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Big Health Day

Big Health Day. Health and Transport: Initiatives in Greater Manchester. Facilitating this morning’s session. David Campbell – GMCVO’s Transport Resource Unit Steve Travis – Transport for Communities and also with us today Hadrian Collier – Programme Manager

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Big Health Day

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  1. Big Health Day Health and Transport: Initiatives in Greater Manchester

  2. Facilitating this morning’s session • David Campbell – GMCVO’s Transport Resource Unit • Steve Travis – Transport for Communities and also with us today • Hadrian Collier – Programme Manager NHS Commissioning Business Service

  3. Our Background • David & Steve work with GM Community Transport Forum • Umbrella body for the ‘CT’ sector in GM • Building a professional, accountable, vibrant CT sector • CTs offer local transport, not for profit, for social needs • Hadrian Collier - NHS Commissioning Business Service • Change / Initiative delivery • Trial and roll-out of new Patient Transport Service (PTS) eligibility criteria

  4. Health & Transport in GM • Growing demand and expectation for transport to and from where health services are delivered • Related to increasing pressures on NHS • Pressure of deficit reduction measures / cuts • Changes to how services are delivered leading to changing travel requirements and patterns: • Consolidation of a range of services e.g. LIFT centres • Centralisation of services e.g maternity, paediatric services • Personalisation • Future – White Paper / GP-led commissioning

  5. Health and Transport in GM • Transport (or its absence) can be a barrier to accessing health services for some residents & communities • Negative implications for patients and service providers, disproportionately affecting deprived & vulnerable groups • We have an understanding of this from the experience of • PCTs & Patient Transport Service • Transport Authorities • POPPs projects • Voluntary sector and community organisations • Specifics of scale of problem and how it affects specific groups unclear though.

  6. Health and Transport in GM • Demand for PTS and inconsistent application of rules • Led to incidents where patients whose condition meant PTS vehicle and support from staff was essential • Could not access the service. • PTS focus on prioritising and making sure those patients get the support they need. • Other patients will be guided to alternatives e.g. friends / family cars, taxi, public transport – Community Transport? • Existing / conventional transport services may be unable or unwilling to respond

  7. Health and Transport in GM • Economic situation and deficit reduction measures placing unprecedented pressure on support and subsidy for transport • Especially where it helps provide services for social needs, keeping residents and communities connected to services • Alternative approaches including ‘Demand Responsive Transport (DRT) applied and explored as options • Range of partners already working together & collaborating to develop ‘integrated social needs transport’ solutions

  8. Patient Transport Service • New Eligibility Criteria

  9. Discussion • Are these issues familiar to you? • Are you aware of situations where transport (or its absence) acts as a barrier to services for patients? • Is this a challenge for your organisation and its services? • Can you see how the proposals for new models of health service provision might affect patients’ access to services? • Can you see how the new eligibility criteria for PTS might affect patients access to services? • Or are these issues not familiar or a priority for you? • Are your issues around patients access to services different?

  10. New and Alternative Approaches • Community Transport & the GM CT Forum • Local operators responsive & flexible • Can offer transport for those who don’t need support of PTS vehicle and staff, but is appropriate for them • Forum offers structure to facilitate GM-wide working • ‘Hospital to Home’, Rochdale • Volunteer Car & Driver Schemes • Transport for Sick Children (longstanding) • Rochdale (generated by POPPs)

  11. New and Alternative Approaches • Integrated Social Needs Transport • Collaborative Model • Bring together public, voluntary and private sector transport providers • IT provides single point of contact across GM and structure for ‘Booking, Scheduling & Dispatch’ • Needs of user met using the most appropriate transport provider available at the time • Passenger is important, not the vehicle or provider • ‘Community Cabs’

  12. Discussion • Are you familiar with these initiatives? • Are / could these approaches be of value and benefit to the people you support and your organisation? • What could be done to promote these schemes? • Or should other things be done / are there other priorities to support access to services? • Do you have ideas about how these approaches should be refined or modified to provide most benefits to users? • Do you have any other ideas of your own?

  13. Summary • Conclusions • What might happen next? • (does anyone know - !) • Community Transport in GM • Next steps.

  14. Thank you Keep in Touch with Us

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