Coordinate my Care Local Enhanced Service
Agreement between xxxxxx CCG and
…………….………………………………………………………………..Practice
Rationale:
Effective, accurate and timely communication between many agencies is essential in delivery proper care for patients approaching the end of life (EoLC), and for many patients with chronic disease. The Coordinate my Care (CMC)toolkit provides a mechanism for this.
Practice undertakings:
All GPs and other staff involved in care for relevant patients will attend CMC training, either at the practice or some other agreed location.
GPs and other appropriate clinical staff at the practice will populate the CMC template should the decision that the patient is now entering an EoLC pathway (by way of guidance, if a patient is not expected to survive more than one year and is eligible for a DS1500 form should be considered for entry into the EoLc pathway). The patient (or an authorised carer if the patient cannot give consent) will be given an information leaflet explaining CMC, invited to give consent for data to be entered and this consent will be confirmed on the relevant part of the toolkit.
GPs and other appropriate practice staff will use the CMC toolkit to enter all relevant information about such patients, keep the template updated, and use it as a primary means of communication with others involved in the patient’s care.
GPs and other appropriate practice staff will cooperate with CMC IT suppliers and others in reporting problems, suggesting improvements and implementing agreed changes.
Payments:
£100 for each GP and £50 for other practice staff for attending CMC training, payable on invoice with names of those attending and date and place of training event.
£10 for each patient entered onto the CMC template by the practice, payable on invoice with pseudanonymised patient identifier (eg using practice computer system ID number) and date of entry
£25 per annum for all patients on the CMC register paid pro rata, quarterly in arrears on invoice, with patient identifiers as above, date of entry onto CMC register and date of death/ leaving the register for other reasons.
Contractual arrangements:
This LES, income from which is to be considered NHS contractual income for the purposes of accounting, taxation, superannuation and notional rent abatements, is for two years, reviewed annually. Termination by either party is at six months’ notice, unless by agreement of all parties.
Signed:
……………………………………………………….. for the practice Date…………………………………
…………………………………………………………for the commissioner Date………………………………….