Forest Road Group Practice

19th November 2019

PPG – Meeting

Welcome

Housekeeping(Safety and comfort)

No fire alarm tests scheduled

today

Emergency exits

Toilets Refreshments

19th November 2019

Agenda

• About Us

• Management structure of Medicus

• Delegate Questions

• Enfield Unity PCN

• DoctorLink

• AOB

About Us

• Formed in April 2018

• 35 Partners

• 13 Locations – 14 Contracts

• 92,000 Registered Patients

• 24 Care Homes Contract

• SAS Contract for NCL

• Equal Partners

• Traditional Partnership Model

• GMS and PMS Practices

• Open and Honest

• Ethos that supports colleagues

to deliver patient care

• Not a Limited Company

• Medicine • Education• Dedication• Innovation• Care• Understanding• Support

Our Vision: To support and improve quality of life for our patients through the delivery of clinical excellence and compassionate care.

Medicus Health Partners Cluster Structure

SE Cluster

@ 30.5K

Lincoln Road

7935

Forest Road

12427

Curzon Avenue

5604

Dean House

2330

Bush Hill Park

2200

NE Cluster

@ 32.5K

Green Street

2338

FPCC

12970

Riley House

8560

Enfield Island

3798

Moorfield

5107

NW Cluster

@32.3K

Carlton House

12900

Willow House

4371

Southbury Surgery

5000

Connaught

5050

BoardChair- Dr Manish Kumar

GovernanceCommittee

Dr Sally Jowett

Finance & Renumeration

CommitteeDr Jarir Amarin

Workforce/RecruitmentCommittee

Uttara Sarkar

OperationsCommittee

Uttara Sarkar

Partners MeetingsDr Ujjal Sarkar

Medicus Management Team MeetingsDr Sarit Ghosh

PharmacyGovernance

14 x SiteGovernance

Site Managers Meetings

Education & Training EventsDr Sally Jowett

& Dr Annie Stork

Infection Control

Digital/ITTeam

Dr Alex Jayaratnam

CommsCommittee

Vivien Kentish

IGSoC

Care Home

MandatoryTraining

Clinical

Clinical Service Delivery Teams

34 GP Partners(All GP Partners deliver clinical sessions)

Salaried GPs

Advanced Nurse Practitioners /Nurse

ConsultantPharmacists

Practice Nurses PA’s/HCA’sEmergency Care

Practitioners

Integrated Services

• One version of EMIS

• Patients can select any site/clinic

to attend appointments

• Telephone system across sites and

connected to EMIS

• Central Services to assist with admin

and ensure we capture economies of

scale

• Offer resilience for continuity of

services

Practice UpdatesMedicus Health Partners Updates (MHP)

All Practices are linked into one version of EMIS our practice Management System

New phone system now across most sites – ability to book via the phone coming soon

New websites are being built

Awarded contract to deliver clinical support to 24 care homes in Enfield

Awarded contract to deliver SAS Services across NCL

Accredited to deliver Anticoagulation service from Lincoln Road, Dean House and Freezywater

PCN agreed and formed

Updates

Questions from PPG Members

PPG Questions

Q - Compare and contrast the role of Medicus Health Partners Patient Participation Group and Forest Road Patient Participation Group

Q - Where are the minutes for the Medicus Health Partners PPG published?

Q - Compare and contrast the function and information of the Medicus

Health Partners website with that of the practice websites like Forest Road?

Is it the intention to merge these websites onto the Medicus Health Partners

website along with the activities and initiatives that take place at each

Practice?

Q - Who is the representative(s) for Forest Road on the 14 Practices PPGs founded by Medicus Health Participation Group ?

PPG Questions

Q - Forest Road computer system has suffered outages this year and more recently on 13th November 2019. Is it the case that such outages (or upgrades) will this now impact patients visiting any of the 14 GP practices, or could it just affect a single practice? Can the service for online ordering of medications and appointments continue unaffected in some instances?

Q -Whilst it is fair to appreciate that the reception at Forest Road cannot

know everything there are examples where this fails completely and

absolutely, with no answers for even simple scenarios. The question is what

second line support exists for reception and patients when this occurs

within Medicus Health Partners?

PPG Questions

Q - Under the new GP Contract, Practices will be expected to make 25% of

appointments bookable online from July 2019. Is that across Medicus

Health Partners, or at GP Practice level? . What are the indicative numbers

for such appointments and does it exclude the mandatory one appointment

per 3,000 patients available each day for direct booking by NHS111

Q - Explain how online booking for appointments works especially when a patient has to decide which of the following is appropriate for their needs? Consider these options "General", "Carlton House Surgery DEFAULT", "Carlton House Surgery Dr Task", "Carlton House Surgery On Day", "Carlton House Surgery prebookable", "RHS Telephone", RHS Extended Hours Session"-

PPG Questions

Q - From April 2020 all practices should provide online consultations. How will

Medicus Health Partners manage this launch and what should we expect ?

Q - Explain the impact of the two opt-outs available to patients with respect to their digital records and any impact to patients booking an appointment at any of the 14 GP Practices.

