Assisted Delivery, with Epidural and Induction, or with Post-Partum Surgical Intervention, with CC Score 1 with CC with CC NZ42C Assisted Delivery, with Epidural and Induction, or with Post-Partum Surgical Intervention, with CC Score 0 without CC with CC Assisted Delivery, with Epidural or Induction, and with Post-Partum Surgical Intervention, with CC 2+ with CC with CC NZ43B Assisted Delivery, with Epidural or Induction, and with Post-Partum Surgical Intervention, with CC 1 with CC with CC NZ43C Assisted Delivery, with Epidural or Induction, and with Post-Partum Surgical Intervention, with CC Score 0 without CC with CC NZ44A Assisted Delivery, with Epidural, Induction and Post-Partum Surgical Intervention, with CC Score 2+ with CC with CC NZ44B Assisted Delivery, with Epidural, Induction and Post-Partum Surgical Intervention, with CC Score 1 with CC with CC NZ44C Assisted Delivery, with Epidural, Induction and Post-Partum Surgical Intervention, with CC Score 0 without CC with CC Planned Caesarean Section with CC Score 4+ with CC with CC NZ50B Planned Caesarean Section with CC 2-3 with CC with CC NZ50C Planned Caesarean Section with CC Score 0-1 without CC with CC NZ51A Emergency Caesarean Section with CC Score 4+ with CC with CC NZ51B Emergency Caesarean Section with CC Score 2-3 with CC with CC NZ51C Emergency Caesarean Section with CC Score 0-1 without CC With CC Creating incentives in outpatient follow ups What we previously proposed In our engagement document we proposed a change to the way that follow ups were to be reimbursed. Our proposal was to remove all national prices for outpatient follow ups and replace them with non-mandatory prices. We would then introduce a local pricing rule under which providers and commissioners would agree a single annual payment (a ‘block’) for all outpatient follow ups; this would include consultant-led, non-consultant led and follow-up activity with some small exclusions such as BPT and outpatient procedures.
significance. This would reduce the number of providers eligible for the BPT. setting it at 95% will increase the number of outliers because of random variation ability to deliver the target where services are confidence interval over two previous consecutive years. We are proposing not to increase the NJR rate because of concerns from the sector regarding services. We also recognise that 95% increase the probability of being an outlier by chance and although it is statistically significant it may not be meaningful (probability of error is greater). To mitigate this we have set the threshold over two consecutive years. Same day emergency care (SDEC) Make seven more clinical scenarios eligible for the same day emergency care BPT. These are: abnormal liver function acutely hot painful joint chronic indwelling catheter-related problems gastroenteritis transient ischaemic attack upper gastrointestinal haemorrhage urinary infections Some concerns were raised including: as some local areas are developing/have developed local ambulatory care pathways this may undermine their development lack of understanding of the link between this policy and the 30- day readmission rule. We propose to the BPT as originally described.