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Planned Care Programme Update

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  1. Planned Care Programme Update Dr Gary Marlow 5th February 2015

  2. Community Phlebotomy Update • The intention is to replace the current GP enhanced service arrangements with a new phlebotomy service which aims to: • Provide an equitable service to all GP patients – patient can access other clinics if their GP doesn’t provide • Provide a mix of appointment and walk-in services • Improve access by providing more patient choice and some early morning access • Ensure high quality service with well trained staff providing phlebotomy

  3. Phlebotomy - Next steps • A recent market testing advert established that the local GP Confederation is the only interested provider for the new specification • Subject to Contracts Committee approval the CCG will commence negotiations with the GP Confederation for a contract to provide phlebotomy to the new specification in 15/16 • It is proposed the current arrangements will be extended by 3-5 months for contract negotiation and mobilisation

  4. Wound Care - Status Update • Dressings Optimisation Scheme – Oct. 2014 implementation stage; launch April 2015 • Lymphoedema Service – Oct. 2014 • Adult Community Nursing – 2015/16 Service Specification to be reviewed with Integrated Care (Leg Ulcers) • Post-Operative Wound Care – NEW

  5. Post-Operative Wound Care • The service is for the removal of sutures and general wound care following a hospital procedure where: • The operation was performed as a consequence of a referral to, or on-going care by hospital services • It is either inconvenient for or undesirable for the patient to attend at hospital. This would include follow-up of patients from A&E or PUCC.

  6. Key Elements • Episodes of suture removal • Episodes of clip removal • Episodes of other removal • Episodes of wound care - dressing changes and wound management expected duration >2weeks • Lacerations • Post-surgical burns • Peri-anal abscess • Pilo-nidal sinus

  7. Criteria • Acceptance criteria: • Registered with a City and Hackney GP • Identified wound requiring active intervention • Referrals via the hospital, PUCC or GP Surgery • Exclusion criteria: • Complex wounds where the hospital is treating as outpatient • Complex care; vasculitic, sickle, • Housebound patients • Lymphoedema • Leg Ulcers • Episodes of wound care: • expected duration < 2 weeks • resulting from minor surgery in general practice

  8. Location and Hours • At least 1 site across each of the 4 quadrants • Available 7 days/week; some extended hours • Provide a mix of appointment and walk-in services

  9. Finances • The contract is a cost per case arrangement and providers will receive: • £12 per appointment (Monday – Friday) • £20 per appointment (Saturday-Sunday) • Project Management & Set up - TBC

  10. Next Steps • Finalising Specification • Primary Care Contracts Committee approval • Procurement • Market Testing exercise • Full procurement (if warranted)

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