Enfield Unity PCN19th November 2019

D r Sarit Ghosh

D r Ujjal Sarkar

Vivien Kentish

Tracey Kocabali

PPG Meeting

WHAT is a PCN – Primary Care Network

• To meet local requirements, practices have begun working together and with community, mental health, social care, pharmacy, hospital and voluntary services in their local areas in primary care networks

• Members of a network can be anyone or service that can be of benefit to Patients and their families/Carers

• MHP will be working with other members to recruit more staff, such as pharmacists and social prescribers to help our patients access assistance

Enfield Unity PCN

Enfield Unity PCN

Surgery Members

Site List Size Practice Code Post Code Neighbourhood

MHP - Forest Road Group Practice 12427F85002 N9 7HD C Total NW 55107

MHP - Lincoln Road Medical Practice 7935F85703 EN1 1LJ C Total NE 45999

MHP -Connaught Surgery 5050F85055 N13 5ST C Total C 56924

MHP - Bush Hill Park Medical Centre 2200F85656 EN1 1XG C

Green Cedars 6400Y00612 N18 1RP C 158030

Trinity Avenue 2930F85686 EN1 1HS C

MHP -Curzon Avenue Surgery 5604F85684 EN3 4UE C

MHP -Dean House Surgery 2330F85024 EN3 4DZ C

Nightingale House Surgery 6629F85058 N9 8AJ C

Bounces Road Surgery 5419F85044 N9 7HD C

MHP -Enfield Island Surgery 3798F85707 EN3 6GS NE

MHP - Freezywater Primary Care Centre 12970F85076 EN3 6PN NE

MHP - Green Street Surgery 2338F85681 EN3 7HW NE

MHP - Moorfield Road Health Centre 5107F85048 EN3 5TU NE

MHP - Riley House Surgery 8560F85003 EN3 5PR NE

Eagle House Surgery 13226F85004 EN3 4DN NE

MHP - Carlton House Surgery 12900F85027 EN1 3LL NW

MHP - Southbury Surgery 5000F85652 EN1 1PJ NW

MHP - Willow House Surgery 4371F85036 EN1 3AZ NW

Higlands Practice 10540F85035 N21 1UJ NW

Oakwood Medicsl Centre 6744F85687 N14 4AQ NW

Cockfosters Medical Centre 6612F85016 EN4 9NB NW

Southgate 8940F85032 N14 4PR NW

Southgate Surgery

Cockfosters Surgery

Oakwood Surgery

Highlands Surgery

North West Neighbourhood

North East Neighbourhood

Central Neighbourhood

List Size 45999

List Size 56924

List Size 55107

Eagle HouseSurgery

Bounces Road Surgery

Enfield Unity PCN Enfield Unity PCN BoardRepresentative from Each Practice

CentralNeighbourhood

North EastNeighbourhood

North WestNeighbourhood

Clinical DirectorDr C Aka

Clinical DirectorDr U Sarkar

Clinical DirectorDr S Ghosh

PCN Manager

GP Services

Pharmacy

MHP Lead Practice Support Functions:-

FinanceHR

GovernanceOperationsQI SupportComms/IT

First Contact Physio

Paramedic/ECP

Social Prescribers

Physician Associates

MHP LeadHighlands Practice Lead

Oakwood Medical Centre LeadCockfosters Medical Centre Lead

Southgate Surgery Lead

MHP LeadGreen Cedars LeadTrinity Avenue Lead

Nightingale House Surgery LeadBounces Road Lead

MHP LeadEagle House Lead

Education and Shared Learning

The Link Between you and your GP

How does it work?

Connecting you with help and advice – 24hrs a day – wherever you are

PatientDoctorLink

Working with DoctorLinkDigital Engagement Solution

• Reassurance through online symptoms checker

• Ease of use• Online repeat prescription request• Medical advice• Online appointment booking when

appropriate• 24/7 access

1. Download the DoctorLink App2. Register to use the Service3. Find your GP

a) Get help and advice by answering a set of questions

DoctorLink

Self Care EmergencyGP Appointment

Advised

Once the questions are completed the answers given will produce a result and guide the patient to one of the three options below

The answers supplied indicate that you require

• Attend your local pharmacy

• Follow instructions given by DoctorLink

• Local Clinics• Local Dentists

Call 111 immediately

Call 999 immediately

Attend A&E

Attend Urgent Care

Centre

Doctorlink will now contact your GP Surgery and book an appointment as indicated.

Appointment required within 48/72 hours

GP AppointmentRequired

As a DoctorLink Partner. Medicus will allocate appointments for this service – the system will search and offer the patient an appointment at a MHP Site.

This is automatically booked and the Surgery/Doctor will receive notification of the booking, patient will receive confirmation.

If there are no appointments available , the system will notify the site to call the patient to book within the required time.

If the patient declines the appointment – the session will be ended.

Appt 1

Appt 2

Appt 3

Appt 4

Appt 5

• There is no time limit of the application

• The are “Red Flags” for certain answers

• Carers can use it

• Over use can be flagged up

Questions already asked

• How Medicus is funded• SSL certificates for Medicus

websites• Letters from North London

Partners in Care re opting out of sharing information

AOB

Thank you for your time

Lets work together

PPG