Stephen Tilley Senior Project Man-ager Extended Access

Primary care in 2015

» Primary care provides 90% of NHS contacts with only 9% of the budget

» Consultations in general practice increased by 75% between 1995 and 2009

» There has been an increased clinical workload in general practice of over 40% since 20086 with evidence of;– Increasing disease prevalence and diagnosis– Patients living longer with disease

» Increasing patient expectations» Increasing demand for GP appointments» Increasing workforce pressures, such as ageing workforce,

insufficient trainees to meet future need and demands on GP time

Ten priorities

» Complex care including long term conditions and cancer rehab» Medicines management & prescribing» Workforce» Whole System/Right Care – the role of primary care in effective

utilisation of the whole system resource » Access, demand and capacity» Promoting prevention and self care» Nursing and residential homes» Mental health» Public engagement and communications » Primary care quality – the Warrington offer

Our map to the future - overview(Visual representation of vision – not to scale – there will be 8 Primary Care Homes)

Paediatric Acute Response Team(PART)

Primary Care Home Delivery Team

‘Primary Care Home’

(Multi disciplinary team including community

nursing/mental health/care coordinator/GP for nursing homes etc.)

Clusters of Practices work collaboratively;

other provider services

refocused around the registered list

Non bed-based acute services

Intermediate Care Facility (bed bases)

Hospital Services GP

PracticeGP Practice(With Care Coordination)

Please note that the Town Centre Neighbourhood boundary is not shown on this map

Extended Access

CORE PROJECTS

EXTENDED HOURS

Testing the provision of non urgent Primary Care services between 6p.m. and 8.p.m. Monday to Friday and 8a.m to 8 p.m at weekends within the Warrington Health Economy

ADDITIONAL CORE HOUR APPOINTMENTS

To provide additional acute non urgent appointments for GP Practices within each Cluster during core hours, on days of highest demand

Extended AccessEXTENDED HOURS – Key Principals

• Live November 2014• Based at a central location • Monday to Sunday service • Access through own GP Practice• Non Urgent Service• Appointments are all planned• Manned by 2 GP’s each session • Continuity of care • Working well

Extended AccessBENEFITS

• Appointments available• Appointments at a time that suits the patient• Increase appointments available • Additional option to service non-urgent patients for GP’s • Right Place Right Time• Alternative to OOH and Ambulatory A & E Services

OUTCOMES /MEASUREMENTS

• Impact on GP surgeries• Customer Satisfaction • Consolidated Report

Extended AccessADDITIONAL CORE HOUR APPOINTMENTS – Key Principals

• Non- Urgent Acute Service • Accessed through GP• Not a Walk in Centre • Service based in the Cluster • Telephone Triage Service • Same Day Appointments • Additional Core Hour Appointments • Available Monday/Tuesday/Friday• Connectivity • Nurse Prescribers + GP

Extended Access

Extended AccessBenefits

• Additional Core Hour Appointments• On days of Highest Demand• Same Day Appointments • Allows GP’s to focus more on complex cases • Triage System• Providing/Promoting Self Help • Providing a service closer to the patients locality

Thank You