The future for access to general practice, innovate stage, 2pm, 3 september 2015

The future for access to general practice

#GPaccess

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


The future of access to general practice

Rosamond Roughton Director of NHS Commissioning, NHS England


What are the

GP Access Fund schemes doing?

Dr Robert Varnam Head of General Practice Development, NHS England

@robertvarnam



Aims: ‘right access’

@robertvarnam


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




Redirect

demand

Active


channels

Match

capacity &

demand

Rapid

access

model

Release capacity

Extended

hours


Broaden

skillmix

Complex

care model


@robertvarnam




Redirect

demand

Active


channels

Match

capacity &

demand

Rapid

access

model

Release capacity

Extended

hours


Broaden

skillmix

Complex

care model


@robertvarnam




Redirect

demand

Active


channels

Match

capacity &

demand

Rapid

access

model

Release capacity

Extended

hours


Broaden

skillmix

Complex

care model


@robertvarnam




Redirect

demand

Active


channels

Match

capacity &

demand

Rapid

access

model

Release capacity

Extended

hours


Broaden

skillmix

Complex

care model


@robertvarnam




Redirect

demand

Active


channels

Match

capacity &

demand

Rapid

access

model

Release capacity

Extended

hours


Broaden

skillmix

Complex

care model


@robertvarnam




Redirect

demand

Active


channels

Match

capacity &

demand

Rapid

access

model

Release capacity

Extended

hours


Broaden

skillmix

Complex

care model


@robertvarnam




Redirect

demand

Active


channels

Match

capacity &

demand

Rapid

access

model

Release capacity

Extended

hours


Broaden

skillmix

Complex

care model


@robertvarnam




Redirect

demand

Active


channels

Match

capacity &

demand

Rapid

access

model

Release capacity

Extended

hours


Broaden

skillmix

Complex

care model


@robertvarnam


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

@drchrisjones1


View from the frontline Robin Vickers Director, Digital Life Sciences

@DigiLifeSci @Robin_Vickers

PollEv.com/gpaccess

DIGITAL HEALTHCARE THE FUTURE OF THE NHS

[email protected] @DigiLifeSci @Robin_Vickers

WHAT IS DIGITAL HEALTHCARE?


= PERSONALISED AND TRANSACTIONAL


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)


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


BUT HOW DO YOU DO THIS?


DIGITAL ENABLERS + TRANSFORMED BUSINESS MODELS = BENEFITS


WHERE IS THE AT SCALE BUSINESS MODEL FOR REMOTE CLINCAL

SUPPORT?



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


• 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



• 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



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



Looking ahead Dr Chaand Nagpaul CBE. Chair, General Practitioners Committee, British Medical Association

@cnagpaul

PollEv.com/gpaccess


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

Date post:	22-Jan-2018
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The future for access to general practice, innovate stage, 2pm, 3 september 2015

Healthcare