A new integrated Dermatology Service for South Worcestershire 3 rd December 2014 • Chandra Bertram – Consultant and lead Dermatologist WRH • Felix Blaine – CCG and GP dermatology lead • Alison Atkinson – GP Abbotswood , Pershore and GPwSI • Paul Bunyan – GP Upton and Dermatology clinical asst. • Simon De Vos – GP Corbett, Droitwich and GPwSI
A new integrated Dermatology Service for South Worcestershire 3 rd December 2014 Agenda 7.30 pm Introduction to progress so far and the proposed system (Simon De Vos) - 10 mins 7.40 View from the Acute trust (Chandra Bertram) - 5 mins 7.45 View from the CCG (Felix Blaine) - 5 mins 7.50 Brainstorming breakout 3 groups (AA, PB, SDV facilitating) - 10 mins Systems for internal referrals to GP leads The proposed systems - what are the benefits / flaws? Education and mentoring for the next 12-24 months 8.00 Presentation to whole group and discussion - 30 mins 8.30pm Finish
Simon De Vos: • Clinical Assistant skin cancer, Oxford since 2008 • “OCDS” Community skin cancer service GPwSI, Oxfordshire since 2010 – shared cancer team award with Oxford Dermatology Dept 2012 • Partner GP Corbett Medical Practice, Droitwich • Director SW Healthcare • SWCCG Adviser dermatology service specification 2014
Principles of a new pathway 1: Four-level integrated educational approach: • Hospital Consultant • to GPwSI & specialist nurses • to GP practice dermatology leads • to Patients A system without barriers.
Principles of a new pathway 2: Funded mentoring and training: Disseminated through the levels leading to better knowledge in primary care to reduce referrals and improve quality of care.
Principles of a new pathway 3: Support and enhancement of a sustainable hospital Dermatology Department (where clinical governance and accreditation originates.)
Principles of a new pathway 4: A high quality service providing best value for money which will get progressively cheaper as educational levels increase.
Principles of a new pathway 5: Key performance indicators that incentivise better education, knowledge and communication.
31 Federation Member Practices of South Worcestershire • Elbury Moor Medical Centre • Malvern Health Centre • Spring Gardens Group Medical Practice • Farrier Street Surgery • Merstow Green Medical Practice • St Johns House Surgery • Great Witley Surgery • New Court Surgery • St Martins Gate Surgery • Grey Gable Surgery • Ombersley Medical Centre • St Saviours Surgery • Haresfield Surgery • Pershore Medical Practice • Tenbury Wells Surgery • Henwick Halt Medical Centre • Riverside Surgery • Thorneloe Lodge Surgery • Salters Medical Practice • Upton Surgery • Knightwick Surgery • Spa Medical Practice • Whiteacres Medical Centre • Link End Surgery Beverley Priest Dr Gemma Moore Dr Jonathan Salter Dr Andy Havercroft Dr Simon De Vos Dr Andy John Dr Simon Hill Director of Clinical Director Director Director Director Director Director Operations Gill Yip Operations Manager (full time)
Finances and Contracts: 31 Federation Member Practices of South Worcestershire • Malvern Health Centre • Spring Gardens Group Medical Practice • Merstow Green Medical Practice • St Johns House Surgery • New Court Surgery • St Martins Gate Surgery • WRH sub contract to Federation (SW Healthcare) • Ombersley Medical Centre • St Saviours Surgery • Pershore Medical Practice • Tenbury Wells Surgery • Riverside Surgery • Thorneloe Lodge Surgery • Salters Medical Practice • Upton Surgery • Spa Medical Practice • Whiteacres Medical Centre • Federation to employ (or ‘manage’ GPwSIs) Beverley Priest Dr Gemma Moore Dr Jonathan Salter Dr Andy Havercroft Dr Simon De Vos Dr Andy John Dr Simon Hill Director of Clinical Director Director Director Director Director Director • KPIs for mentoring and education Operations • GP leads to be funded by reduction in referrals – almost half of savings to go back to practices from baseline (target defined by CCG)y CCG*) Gill Yip Operations Manager (full time)
