Project Lead Community Anticoagulation Patient and Public Engagement - - PowerPoint PPT Presentation

Kwame Amankwa Croydon Clinical Commissioning Group Project Lead Introducing the New Community Anticoagulation Service

Community Anticoagulation Patient and Public Engagement Event 13th November 2015 Time 2pm – 4pm Old Coulsdon Congregational Church 336 Coulsdon Road Old Coulsdon, Surrey CR5 1EH

2.00 – 2.15pm Sign in; refreshments 2.15 – 2.30pm Welcome & Introductions 2.30 – 2.40pm Presentation: Overview of community anticoagulation services & what will the new service look like? Kwame Amankwa, CCCG Pathway Redesign Manager & Shirley Walker, Anticoagulation Service Manager 2.40 – 3.30pm Questions and answers (Open session) 3.30- 4.00pm Close

Agenda

Housekeeping

Government’s healthcare reforms - the health service is changing The Health and Social Care Act 2012 Expected Outcomes : 1. Improved health service for the benefit of all patients and the wider community through;

• Continuous quality improvement in services
• Reducing inequalities
• Enabling choice and
• Encouraging patient involvement in healthcare.
• 2. An integrated health system
• 3. Drive towards managing patients in the community
• 4. Better, nearer, sooner and more convenient

Introducing the New Community Anticoagulation Service...

Why did we want to do it differently in Croydon?

The Community Anticoagulation Services – The History

In 2008 Croydon Primary Care Trust (PCT), as part of its local community development strategy, tendered for a community service for the Monitoring of AF patients on anti-coagulant therapy. The aim - To provide monitoring for patients more locally & to reduce pressure on a busy hospital-based service. 4 community providers (two GP practices and two community pharmacies) were successful in being awarded this tender . They were: Selsdon Park Medical Centre Parchmore Medical Centre; A-Z Pharmacy Fishers Chemists

CUH managed the complex cases.

• Generally there were issues – longer waiting

times, lack of a uniformed provision and lack of flexibility among others.

• In 2014 the existing contract with the providers

was coming to an end. In line with NHS NHS Procurement and Competition Rules the contracts could not be rolled over and was reviewed.

• The Croydon CCG re-tendered the service to

commission a service that provided warfarin initiation and on-going monitoring for stable AF patients.

• Few of the incumbent providers wanted to

continue providing the anticoagulation service.

The Community Anticoagulation Services – Review

• Following a robust procurement

process in 2014, the CCG awarded Boots UK Limited the contract to deliver community anticoagulation services across the six GP network locations.

• The new service commenced on 1st

April 2015 in a phased implementation approach.

• The Old Coulsdon Services will

transfer to Boots from the 23rd November 2015.

Introducing the New Community Anticoagulation Service...

What are the anticipated benefits of the new service to patients?

1. Flexibility – 7 days extended cover & longer opening hours 2. Choice of clinic 3. A “one-stop shop” service 4. An Advice Helpline with a pharmacist at the end of the line 5. Access to a Croydon University Hospital Consultant Haematologist. 6. The services will be delivered to the Standard NHS Contract & Service specification.

Shirley Walker, Boots Anticoagulation Service Manager Sabina Daboo, Boots Clinical Lead

Working together in partnership

Introducing the New Community Anticoagulation Service...

• Introduction
• Boots previous experience in anticoagulation
• The new Croydon Community Anticoagulation Service
• Locations and clinics
• Transition Arrangements

What else are patients telling us?

It’s very useful for the pharmacist to be on hand to answer any questions about current medication that has been prescribed “Super speedy service. I've never waited more than 5 minutes as opposed to an hour and three quarters at the

• hospital. Easy to contact. People know what they are talking
• about. Information gets passed on. I rang the helpline and

they knew all about it at my next appointment. I would highly recommend the service to other Warfarin patients.” Excellent - resulting in me having my eye tests carried out at Boots Bromley. Look forward to further services being established Can't find fault with your service, being able to go to a Boots of choice makes life

• easier. Well done Boots

To be able to speak to the Pharmacist and get results immediately is so

• convenient. V happy with service

What will Boots provide in Croydon?

• Initiation of Warfarin for newly diagnosed AF patients
• Transfer & ongoing maintenance of stable AF patients
• A service run and managed by a team of dedicated anticoagulation

pharmacists supported by a clinical lead pharmacist at the Bromley hub

• Access to a consultant haematologist for anticoagulation pharmacists in

an advisory capacity

• Flexibility for patients to move between sites
• Initially matching all current clinics with an opportunity to grow in

response to patient need

Changing NHS

Proposed Clinic Days and Locations

Boots Croydon Anticoagulation Service Clinic Days MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY AM Addiscombe Road Parchmore Addiscombe Coulsdon Parchmore tbc Purley Whitgift Whitgift Purley (9/11) Valley Park Coulsdon(from 7/12) New addington(11/11) PM Addiscombe Road Parchmore Addiscombe Purley Parchmore tbc Purley(from7/12) Whitgift(23/11) New addington Coulsdon(9/11) Coulsdon tbc Number

