Development & Consulting Ltd
Herts HP3 0HJ
Tel 01442 817217
Fax 01442 879647
Registred in England
Company No 3326461
C21 Herbal Gardens
9 Herbal Hill
London EC1R 5XB
|Fundholders' Support Agency 1992-2000
|This was the largest UK adminsitation service for G.P. Fundholding.
|The circle comes round
- Huge Data Set on Computer system
|Fundholders' Support Agency was a company that provided full
administration and management services for over 100 practices. It
became the largest independent fundholding administration service in
the UK during the Fundholding era. It ceased trading in 1999 at the end
Fundholding put GPs in the forefront of the NHS. GPs were given
budgets, held by the local authoirty for thier patients care.
With this they purchased community care, outpatients,
surgical procedures, and drug costs, inpatients and their own staff.
It did not include emergency services. If saving made in
any one area it could be used for another, and GPs could even use funds
to improve thier own premises and staff. That and the managment
fee of £48,000 for 10,000 patients was the incentive. The
Fundholders' support agecny made savings for the NHS and practices by
centralising the administrative services. It also grouped
together smaller practices to allow them to go fundholding.
FSA was a large data warehouse collecting data from the practices, coding and using double entry Fundhoding system (Microtest)
THE OLD AGENCY TEAM and services
Seven years' experience in innovative fundholding, starting with the first wave
Professional management team
Full time medical input
Experienced accountant and financial input
Experienced data input team backed and validated by in-house doctors
HOW IT WORKED
Each fund (practice or group of practices) was administered and
accounted for separately. The Agency was not a Multifund model,
although the Fundholders, in localities, may have chosen to work
together on specific community projects.
The Central Server computer system saved Health Authorities many £100k in computer costs alone in the first year.
The fundamentals of fundholding:
Data collection, processing and recording;
Data management and reconciliation;
Day to day management and administration control;
Financial analysis, control and interpretation;
Audit and review.
The process of fundholding:
Bronze scheme, together with:
Preparing the commissioning plan;
Preparing the fund business plan, and;
Preparing the fund performance report.
Silver scheme, together with:
Budget appraisal and negotiation;
Contract appraisal and negotiation.
The administration work is carried out centrally by our experienced
team. Accuracy and consistency of data management is achieved in this
THE BENEFITS of Agency Approach
The only administration work that practises had to do is to pass the
data to the Agency. The Agency does the rest - hassle free fundholding.
Clinical responsibilities clearly remained with each practice as
practice doctors decide where and whom to refer their patients to. We
were developing a computerised scanning system to do this even quicker
via our intranet.
The Agency carried out the data administration and management,
reporting monthly to practices with fund results, graphical
representations and summaries.
Each practice did not have to hand over precious office space, employ
high quality fund personnel or become embroiled in fund paper work and
For groups coming together, the Agency acted as an independent office and arbitrator.
This was based on a proportion of the management allowance, a figure
that was partly capitation based. A group of practices with 10,000
patients would have attracted, for full fundholding about £48,000
Preparatory was much less
Standard Fundholding Community fundholding
% of Management Allowance
* Bronze Scheme 40% 40%
* Silver Scheme 50% 45%
* Gold Scheme 60% 50%
We paid VAT at the full rate. prices Inc VAT.
Redbridge & Waltham Forest Fundholders' Support Agency Limited
Company No. 2918357
Registered Office: 7 Bourne Court, Southend Road, Woodford Green Essex.
Why Practices should not have done it alone!
A cheaper Solution of Financial NHS Administration
- Centralised Service
|Click for Government Announcment Oct 2004