Developing polyclinics in Waltham Forest
Transcript of Developing polyclinics in Waltham Forest
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Developing Polyclinics in Waltham Forest
October 2008
Alison GoodladHead of Primary Care
Commissioning and Development
ORGANISATIONAL MODEL:Drivers
Recent investment
in new buildings
Good quality GPs
Momentum of change in General Practice
Movement of care
outside of hospital
ORGANISATIONAL MODEL:Polyclinic Facilities
70% infrastructure in place to deliver Polyclinics
Waltham Forest ready to move forward with new build/refurbished centres
Waltham Forest ready to move forward with centres in each locality
ORGANISATIONAL MODEL:Drivers- Providing more care outside hospital
Increase the number of
diagnostic tests done directly by
Primary Care
8859 diagnostic 8859 diagnostic tests in the tests in the communitycommunity
Increase the number of OPD
consultations done by Primary Care
41000 OPD 41000 OPD consultationsconsultations
Community Specialist Services introduced in 2008/09:
• Anticoagulation• Community Cardiology Service• Carpal Tunnel Service• Colorectal Clinic• Community Dermatology• Community Diabetes• Direct Access Physiotherapy• Direct Access Gastroenterology • Community based Musculoskeletal Pain Service• Community Specialist Urology Service
ORGANISATIONAL MODEL:Networked Polyclinic model
Polyclinic PROVIDE
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HUB PRACTIC
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Polyclinic PROVIDE
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HUB PRACTIC
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HUB PRACTIC
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GPLHC
HUB PRACTIC
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SPOKE PRACTIC
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SPOKE PRACTIC
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SPOKE PRACTIC
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SPOKE PRACTIC
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SPOKE PRACTIC
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SPOKE PRACTIC
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SPOKE PRACTIC
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SPOKE PRACTIC
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SPOKE PRACTIC
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SPOKE PRACTIC
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SPOKE PRACTIC
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ORGANISATIONAL MODEL:Networked Polyclinic model
Example of the hub and spoke model in Leyton/Leytonstone
Network Agreement:
• This outlines the principles and rules by which the network will function
• Patients should be referred to polyclinic services where clinically appropriate, in line with patient pathways unless the patient has requested to go elsewhere.
• Patients may be referred to any of the polyclinics
• Practices in the hub must not proactively seek to encourage patients registered with the spokes to switch registration.
ORGANISATIONAL MODEL:Stakeholder Engagement
GP and Stakeholder engagement – six
workshops held so far
Three Public events were held in July
GP & Stakeholder Event:
Key Concerns:• The hub will pull patients from the spokes
• Anxiety around the possibility of the private sector managing GPLHC
Services GPs would like to see in a polyclinic:
1. Diagnostics
2. Health Promotion
Health Visiting
3. Out-Patient Services
Counselling
Public Engagement:Getting patient’s views on Polyclinics / GP Led Health Centres
Services patients wanted to access:• Tests (i.e. blood tests, x-rays)• Urgent Care• Outpatient Clinics
Preferred hours for accessing services outside the working day:• Evenings• Saturday Mornings• Early Mornings
Important factors to access Polyclinics:• Transport Links• Parking
SERVICE MODEL
Tender for combined GPLHC and polyclinic and up to three stand-alone polyclinics
Contract will be for leadership and management of
polyclinics
Focus on integration of services and front
of house
Movement of care outside of hospital
Polyclinic Tender Process:Bidders to choose the location
• Bidders can choose from a number of potential locations indentified by the PCT
• There are nine options in total
ADVANTAGES:• Sensitivity of where the polyclinics will be located• Decisions will be made as part of the evaluation of the Tender
DISADVANTAGES:• Planning can be made difficult by not knowing the location of the clinics until the outcome of the tender is known
PROJECT STRUCTURE:Long Term plan
1st Polyclinic / GPLHC goes live in early part
of 2009/10
2nd Polyclinic goes live in latter part of
2009/10
3rd Polyclinic (Chingford) goes live
2010/11