• f Clinics

3 from 7/12 2 3 from 9/11 2(from 9/11) 2 1(tbc)

Proposed Patient Transition timeline

March April May June July August Sept October November December Parchmore CCG Letter/Patient Engagment/ Patient Transfer Go Live Fishers Pharmacy CCG Patient Letter Patient Engagment /Patient Transfer Go Live A-Z Pharmacy CCG Patient Letter Patient Engagment /Patient Transfer Go Live Parkway HC CCG Letter/Patient Engagment/ Patient Transfer Go Live Old Coulsdon MP CCG Letter/Patient Engagment/P atient Transfer/Go Live Selsdon Park MP CCG Letter/Patient Engagment/ Patient Transfer Go Live

BOOTS UK LTD ANTICOAGULATION HUB CONTACT NUMBER

0208 466 5372

Some patients questions from our previous events & our responses

Q: How will we know what is going to happen after the 23rd November 2015? Who will tell us about our next appointment? A: All existing appointments before the 23rd November will stay the same. The new provider (Boots) has worked with the existing provider to transfer all the existing patient data onto their data system. Very shortly, starting from tomorrow, all patients will be contacted and given information about the

• changeover. Patients who have existing appointments after the

9 Nov will be offered an appointment as close to the time and date of that appointment, where possible.

Q: At the current clinic we have a waiting room big enough for about 8 or 9 people. Older people often like to come early, well before their appointments, so they can sit and chat and sit in the waiting room for quite a long time. Where are they going to sit in that tiny Boots store, there’s no room? A: We will have a very small waiting area but will have room for a couple of chairs. Most of the appointments will be very quick, about 10 minutes in total, so we don’t anticipate that people will have a long wait. But we don’t want people to feel that they have to arrive too early ahead of their appointment, if they arrive on time for their appointment we won’t have too much of a queue.

Some patients questions from our previous events & our responses

Q: Why have you changed a service we are happy with? We get respect at the Parkway clinic. Parkway is a great service, why change it? Is this just about money? A: The CCG is legally obligated to put services out for tender when a contract with a provider ends. There are circumstances where contracts can be extended; however, the procurement of services is a process that the CCG must follow. Under the rules all current providers can bid as well as new potential providers. The bids are assessed against a whole range of criteria. We also want to take into account the hours and days that a service can be available to patients in the

• future. This may include evenings and weekends and is important for patient
• choice. The service specification included a requirement for later openings and

weekend clinics and more sites. The existing providers did not meet the

• requirements. Since 2008 there has been a move towards locating more services

within the Community to try to improve patient access.

Some patients questions from our previous events & our responses

Q: When I had to go in to hospital for an operation my Warfarin was stopped and I had to go to St Georges Hospital for the treatment, which was an injection. Will Boots be able to supply this service ibn the future? A: Boots will not be able to provide the treatment if injections are required for the treatment. The patient will go back to University Hospital Croydon if that is the case. In the future if patients are about to have an operation but do not require injections Boots pharmacists will be able to help patients manage their warfarin.

Some patients questions from our previous events & our responses

Q: Will we have to queue with the rest of the Boots customers? A: No the pharmacists will have a list of patients and will call

• you. You will not have to queue with the rest of the customers.

Q: What will happen to the existing staff? Will they lose their jobs? A: The nurses you currently see are employed by the practice and the anti-coagulation service is a very small part of their work so they should not lose their jobs.

Some patients questions from our previous events & our responses

Q: Will local people have to go to the Boots at Old Coulsdon? A: They have a choice. They can either go to their local Boots or, if it’s more convenient, they can use any of the Boots sites in Croydon. Q: Who do we contact if we need to change the appointment or talk to someone? A: There is a main number 0208 4665372 that you can ring, if you have any query or question or concern. At that number you can speak to a pharmacist if you want reassurance or help. That number

• perates 7 days a week.

Some patients questions from our previous events & our responses

Q: Will we get new paperwork? What about our yellow books? A: You don’t need any new paperwork. You can still use your existing yellow books; we can just stick the new telephone numbers over the old

• nes.

Q: Will I be able to use the Boots stores outside the borough? A: The community anticoagulation services are for patients registered with a Croydon GP. It is a Croydon service. Q: When does the new service start in Old Coulsdon? A: 23rd November 2015.

Some patients questions from our previous events & our responses

For Further Information…..

Boots UK Limited Team

Alison Green - Boots Healthcare Development Manager: alison.x.green@boots.co.uk Shirley Walker-Boots Anticoagulation Service Manager: shirley.walker@boots.co.uk Boots South London Anticoagulation Service Hub Tel: 0208 466 5372 Monday - Wednesday, Friday and Saturday: 08.30am-6pm, Thursday 08.30am-9.00pm and Sunday 11am-5pm

Croydon CCG Team

Kwame Amankwa – Pathways Redesign Manager & Project Lead: kwame.amankwa@croydonccg.nhs.uk