East Staffordshire Primary Care Partnership The Primary Care

East Staffordshire Primary Care Partnership The Primary Care Access Hub Implementation ALISON YATES, HOWBECK HEALTHCARE 30 TH NOVEMBER 2017

The aim… q Provision of weekend GP appointments over the Winter Pressures period q Two Hub locations – Uttoxeter and Burton q Saturdays for 18 weeks & Bank Holidays q Available to all patients registered at all practices q Provision of a more local, convenient and familiar service for patients needing urgent care q Reduction in demand on A&E and other Urgent Care services over the busy Winter Pressures period q Reduction in demand in local practices on Monday mornings

The solution… q Two Hub Locations: § Balance Street, Uttoxeter § Trent Meadows, Burton q 15 minute appointments q Offered between 08: 30 and 12 noon every Saturday and BH for 18 weeks (56 appts per week) q GP and ANP – ideally 50: 50 split q Team: § § § Hub Manager (Michele Kavanagh) Clinical Lead (Dr David Atherton) Bank of GPs and ANPs Bank of Receptionists Host Practices Howbeck Healthcare support (Sarah Laing)

The patient… q Route will be via NHS 111 (SDUC) q Patient Pathway § Eligible if registered with any East Staffs Partnership practice § Patient calls 111 (after 9 pm* on a Friday night) § After 111 guidelines followed, if eligible, Adastra system will indicate to Call-Handler that a Hub appointment is appropriate § Patient will be asked to give consent for Hub to view shared record § Warm transfer of patient to EMIS-user in 111 Call Centre § Patient will be offered appointments at either Hub regardless of their home location or registered practice

The Host Practices… q As the Partnership is not a CQC Registered Provider in its own right – Host Practice model. q Host Location q Host Practices will process payments for staff through their payroll § Clinicians will present monthly invoices for hours worked § Receptionist ‘Packages’ purchased from receptionist’s home practice q Reception § Two receptionists at all sessions § At least one receptionist from Host Practice § Chaperone training and DBS checks

The Hub Consultation… q EMIS Clinical Services q Clinical Record Sharing with EMIS GP systems q SCR access for patients from non-EMIS practices q Patient consent is key q Separate budget for prescribing q Limited Spine function § No EPS § No E-Referrals § No electronic Fit Notes q Referral recommendations to registered practice (other than 2 ww and urgent)

Practice Notification… q Discharge Summary – on the day § § § For all Hub consultations For all Hub DNAs Sent electronically to EMIS Practices via EMIS Workflow Manager Sent by secure email to non-EMIS Practices Last resort – safe haven fax q Shared record view within EMIS at Practice end q Interoperability work ongoing between EMIS and other suppliers q Monday morning – Hub Manager follow-ups (e. g. 2 ww referrals)

What’s needed? q Data Sharing Agreements q EMIS Go Live q EMIS Optimisation and Configuration § Discharge Summary Doc § End of Consultation Protocol § KPI data recording and reporting q Rota for GPs, ANPs and Receptionists q Policies, Procedures and other Documentation q Patient engagement q EMIS Practice activation of: § Data Sharing Agreements (both ways) § Document Sharing

Random final thoughts… q It’s a pilot!! We are proving a model q Be prepared for a slow start q Opportunities for developing the model § § Weekend overflow? Other services? Expanding dates/times/no of Hubs Optimising the use of the open Hub location

Any Questions?