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Background
Ongoing national political debate about GP opening hours and access8-8 7 days a week working part of NHSE London Region’s Access StandardsModel is of some routine care (pre-booked), the rest urgent care (same day)Built into Camden’s Primary Care MandateShared Saturday morning routine clinics already happening in HaringeyIslington recently granted £2.5m for similar hub-based model
Phase 1
8-8
Phase 1: What it is…
Additional appointments for Camden GP registered patients at new timesSaturdays 9am to 5pmProposed each hub 2 GPs and 1 nurse Routine care, pre-bookable by own GP practice onlyHub-based convenient locationsEach serving minimum population of 50,000Provided by clinicians with awareness of local needs, services and policiesA high quality service
Phase 1: Why?
Children and working age adults find current access and routine opening times difficult high users of A&EImprove continuity hypothesis:
– Shifting some routine care for whom continuity isn’t a priority should create capacity within hours for whom it is
– Electronic records means every contact counts
Own GP practice books appointment electronically
Patient seen at hub clinic by local GP/nurse – full access to records, tests and referrals
Own practice notified that patient seen, and any follow up required
Phase 1: How it would work
• All results and correspondence to own practice
• Notes automatically updated in real-time
• Clinical quality standards and governance rules apply
• Patient feedback is collected after each encounter for analysis and to adapt and refine service
Phase 1: What it is not…
Every practice open 8-8 7 days a weekYour own doctor working 8-8 7 days a weekChange or reduction in existing services offered by your practiceA walk-in or same-day serviceAnother additional and confusing access pointAn anonymous doctor who doesn’t seem to know anything about your health or recent care
Working with the people of Camden to achieve the best health for all
Phase 1a:Saturday 9-5 Routine care
1 location (~20% population)(2 GPs, 1Nurses, 1HCA)
Reception Staff/ Admin/ Security
Phase 1b: Saturday 9-5 Routine care
Multiple locations (100% population)
EMIS Community
· Bookable Appointments
· Working Age Adults
· Children
Informed by:Patient Experience/Feedback Service data usage/demand
Your clinical data
Like seeing a locumOnly with your consentRestricted dependent on role
Working with the people of Camden to achieve the best health for all
Next steps
Patient group engagementSupport of GPs and practicesProcurement advicePremisesIT and Quality AssuranceInternal CCG processes: business case development, costings, sign offDesign of service specification
Further working through of Phase 2
