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PartnersHealth A Primary Care Partnership in Rushcliffe

PartnersHealth A Primary Care Partnership in Rushcliffe. Nikki Lucas Operations Manager. Why PartnersHealth?. 2014 NHS Five Year Forward View 2015 PartnersHealth Local recognition that primary care ‘at scale’ was the future: ‘Organize ourselves for service to survive

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PartnersHealth A Primary Care Partnership in Rushcliffe

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  1. PartnersHealthA Primary Care Partnership in Rushcliffe Nikki Lucas Operations Manager

  2. Why PartnersHealth? • 2014 NHS Five Year Forward View • 2015 PartnersHealth • Local recognition that primary care ‘at scale’ was the future: ‘Organize ourselves for service to survive • New Care Models Programme - MCP Vanguard

  3. Context of General Practice in Rushcliffe • Long history of general practice working together • 12 practices • 127,115 patients • Stable and high quality primary care - good and outstanding CQC ratings • Multiple training practices • Good relationship with CCG and local providers • Strong clinical leadership

  4. PartnersHealth Objectives • Resilient General Practice: common operating framework • Scaled provider with the ability to deliver new healthcare contracts locally • Cornerstone of the MCP / LICP – base component and driver of integration

  5. Monthly Operational Meeting • Clinical and performance focus • Attendance mandatory • Accountable provider team • Monthly operational meetings / dashboards

  6. Improving Access Service - History • Originally the extended hours service ran from January 2015 to December 2015 as part of the Prime Minister’s Challenge Fund • It was resurrected in July 2016 as part of the GP Access Fund • In late 2016 NHS England changed the name again to Improve Access to General Practice Services and we now have a requirement to offer 30 mins for 1000 population, meaning Rushcliffe provides 62 hours per week

  7. Improving Access Service - Brief • Live from 1stApril 2017 • 6.30pm to 8pm Monday to Friday • Saturday, Sunday and Bank Holidays • 62 hours • Hours counted concurrently • Same day urgent and pre-bookable • HCA and nursing hours count • Wound Care service

  8. Improving Access Service – Current • Weekdays we run out of 3 sites. North, South and Central • Week days are pre-bookable for GP, Nurse and Healthcare Assistant appointments • At the weekend and bank holidays half the GP slots are pre-bookable and the remainder of the bookings come through NEMs following triage • At the weekend nurse and Healthcare Assistant appointments are pre-bookable • Wound care contract with Local Partnerships also provides wound care at the weekend

  9. Improving Access Service – appointments • For GP’s – New pains, new rashes, new problems • For Nurses – Dressings, Smear Tests, NHS Health Checks • For Healthcare Assistant’s – Blood Pressure checks, ECG’s, Ear Syringing • NEW from August 2018 – for Healthcare Assistants • Phlebotomy 3 week nights and the weekend

  10. Improving Access Service – 1st year review • 7,657 patients have been seen in the first year of this service • This gives a slot utilisation rate of 66.5% • Utilisation rates have increased with the introduction of more services • All of the Rushcliffe practices have had a number of their patients seen in this service • The service has been fully staffed on all operational days.

  11. Improving Access Service – Patient Demographics • 55% of the service users have been female • The service as predicted is attractingpatients of working age.

  12. Improving Access Service – Feedback I didn't have to wait at all - fantastic! I wasn't made to feel that I didn't matter or annoying. The later hours are great for those that cannot take time out of work Supply nibbles and Sky TV or serve Guinness and Fish and Chips! Very prompt, later opening, everything was excellent, resolved issue and access to my medical records in my own practice Was very please to get in at a time after work

  13. Signposting • Action from the General Practice Forward view • 83 staff were trained in September and October 2017 (mainly receptionists) • In order to help them direct patients to the most appropriate source of help or advice. • Including services in the community as well as within the practice. • Training was also given from Nottinghamshire County Council about a local directory of information about services – www.nottshelpyourself.org.uk

  14. Screens in Practices - Principles • The optimum amount of time for the content is 15 minutes • We have worked in the basis of having 10 minutes for consistent content across all practices, leaving 5 minutes for local content from the practices. • Every month we have included ‘Top Tips for you 10 mins’ and ‘Seven step to Self-care’ • We have also tried to theme some specific content according to campaign months e.g. ‘Dry January, ‘Stoptober’ etc.

  15. F12C • What is F12? • F12C was created with the receptionists to help them with active signposting and information they wanted to access being held in one place • F12C will continue to be developed in accordance with campaign months, so if a person wants information on that months campaign there will be links on F12C for the local groups or information so that receptionists can signpost to local services. These can be printed off in hard copy, emailed or texted to the patient

  16. Dementia Friendly Practices • High prevalence of Dementia in Rushcliffe • Working with the Alzheimer's Society towards all Rushcliffe Practices becoming Dementia Friendly • Create Dementia Champions to deliver Dementia Friends training • Memory Walk 20th October 2018 in Rushcliffe Country Park 2pm

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