Services in Portsmouth date Improving health services Improving - - PowerPoint PPT Presentation

Improving health services… Improving health services…

Redesign of Walk In Services in Portsmouth

Improving health services…

date

Improving health services…

Background

• Historically two WICs

– A nurse-led WIC and Minor Injuries Unit (MIU) at SMTC - 7 days per week until 10pm – “GP-led” WIC at GWHC - 8am until 8pm days a week – Conditions presenting to the GWHC typical of a walk in centre - many of them being classed clinically as minor.

2

Improving health services…

Presenting complaints at GWHC

Presenting Condition (OPCS-4) Count Percentage

Upper respiratory tract infection 1,187 9% Acute Tonsillitis 713 5% Skin/subcutaneous infections 695 5% Lower respiratory tract infection 655 5% Urinary tract infection 584 4% Requests for Medication 425 3% Otitis media 383 3% Sore throat 364 3% Viral infection 318 2% Cough 307 2%

3

Improving health services…

From July 1st 2016

• Following public consultation unregistered walk in

activity transferred from GHWC to the SMTC

• Workforce at STMC increased and includes GP
• Single multidisciplinary WIC for the provision of

both minor injuries and illness within one location in the city.

• Continuation of the GP practice for registered

patients at Guildhall Walk.

• Includes some sit and wait style appointment and

some extended hours.

– Monday and Friday from 8am to 8pm – Tuesday, Wednesday and Thursday 8am to 6.30pm – Saturday and Sunday 8am to midday

4

Improving health services…

Additional services at SMTC

• Ophthalmology
• ENT
• Dermatology
• Audiology
• 24 hour cardiac monitoring
• These are alternatives to referral into secondary

care for non complex patient conditions.

• The service offers shorter waiting times and

focuses on education for both patient and referring clinician.

5

Improving health services…

Enhanced services from Community pharmacies

• Minor Ailments

– enhanced the service we commissioned from the local pharmacies – particularly to meet the needs of the younger student demographic.

• Pharmacy Urgent Repeat Medicines

– Alternative to OOH, A&E and WICs

6

Improving health services…

Impact of Change

7

500 1,000 1,500 2,000 2,500 3,000 3,500 4,000 4,500 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep 2015/2016 2016/2017

Portsmouth CCG Monthly Activity: Minor ED and WICs SCW CSU BI & Analytics | Report 8520 | Data Source: various

QA Main ED - minor St Marys WIC Guildhall Walk WIC

Improving health services…

Future of GHWC practice

• Full procurement for GP practice initiated in April

16

• National primary care strategy (GP Forward

View) outlines radical change in delivery of primary and community services

• CCG planning for the delivery of integrated

primary and community care

• CCG has decided to suspend the procurement

and to extend the current interim contract with the incumbent for a further period of 12 to 18 months.

8

Improving health services…

New Models of Care

• New models need to take account of

– Changes to workforce – Increased workload – Triage or telephone first models of care – Urgent Primary Care being delivered at scale across the city potentially from a number or hubs – Access to routine primary care 7 days a week for the whole population 2019/ 2020

• Will be piloting Saturday urgent care services on Saturday
• ver the Winter period ( access will be via 111)

9