Primary Care Model
- Meeting of Communities and Wellbeing Overview and Scrutiny Committee, Friday, 18th March, 2016 5.30 pm (Item 440.)
Rachel Watkin, East Lancashire Clinical Commissioning Group, to report on local primary care and the redesign of services in Hyndburn.
Recommended - That the report be noted
Representatives from the East Lancashire Clinical Commissioning Group reported on local primary care and the redesign of the services in Hyndburn. Representatives included:
- Rachel Watkins
- Dr. Richard Robinson
- Dr. Mark Dziobon
- Lisa Cunliffe
- Sharon Martin
- Dr. Phil Huxley
Dr. Huxley reported on the challenges for the Clinical Commissioning Group in redesigning the health care system so that it could adapt to the requirements of the 21st century. He indicated that they had considered carefully, the requirements of the new model which would be put into practise across East Lancashire. He reported that the proposed new model would be going out to consultation in the next few months.
Lisa Cunliffe provided information on the background to the project and pointed out that this process had started 16 months ago. She informed the Committee that they were now at the stage of consulting with East Lancashire residents and organisations and pointed out how a change of service would impact other areas of health care provision. She reported that:
- Focus Groups had been set up
- Patients had been invited to complete and submit questionnaires at health centres
The key findings from the information received from the surveys and focus groups were then divided into key themes. Three events were then held; the first about ‘access to appointments and services’, the second about access to information and the third about work forces. A group was set up to make sense of the information and later produced a set of principles for the first event. A further check of what respondents to questionnaires had wanted was undertaken by further engagement. The principles were:
· Continuity of care access to information
The principles created a vision but this was followed by the challenge of making it work. She reported on how they had started to look at how the model could be delivered and how they intended to lead the initiative. She indicated that a Project Manager had been appointed and had worked with GP Practices and health care providers to determine needs and requirements. She reported that they were looking at having hubs in each locality and GPs feeding back into these hubs. Each hub would have access to medical records. She outlined the benefits to patients of a proposed new system.
Sharon Martin referred to the current arrangements for access to GP appointments by patients and the proposal for access for patients to GP services including urgent hubs at the weekend. She pointed out that it was their aim to provide a more simplistic system. She referred to the current contract for services at the Walk-In Centre and informed the Committee that there was an offer to extend this contract until March 2017 but pointed out that the new health hub would be situated in Hyndburn. She referred to how they were consulting the public on these issues.
Members submitted the following questions and comments:
- Requested information on how a system with extra appointments would compare to the current system of a general walk-in centre.
- Where the location of the new hub would be situated.
- What action was being taken to ensure that the Asian community was aware of the changes
- If staff, working at the Walk-In Centre, were aware of the possible closure.
- Reassurance that plans would be put in place before the closure of the Walk-In Centre to prevent confusion and chaos. Need for a timetabled phase in.
- Reassurance that GP receptionists would receive adequate training before the new system was implemented.
- What would happen to people who were not currently registered with a GP practice.
- That consideration was given to locating the new Hub at Accrington Victoria Hospital, being the most accessible location.
Representatives from the East Lancashire Clinical Commissioning Group provided the following responses:
- The new model would aim to move away from an appointment system and be more responsive in providing instant care.
- The new model would need to be more sustainable over the long term.
- Reference was made to the key determinants which showed the type of work required to improve clinical effectiveness.
- All GP practices in East Lancashire and Blackburn with Darwen used the same software system making access to medical records possible.
- To reduce the amount of duplication currently taking place with medical services.
- The new location of the Hub had not yet been identified but it would be in Hyndburn.
- The new system would be more efficient and safer for patients.
- The consultation would begin in April and last for 3 months and at the end of this period a decision would be taken by the Governing Body.
- People who are not registered with a doctor’s practice will be actively sought out and contacted.
Dr. Huxley referred to the importance of completing the consultation and to define the structure and delivery of the model.
The Chair issued an invitation, once the review had been completed, to return and give a presentation to the Committee and Full Council.
Resolved (1) That a copy of the presentation and consultation are included in the Members’ Information Bulletin;
(2) That Members of Hyndburn Borough Council are represented on the Steering Group;
(3) That consideration be given to locating the new Hub in Hyndburn and preferably at Accrington Victoria Hospital; and
(4) That, on completion of the consultation, representatives of the East Lancashire Clinical Commissioning Group be invited to the Communities and Wellbeing Overview and Scrutiny Committee and the Full Council to provide Members with an updated report.