documentation
Project stakeholder contact details
Minutes and working papers for comment and viewing
Ability for password protection and specific user names (
currently up to 50 individuals but may increase)
Ability for on line discussion and sharing of perspectives and
questions (tbc and dependant on cost)
Monthly project updates
Downloading and uploading facilities
Calender and key event for project and locally and regionally