A new integrated Dermatology Service for South Worcestershire 3 rd - - PowerPoint PPT Presentation

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A new integrated Dermatology Service for South Worcestershire 3 rd - - PowerPoint PPT Presentation

Dec 24, 2023 127 likes •325 views

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

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SLIDE 1

A new integrated Dermatology Service for South Worcestershire 3rd 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
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SLIDE 2

A new integrated Dermatology Service for South Worcestershire 3rd 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

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SLIDE 3

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
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SLIDE 4

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.

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SLIDE 5

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.

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SLIDE 6

Principles of a new pathway 3:

Support and enhancement of a sustainable hospital Dermatology Department (where clinical governance and accreditation originates.)

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SLIDE 7

Principles of a new pathway 4:

A high quality service providing best value for money which will get progressively cheaper as educational levels increase.

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SLIDE 8

Principles of a new pathway 5:

Key performance indicators that incentivise better education, knowledge and communication.

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SLIDE 9
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SLIDE 10

Gill Yip

Operations Manager

(full time)

Dr Gemma Moore Clinical Director Dr Jonathan Salter Director Dr Andy Havercroft Director Dr Andy John Director Dr Simon De Vos Director

31 Federation Member Practices of South Worcestershire

  • Elbury Moor Medical Centre
  • Farrier Street Surgery
  • Great Witley Surgery
  • Grey Gable Surgery
  • Haresfield Surgery
  • Henwick Halt Medical Centre
  • Knightwick Surgery
  • Link End Surgery
  • Malvern Health Centre
  • Merstow Green Medical Practice
  • New Court Surgery
  • Ombersley Medical Centre
  • Pershore Medical Practice
  • Riverside Surgery
  • Salters Medical Practice
  • Spa Medical Practice
  • Spring Gardens Group Medical Practice
  • St Johns House Surgery
  • St Martins Gate Surgery
  • St Saviours Surgery
  • Tenbury Wells Surgery
  • Thorneloe Lodge Surgery
  • Upton Surgery
  • Whiteacres Medical Centre

Dr Simon Hill Director Beverley Priest Director of Operations

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SLIDE 11

Gill Yip

Operations Manager

(full time)

Dr Gemma Moore Clinical Director Dr Jonathan Salter Director Dr Andy Havercroft Director Dr Andy John Director Dr Simon De Vos Director

31 Federation Member Practices of South Worcestershire

  • Malvern Health Centre
  • Merstow Green Medical Practice
  • New Court Surgery
  • Ombersley Medical Centre
  • Pershore Medical Practice
  • Riverside Surgery
  • Salters Medical Practice
  • Spa Medical Practice
  • Spring Gardens Group Medical Practice
  • St Johns House Surgery
  • St Martins Gate Surgery
  • St Saviours Surgery
  • Tenbury Wells Surgery
  • Thorneloe Lodge Surgery
  • Upton Surgery
  • Whiteacres Medical Centre

Dr Simon Hill Director Beverley Priest Director of Operations

Finances and Contracts:

  • WRH sub contract to Federation (SW Healthcare)
  • Federation to employ (or ‘manage’ GPwSIs)
  • KPIs for mentoring and education
  • GP leads to be funded by reduction in referrals – almost half
  • f savings to go back to practices from baseline (target defined

by CCG)y CCG*)

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SLIDE 12

Gill Yip

Operations Manager

(full time)

Dr Gemma Moore Clinical Director Dr Jonathan Salter Director Dr Andy Havercroft Director Dr Andy John Director Dr Simon De Vos Director

31 Federation Member Practices of South Worcestershire

  • Malvern Health Centre
  • Merstow Green Medical Practice
  • New Court Surgery
  • Ombersley Medical Centre
  • Pershore Medical Practice
  • Riverside Surgery
  • Salters Medical Practice
  • Spa Medical Practice
  • Spring Gardens Group Medical Practice
  • St Johns House Surgery
  • St Martins Gate Surgery
  • St Saviours Surgery
  • Tenbury Wells Surgery
  • Thorneloe Lodge Surgery
  • Upton Surgery
  • Whiteacres Medical Centre

Dr Simon Hill Director Beverley Priest Director of Operations

Dermatology Leads – a proposal:

  • Ideally to have diploma of Dermatology (or new Worcester

certificate)

  • 3 or 4 education sessions per year with case discussions

(eve or daytime?)

  • Shared GP lead between practices – how to set up?
  • Email advice or internal referral?
  • How to gate-keep?
  • *)
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SLIDE 13

Gill Yip

Operations Manager

(full time)

Dr Gemma Moore Clinical Director Dr Jonathan Salter Director Dr Andy Havercroft Director Dr Andy John Director Dr Simon De Vos Director

31 Federation Member Practices of South Worcestershire

  • Malvern Health Centre
  • Merstow Green Medical Practice
  • New Court Surgery
  • Ombersley Medical Centre
  • Pershore Medical Practice
  • Riverside Surgery
  • Salters Medical Practice
  • Spa Medical Practice
  • Spring Gardens Group Medical Practice
  • St Johns House Surgery
  • St Martins Gate Surgery
  • St Saviours Surgery
  • Tenbury Wells Surgery
  • Thorneloe Lodge Surgery
  • Upton Surgery
  • Whiteacres Medical Centre

Dr Simon Hill Director Beverley Priest Director of Operations

GPwSIs: plan for 1000 ‘first’ appts per year

  • Alison Atkinson – General Dermatology and skin cancer
  • Paul Bunyan – General Dermatology and skin cancer

(accreditation in process)

