Planned Care Programme Update Dr Gary Marlow 5

Planned Care Programme Update Dr Gary Marlow 5 th February 2015

Community Phlebotomy Update The intention is to replace the current GP enhanced service arrangements with a new phlebotomy service which aims to: • • Provide an equitable service to all GP patients – patient can access other clinics if their GP doesn’t provide Provide a mix of appointment and walk-in services Improve access by providing more patient choice and some early morning access Ensure high quality service with well trained staff providing phlebotomy

Phlebotomy - Next steps • A recent market testing advert established that the local GP Confederation is the only interested provider for the new specification • Subject to Contracts Committee approval the CCG will commence negotiations with the GP Confederation for a contract to provide phlebotomy to the new specification in 15/16 • It is proposed the current arrangements will be extended by 3 -5 months for contract negotiation and mobilisation

Wound Care - Status Update 1. Dressings Optimisation Scheme – Oct. 2014 implementation stage; launch April 2015 2. Lymphoedema Service – Oct. 2014 3. Adult Community Nursing – 2015/16 Service Specification to be reviewed with Integrated Care (Leg Ulcers) 4. Post-Operative Wound Care – NEW

Post-Operative Wound Care The service is for the removal of sutures and general wound care following a hospital procedure where: • • • The operation was performed as a consequence of a referral to, or on-going care by hospital services It is either inconvenient for or undesirable for the patient to attend at hospital. This would include follow-up of patients from A&E or PUCC.

Key Elements Episodes of suture removal Episodes of clip removal Episodes of other removal Episodes of wound care - dressing changes and wound management expected duration >2 weeks • • Lacerations • Post-surgical burns • Peri-anal abscess • Pilo-nidal sinus •

Criteria • Acceptance criteria: • Registered with a City and Hackney GP • Identified wound requiring active intervention • Referrals via the hospital, PUCC or GP Surgery • Exclusion criteria: Complex wounds where the hospital is treating as outpatient Complex care; vasculitic, sickle, Housebound patients Lymphoedema Leg Ulcers Episodes of wound care: • • expected duration < 2 weeks resulting from minor surgery in general practice

Location and Hours • • • At least 1 site across each of the 4 quadrants Available 7 days/week; some extended hours Provide a mix of appointment and walk-in services

Finances The contract is a cost per case arrangement and providers will receive: • • £ 12 per appointment (Monday – Friday) £ 20 per appointment (Saturday-Sunday) Project Management & Set up - TBC

Next Steps Finalising Specification Primary Care Contracts Committee approval Procurement • • • Market Testing exercise Full procurement (if warranted)