Dermatology Leads – a proposal: 31 Federation Member Practices of South Worcestershire • Malvern Health Centre • Spring Gardens Group Medical Practice • Merstow Green Medical Practice • St Johns House Surgery • Ideally to have diploma of Dermatology (or new Worcester • New Court Surgery • St Martins Gate Surgery • Ombersley Medical Centre • St Saviours Surgery • Pershore Medical Practice • Tenbury Wells Surgery certificate) • Riverside Surgery • Thorneloe Lodge Surgery • Salters Medical Practice • Upton Surgery • Spa Medical Practice • Whiteacres Medical Centre • 3 or 4 education sessions per year with case discussions Beverley Priest (eve or daytime?) Dr Gemma Moore Dr Jonathan Salter Dr Andy Havercroft Dr Simon De Vos Dr Andy John Dr Simon Hill Director of Clinical Director Director Director Director Director Director Operations • Shared GP lead between practices – how to set up? • Email advice or internal referral? • How to gate-keep? Gill Yip Operations Manager (full time) • *)
GPwSIs : plan for 1000 ‘first’ appts per year 31 Federation Member Practices of South Worcestershire • Malvern Health Centre • Spring Gardens Group Medical Practice • Merstow Green Medical Practice • St Johns House Surgery • Alison Atkinson – General Dermatology and skin cancer • New Court Surgery • St Martins Gate Surgery • Ombersley Medical Centre • St Saviours Surgery • Pershore Medical Practice • Tenbury Wells Surgery • Riverside Surgery • Thorneloe Lodge Surgery • Salters Medical Practice • Upton Surgery • Spa Medical Practice • Whiteacres Medical Centre • Paul Bunyan – General Dermatology and skin cancer (accreditation in process) Beverley Priest Dr Gemma Moore Dr Jonathan Salter Dr Andy Havercroft Dr Simon De Vos Dr Andy John Dr Simon Hill Director of Clinical Director Director Director Director Director Director Operations • Simon De Vos – Skin lesions and skin surgery • Caroline Irlam – General Dermatology and skin cancer Gill Yip • New GPwSI …..? Operations Manager (full time)
A new integrated Dermatology Service for South Worcestershire 3 rd December 2014 31 Federation Member Practices of South Worcestershire Agenda • Malvern Health Centre • Spring Gardens Group Medical Practice • Merstow Green Medical Practice • St Johns House Surgery • New Court Surgery • St Martins Gate Surgery • Ombersley Medical Centre • St Saviours Surgery • Pershore Medical Practice • Tenbury Wells Surgery • Riverside Surgery • Thorneloe Lodge Surgery • Salters Medical Practice • Upton Surgery View from the Acute trust (Chandra Bertram) 7.40 • Spa Medical Practice • Whiteacres Medical Centre Beverley Priest 7.45 View from the CCG (Felix Blaine) - 5 mins Dr Gemma Moore Dr Jonathan Salter Dr Andy Havercroft Dr Simon De Vos Dr Andy John Dr Simon Hill Director of Clinical Director Director Director Director Director Director Operations 7.50 Brainstorming breakout 3 groups (AA, PB, SDV facilitating) - 10 mins Systems for internal referrals to GP leads The proposed systems - what are the benefits / flaws? Education and mentoring for the next 12-24 months Gill Yip Operations Manager (full time) 8.00 Presentation to whole group and discussion - 30 mins 8.30pm Finish
A new integrated Dermatology Service for South Worcestershire 3 rd December 2014 31 Federation Member Practices of South Worcestershire • Malvern Health Centre • Spring Gardens Group Medical Practice • Merstow Green Medical Practice • St Johns House Surgery Agenda • New Court Surgery • St Martins Gate Surgery • Ombersley Medical Centre • St Saviours Surgery • Pershore Medical Practice • Tenbury Wells Surgery • Riverside Surgery • Thorneloe Lodge Surgery • Salters Medical Practice • Upton Surgery View from the CCG (Felix Blaine) • Spa Medical Practice • Whiteacres Medical Centre 7.45 Beverley Priest Dr Gemma Moore Dr Jonathan Salter Dr Andy Havercroft Dr Simon De Vos Dr Andy John Dr Simon Hill 7.50 Brainstorming breakout 3 groups (AA, PB, SDV facilitating) - 10 mins Director of Clinical Director Director Director Director Director Director Operations Systems for internal referrals to GP leads The proposed systems - what are the benefits / flaws? Education and mentoring for the next 12-24 months Gill Yip Operations Manager 8.00 Presentation to whole group and discussion - 30 mins (full time) 8.30pm Finish
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