Enhanced Capitation Survey July 2020 – summary results
The second Enhanced Capitation (EC) survey was sent to general practice teams during July of last year. The purpose of the survey was to determine how the EC funding is being used; share learnings and innovative approaches to using the EC funds; and understand the interaction between EC and other enablers or new initiatives within general practice.
- Most practices are continuing to use the EC funding to offer targeted patients with free or discounted consultations. However, there has been a significant increase in the use of this funding for other purposes; including employing additional staff, such as Health Care Assistants and Social Workers, funding patients to access other services and multi-disciplinary meetings.
- This change in the use of the EC funds has been supported by the introduction of the reduced cost of general practice visits for holders of Community Services Cards in December 2018.
- Thirteen practices identified they have been using their EC funding to support people experiencing financial hardship through COVID-19 and a further nine assisting patients with payment for care provided virtually.
- Practices were asked to estimate what percentage of EC funds were allocated to the following four categories - on average 65% was allocated directly to individual patients, 16% to establish an additional service or capability within the general practice team, 7% to increase the integration or coordination of services provided, and 12% to other services. Multiple examples were provided in the free text of practices implementing a specific activity or initiative funded from EC.
- Fifty practices indicated they are planning to implement a new activity or initiative in the coming year.
You can read the full survey, which summarises the responses to each question and highlights the key themes identified, here.
Using the survey feedback provided the Enhanced Capitation Work Group has identified ways to fine tune the way Enhanced Capitation is implemented, and ways to better support general practice. This includes sharing further case studies from across the region, showcasing how different practices are using the funds, and updating the tool kit of resources. In the interim, a guide to the use of Enhanced Capitation funds can be viewed here.
Some practices also highlighted that it can be a challenge to easily identify their complex needs patients, so the Work Group is looking into how it can assist with this.
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