Birkenhead & Wallasey Primary Care Trust improving health, reducing inequalities Birkenhead and Wallasey PCT is part of the Cheshire and Merseyside teaching

Birkenhead & WallaseyPrimary Care Trust

‘improving health, reducing inequalities’

Birkenhead and Wallasey PCT is part of the Cheshire and Merseyside teaching PCT Collaborative ‘a learning community’

Fresh approaches to developing Primary and Social Care through premises

Dr Alan Roberts

Iain Stewart, Head of Wallasey




Wallasey locality profile

Population: 73,000

Number of practices: 17

Number of GPs: 44




History of Wallasey

- 1990 – Informal meetings/PGEA meetings

- Locality/Extended Executive/CMG

- Multi-Fund formed between smaller practices

- Therapeutics Groups established before PCGs

- Established concept of sharing clinical knowledge to improve practice

- Locality-wide Protected Learning Time










Future profile of GP premises

Centre 1. 4 practices



Centre 4. 1 practice


Centre 6. 1 practice




Services at each Centre:

Phlebotomy Dietetics

Podiatry Physiotherapy

Counselling/CBT Citizens Advice Bureau

Medical Training facilities Social Care services

Complementary therapies PALS




Contractual flexibility via Personal Medical Services• 15 Practices, 41 GP’s working together to address public health

needs• Wallasey Heart Centre/ Care of Elderly in Nursing Homes• Dermatology service• Sharing best practice and clinical knowledge – no more

competition• Higher profile nursing investment – Access targets met WEF

2001 as a PCG• Type II Diabetic Management in primary care – NSF Secondary

to primary• Feel good factor




Compar ative Death Rates f r om Cor onar y Hear t Disease 1981

- 2001

Wallasey v Birkenhead v Bebington & West Wirral v UK

5060708090

100110120130




Primary

SecondaryIntermediate Extended

The start of a Local Quality Framework?




Contracting from 2004;A local deal versus a national deal

Local contract structured as simply as;

Managing Chronic DiseaseAccess to Primary Care servicesAddressing Health InequalitiesPCT Star Rating areasManaging the businessLocal Quality Framework

Contract Value £




So, a fresh approach?

Well, these guys had a premises idea too…………….

Documents

Birkenhead & Wallasey Primary Care Trust improving health, reducing inequalities Birkenhead and Wallasey PCT is part of the Cheshire and Merseyside teaching