the future for access to general practice, innovate stage, 2pm, 3 september 2015
TRANSCRIPT
w ww.england.nhs.uk #Expo15NHS #GPaccess
Rosamond Roughton. Director of NHS Commissioning, NHS England.
Dr Robert Varnam. Head of General Practice Development, NHS England.
Dr Chris Jones. Chair, Health and Wellbeing Wakefield.
Robin Vickers. Director, Digital Life Sciences.
Dr Jim O'Donnell. Chair, Slough CCG.
Dr Chaand Nagpaul CBE. Chair, General Practitioners Committee, BMA.
PollEv.com/gpaccess
w ww.england.nhs.uk #Expo15NHS #GPaccess
The future of access to general practice
Rosamond Roughton Director of NHS Commissioning, NHS England
w ww.england.nhs.uk #Expo15NHS #GPaccess
What are the
GP Access Fund schemes doing?
Dr Robert Varnam Head of General Practice Development, NHS England
@robertvarnam
w ww.england.nhs.uk #Expo15NHS #GPaccess
What are PMCF schemes doing?
Wider primary care at scale
Redirect
demand
Active
front-end Consultation
channels
Match
capacity &
demand
Rapid
access
model
Release capacity
Extended
hours
Service redesign team
Broaden
skillmix
Complex
care model
Premises I.T. Workforce
@robertvarnam
w ww.england.nhs.uk #Expo15NHS #GPaccess
What are PMCF schemes doing?
Wider primary care at scale
Redirect
demand
Active
front-end Consultation
channels
Match
capacity &
demand
Rapid
access
model
Release capacity
Extended
hours
Service redesign team
Broaden
skillmix
Complex
care model
Premises I.T. Workforce
@robertvarnam
w ww.england.nhs.uk #Expo15NHS #GPaccess
What are PMCF schemes doing?
Wider primary care at scale
Redirect
demand
Active
front-end Consultation
channels
Match
capacity &
demand
Rapid
access
model
Release capacity
Extended
hours
Service redesign team
Broaden
skillmix
Complex
care model
Premises I.T. Workforce
@robertvarnam
w ww.england.nhs.uk #Expo15NHS #GPaccess
What are PMCF schemes doing?
Wider primary care at scale
Redirect
demand
Active
front-end Consultation
channels
Match
capacity &
demand
Rapid
access
model
Release capacity
Extended
hours
Service redesign team
Broaden
skillmix
Complex
care model
Premises I.T. Workforce
@robertvarnam
w ww.england.nhs.uk #Expo15NHS #GPaccess
What are PMCF schemes doing?
Wider primary care at scale
Redirect
demand
Active
front-end Consultation
channels
Match
capacity &
demand
Rapid
access
model
Release capacity
Extended
hours
Service redesign team
Broaden
skillmix
Complex
care model
Premises I.T. Workforce
@robertvarnam
w ww.england.nhs.uk #Expo15NHS #GPaccess
What are PMCF schemes doing?
Wider primary care at scale
Redirect
demand
Active
front-end Consultation
channels
Match
capacity &
demand
Rapid
access
model
Release capacity
Extended
hours
Service redesign team
Broaden
skillmix
Complex
care model
Premises I.T. Workforce
@robertvarnam
w ww.england.nhs.uk #Expo15NHS #GPaccess
What are PMCF schemes doing?
Wider primary care at scale
Redirect
demand
Active
front-end Consultation
channels
Match
capacity &
demand
Rapid
access
model
Release capacity
Extended
hours
Service redesign team
Broaden
skillmix
Complex
care model
Premises I.T. Workforce
@robertvarnam
w ww.england.nhs.uk #Expo15NHS #GPaccess
What are PMCF schemes doing?
Wider primary care at scale
Redirect
demand
Active
front-end Consultation
channels
Match
capacity &
demand
Rapid
access
model
Release capacity
Extended
hours
Service redesign team
Broaden
skillmix
Complex
care model
Premises I.T. Workforce
@robertvarnam
w ww.england.nhs.uk #Expo15NHS #GPaccess
What are PMCF schemes doing?
