GP:o GP services

- Consulting and procedure rooms

- Dedicated child-friendly facilities

- Core and extended GP services

- Extended hours - 12 hours, 7 dayso Practice Nurse services

Pharmacy:o Medicines use reviewo Medicines management serviceso Anti-coagulation serviceso Dispensing services

Community services:o District Nursingo Health visitors & children’s serviceso Midwiferyo Specialised therapieso Outreach services (TB/HIV)o End-of-life careo Dieticians

Other healthcare professionals:o Opticiano Dentisto Other health professionals

Interactive Health Information Services:o Smoking cessationo Drug and alcohol information serviceso Weight managemento Sexual healtho Dietary serviceso Local services (e.g. social services, back to work services, and leisure facilities)o Healthy living classes

Minor procedures:o IUCDo Suture removalo Joint injectionso Minor surgical procedures

Outpatient services:o Management of chronic illness (e.g. COPD, asthma and diabetes)o Community paediatricso Consultant or PwSo Mental healtho Audiologyo Chemotherapyo IV transfusionso Access to pain management

Urgent Care:o Minor injuries unito Walk-in centreo Urgent care centreo Available out-of-hours

Long-term conditions:o Detection of undiagnosedo Screening & early detectiono Community matronso Management of disease registerso Access to

- Expert patient programme

- Information prescriptions

- Managers of complex needs

Diagnostics:o Phlebotomy oECG, Pulse Oximetry, Spirometryo X-ray, U/S and Vascular Dopplero CTGo CT, MRIo Colonoscopyo Haematology, microbiology and pathology

Polyclinic servicesAppendix C

• Missing sub-service lines– Smoking cessation– Chronic kidney disease– New dermatology consultation– Minor injury– Antenatal care– Falls service– Sickness note/ income benefits advice– Other sub-service lines?

Service-line Sub-service line Package of care

Illness MinorModerate

Injury MinorPlanned care Routine care (other) Routine care (other)

Sexual health Sexual healthGeneral medicine consultation New

Follow-upGastroenterology consultation New

Follow-upRespiratory medicine consultation New

Follow-upOther medicine consultation New

Follow-upDermatology consultation Follow-upEndocriniology consultation New

Follow-upNeurology consultation New

Follow-upOncology consultation New

Follow-upRheumatology consultation New

Follow-upCardiac consultation New

Follow-upGeneral surgery consultation New

Follow-upTrauma & orthopaedics consultation New

Follow-upGynaecology consultation New

Follow-upOther surgery consultation New

Follow-upENT consultation New

Follow-upOpthalmology consultation New

Follow-upUrology consultation New

Follow-upOral surgery consultation New

Follow-upOther consultation New

Follow-upProcedures Minor surgical procedures Minor surgical procedures

Joint-injections Joint-injectionsSuture removal Suture removalVasectomies VasectomiesTerminations TerminationsLong-acting reversible contraception & IUCD fitting

Long-acting reversible contraception & IUCD fittingCoronoary heart disease MildModerateSevere

Heart failure MildModerateSevere

Diabetes MildModerateSevere

COPD MildModerateSevere

Unplanned care

Long-term conditions

Asthma MildModerateSevere

Musculo-skeletal Musculo-skeletalTB TBHIV HIVLearning disabilities Learning disabilitiesOther disabilities Other disabilitiesLong-term neurological conditions Long-term neurological conditionsPain Management Pain ManagementEnd of Life Care End of Life CareOther Other

Mental health Depression/anxiety MildModerate

Psychoses and other mental health disorders

Psychoses and other mental health disorders

Substance misuse Substance misusePro-active check-ups and management Pro-active check-ups and Falls service Falls serviceContinence service Continence serviceDementia including Alzheimers Dementia including Alzheimers

Paediatrics Well baby check-ups Well baby check-upsChildhood vaccination and immunisation Childhood vaccination and

immunisationChild therapies Child therapies

Maternity Births BirthsPost-natal care Immediate

OngoingWellness New patient inductions New patient inductions

Evidence-based screening Evidence-based screeningAdult vaccination and immunisation Adult vaccination and immunisationContraception ContraceptionWeight management and dietary services

Weight management and dietary services

Self-care Self-careSocial care Housing advice Housing advice

Other social care services (tbd) Other social care services (tbd)Pharmacy Prescribing and dispensing Prescribing and dispensing

Medication reviews Medication reviewsOther Optometry Optometry

Dentistry DentistryBlood Tests Blood TestsTraining Training

Older people / Complex needs

…