  • Simon De Vos – Skin lesions and skin surgery
  • Caroline Irlam – General Dermatology and skin cancer
  • New GPwSI…..?
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SLIDE 14

Gill Yip

Operations Manager

(full time)

Dr Gemma Moore Clinical Director Dr Jonathan Salter Director Dr Andy Havercroft Director Dr Andy John Director Dr Simon De Vos Director

31 Federation Member Practices of South Worcestershire

  • Malvern Health Centre
  • Merstow Green Medical Practice
  • New Court Surgery
  • Ombersley Medical Centre
  • Pershore Medical Practice
  • Riverside Surgery
  • Salters Medical Practice
  • Spa Medical Practice
  • Spring Gardens Group Medical Practice
  • St Johns House Surgery
  • St Martins Gate Surgery
  • St Saviours Surgery
  • Tenbury Wells Surgery
  • Thorneloe Lodge Surgery
  • Upton Surgery
  • Whiteacres Medical Centre

Dr Simon Hill Director Beverley Priest Director of Operations

A new integrated Dermatology Service for South Worcestershire 3rd December 2014

Agenda 7.40

View from the Acute trust (Chandra Bertram)

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

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SLIDE 15

Gill Yip

Operations Manager

(full time)

Dr Gemma Moore Clinical Director Dr Jonathan Salter Director Dr Andy Havercroft Director Dr Andy John Director Dr Simon De Vos Director

31 Federation Member Practices of South Worcestershire

  • Malvern Health Centre
  • Merstow Green Medical Practice
  • New Court Surgery
  • Ombersley Medical Centre
  • Pershore Medical Practice
  • Riverside Surgery
  • Salters Medical Practice
  • Spa Medical Practice
  • Spring Gardens Group Medical Practice
  • St Johns House Surgery
  • St Martins Gate Surgery
  • St Saviours Surgery
  • Tenbury Wells Surgery
  • Thorneloe Lodge Surgery
  • Upton Surgery
  • Whiteacres Medical Centre

Dr Simon Hill Director Beverley Priest Director of Operations

A new integrated Dermatology Service for South Worcestershire 3rd December 2014

Agenda 7.45

View from the CCG (Felix Blaine)

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

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SLIDE 16

Gill Yip

Operations Manager

(full time)

Dr Gemma Moore Clinical Director Dr Jonathan Salter Director Dr Andy Havercroft Director Dr Andy John Director Dr Simon De Vos Director

31 Federation Member Practices of South Worcestershire

  • Malvern Health Centre
  • Merstow Green Medical Practice
  • New Court Surgery
  • Ombersley Medical Centre
  • Pershore Medical Practice
  • Riverside Surgery
  • Salters Medical Practice
  • Spa Medical Practice
  • Spring Gardens Group Medical Practice
  • St Johns House Surgery
  • St Martins Gate Surgery
  • St Saviours Surgery
  • Tenbury Wells Surgery
  • Thorneloe Lodge Surgery
  • Upton Surgery
  • Whiteacres Medical Centre

Dr Simon Hill Director Beverley Priest Director of Operations

A new integrated Dermatology Service for South Worcestershire 3rd December 2014

Agenda 7.50

Brainstorming breakout 3 groups - 10 mins

(AA, PB, SDV facilitating) –

  • 1. Systems for internal referrals to GP leads
  • 2. The proposed systems - what are the benefits / flaws?
  • 3. Education and mentoring for the next 12-24 months

8.00 Presentation to whole group and discussion - 30 mins 8.30pm Finish

slide-17
SLIDE 17

Gill Yip

Operations Manager

(full time)

Dr Gemma Moore Clinical Director Dr Jonathan Salter Director Dr Andy Havercroft Director Dr Andy John Director Dr Simon De Vos Director

31 Federation Member Practices of South Worcestershire

  • Malvern Health Centre
  • Merstow Green Medical Practice
  • New Court Surgery
  • Ombersley Medical Centre
  • Pershore Medical Practice
  • Riverside Surgery
  • Salters Medical Practice
  • Spa Medical Practice
  • Spring Gardens Group Medical Practice
  • St Johns House Surgery
  • St Martins Gate Surgery
  • St Saviours Surgery
  • Tenbury Wells Surgery
  • Thorneloe Lodge Surgery
  • Upton Surgery
  • Whiteacres Medical Centre

Dr Simon Hill Director Beverley Priest Director of Operations

A new integrated Dermatology Service for South Worcestershire 3rd December 2014

Agenda

8.00

Presentation to whole group and discussion – 30 mins

8.30pm Finish

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SLIDE 18

Gill Yip

Operations Manager

(full time)

Dr Gemma Moore Clinical Director Dr Jonathan Salter Director Dr Andy Havercroft Director Dr Andy John Director Dr Simon De Vos Director

31 Federation Member Practices of South Worcestershire

  • Malvern Health Centre
  • Merstow Green Medical Practice
  • New Court Surgery
  • Ombersley Medical Centre
  • Pershore Medical Practice
  • Riverside Surgery
  • Salters Medical Practice
  • Spa Medical Practice
  • Spring Gardens Group Medical Practice
  • St Johns House Surgery
  • St Martins Gate Surgery
  • St Saviours Surgery
  • Tenbury Wells Surgery
  • Thorneloe Lodge Surgery
  • Upton Surgery
  • Whiteacres Medical Centre

Dr Simon Hill Director Beverley Priest Director of Operations

A new integrated Dermatology Service for South Worcestershire 3rd December 2014

Thank you!

Simon.DeVos@nhs.net