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6 Partners Substance Misuse 2 salaried Homeless 1 Practice PCG Education Programme Helping single handers 1050 QOF Points
Hurley Group Past, Present and Future Dr Arvind Madan CEO The - - PowerPoint PPT Presentation
Hurley Group Past, Present and Future Dr Arvind Madan CEO The - - PowerPoint PPT Presentation
Hurley Group Past, Present and Future Dr Arvind Madan CEO The Past - Hurley Clinic in 2007 Helping 1050 QOF 1 Practice single Points handers Substance 6 Partners PCG Misuse Education 2 salaried Homeless Programme An NHS GP
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IT Publ Heal Contract Reviews Recruitment Issues Low Morale Cuts Practice Failures Revalidation KPIs PCT meltdown
NHSE Demands Increasing Regulation
S Values CQC
Rising Patient Demand
Reduced Funding NHS Reforms PMS Reviews
An NHS GP Partnership, that just got bigger…
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3% 4% 3% 1% 11 % 4% 5% 11% 2% 60% 45% 25% 33%
% of borough’s urgent care % of borough registered with Hurley
1% 2%
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4 Partners 30 Lead Clinicians Social Enterprises 18 Practices Policy Influence Use of Technology Largest London Provider 8 Urgent Care sites
The Present - Hurley Clinic in 2014
20 Senior Managers
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The Future - Hurley Group
- 1. Hurley Group and the business model
- 2. Hurley Group and Technology
- 1. Hurley Group and Federations
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Partners Managers Regional Service Development Practice Managers Medical Directors Deputy Medical Directors Salaried GPs Lead Nurses Salaried Nurses HCAs Support Staff Bank Teachers IT Directors HQ Staff
Hurley Group and Business Model
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Access Quality The Iron Triangle Cost The Iron Triangle Theory One cannot improve one without compromising another. Breaking the Triangle? How do you improve access, quality and reduce costs? Offer patients who plan to attend to:
- transact online (appointment book)
- stratify themselves (symptom check)
- manage themselves (self-help)
- use other services (sign post)
- take phone advice (nurse callback)
- e-consult (structured history analysis)
Hurley Group and Technology
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Patient visits their
- wn practice website
7% self-manage 6% submit E-Consult to own GP from the website 20% called back by GP to close case 80% called back by admin team to collect prescription (44%) or book appointment (36%)
Link to our online
- ffer skinned
to match their own practice’s identity
- Patient selects
condition
9% use Nurse or Pharmacy call back Patient always called back to verify identity and close communication loop 22% of patients dealt with more efficiently
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820 E-consults
75 calls a month for advice from Nurse 1,000 uses of symptom checkers
6,000 users of self-help and sign posting information
Over 23,000 visits to website averaging about 1,000 per week
60% closed remotely 80% closed Remotely Ensures right service first time 18% of users planned to book an appointment and then don’t Popular with Patients
(83% FFT “extremely likely”)
Results
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TOP 10 CONDITIONS
Cystitis (female) Depression Contraception Knee pain Earache Asthma Sore throat Rectal bleeding Shoulder pain Coughs
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Advantages: Better Access
- Better patient experience
- Reaches the working population
- Enhanced patient’s earning potential
Better Health Outcomes
- Earlier presentation and intervention
- Permits embarrassing presentations
Better Practice Efficiency
- Siphons off self-help and sign-posting
- Time-efficient consults for practices
- Robust Clinical Governance
- Medicolegally safe and approved
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Hurley Group and Federations
Hurley Group
Command and control Depth of alignment Non-geographical Service range limited Competition heavy Limited co-design Questionable scalability
Suffolk Federation
Democratic Limited alignment Geographical Service range extensive Competition lite? Ability to co-design? Unlimited scalability