Wider primary care at scale
Redirect
demand
Active
front-end Consultation
channels
Match
capacity &
demand
Rapid
access
model
Release capacity
Extended
hours
Service redesign team
Broaden
skillmix
Complex
care model
Premises I.T. Workforce
@robertvarnam
w ww.england.nhs.uk #Expo15NHS #GPaccess
View from the frontline
Dr Chris Jones Clinical Lead and Programme Director, West Wakefield Health & Wellbeing
@drchrisjones1
PollEv.com/gpaccess
West Wakefield Health and Wellbeing • GP Federation: 6 practices 64,000 patients
• Prime Minister’s Challenge Wave 1
• MCP Vanguard
@drchrisjones1
What have we done? • Extended Operating Hours
• Physiotherapy First
• Pharmacy First
• Video Consultations and E-messaging
• Care Navigators
• Digital Care Navigation
– Service Directory, Care Navigation app and web, Kiosks
• Social Prescribing
@drchrisjones1
What have we done? • HealthPod
• Schools App Challenge
• Care Home project
• Unified Communications
@drchrisjones1
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View from the frontline Robin Vickers Director, Digital Life Sciences
@DigiLifeSci @Robin_Vickers
PollEv.com/gpaccess
65% of consultations remote
75% resolve remotely 70% reduction in DNAs
15% increase in capacity 15%-26% drop in A+E
attendance Driven by patient choice
80% of patients think service has improved
FOR 60,000 PATIENTS IN BIRMINGHAM (over 1000 per day)
[email protected] @DigiLifeSci @Robin_Vickers
FOR OVER 1,000 LONG TERM CARE PATIENTS IN SCOTLAND
Shifting 60% of long term care
consultations out of hospital through video on demand
Taking supported self-
management programmes to 75% of COPD patients in a
matter of months
[email protected] @DigiLifeSci @Robin_Vickers
DIGITAL ENABLERS + TRANSFORMED BUSINESS MODELS = BENEFITS
[email protected] @DigiLifeSci @Robin_Vickers
WHERE IS THE AT SCALE BUSINESS MODEL FOR REMOTE CLINCAL
SUPPORT?
[email protected] @DigiLifeSci @Robin_Vickers
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View from the frontline Dr Jim O’Donnell Chair, Slough CCG
jim.o’[email protected] www.sloughccg.nhs.uk
PollEv.com/gpaccess
Slough Clinical Commissioning Group 31
• 30 April 2013: Slough CCG Board meeting in Public – that question: “I cannot get an appointment with my GP. How can you help me?”
• (Used prescribing savings to increase the number of GP appointments– 5,000 extra over the Summer/Autumn. Used Winter Pressures funding to add to this further – 6,000 more)
• 18 October: PM announcement of £50m funding for improving access
• December 2013: Slough practices committed to application – led by our patients & public – “What would great general practice in Slough look like?”
• January 2014: Used the ELC process to co-design our bid for funding
Prime Ministers Challenge Fund (PMCF)……… in Slough, Berkshire
Slough Clinical Commissioning Group 32
• Application in on 14 February 2014 – 48,000 appointments, 11 additional projects
• Confirmed successful 14 April 2014 - £2.95m awarded
• Practices & Patient Group Forum mobilised, feverish activity, evening meetings concrete plans
• 1 July: phased start of extended hours
• 2nd week in August: fully implemented across Slough
Prime Ministers Challenge Fund (PMCF)……… in Slough, Berkshire
Slough Clinical Commissioning Group 33
• All patients registered at a Slough practice
• GP appointments to 8pm, Monday to Friday and Saturday & Sunday 9am to 5pm
• Delivered from four Clusters or Hubs – to keep costs down
• Popular, well subscribed, mainly routine bookable appts., some walk-ins also
• Part-time GPs increasing their commitments, new GPs attracted into Slough
• Weekend and evening appointments increase as a proportion of the total – the times better suit many people, flexibility suits many GPs
Prime Ministers Challenge Fund (PMCF)……… in Slough, Berkshire
Slough Clinical Commissioning Group 34
Additional projects: • Phone texting: For cancelled appts; Public Health messages; and reminders • Dedicated mobile number for urgent contact (vulnerable patients) • Development of Patient Reference Group – the Slough Forum • Info programme: Comprehensive health information to be made available
around self-care and keeping well & healthy • Group consultations introduction: At practice level • Simple Words programme: GPs and patients managing difficult consultations
- using simple words / plain English • Schools health programme: ‘Pester power’ around use of NHS services • Slough OD work – helping practices develop through this process
Prime Ministers Challenge Fund (PMCF)……… in Slough, Berkshire
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Looking ahead Dr Chaand Nagpaul CBE. Chair, General Practitioners Committee, British Medical Association
@cnagpaul
PollEv.com/gpaccess
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Dr Chaand Nagpaul CBE. Chair, General Practitioners Committee, BMA.
Dr Chris Jones. Chair, Health and Wellbeing Wakefield.
Dr Jim O'Donnell. Chair, Slough CCG.
Dr Robert Varnam. Head of General Practice Development, NHS England.
Robin Vickers. Director, Digital Life Sciences.
Rosamond Roughton. Director of NHS Commissioning, NHS England.
PollEv.com/gpaccess