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Meet the innovators
#PMChallengeFund
bit.ly/PMCFresources1
Agenda
Dr Robert Varnam. NHS England.
Dr Chris Jones. Health and Wellbeing Wakefield.
Dr Jim O'Donnell. Slough CCG.
Robin Vickers. Digital Life Sciences.
#PMChallengeFund
w ww.england.nhs.uk #Expo15NHS #PMChallengeFund
Dr Robert Varnam Head of General Practice Development, NHS England
About the Prime Minister’s Challenge Fund
w ww.england.nhs.uk #Expo15NHS #PMChallengeFund
57 schemes
~150 ‘federations’
2500 providers
18m patients
Wave one: Apr 2014, 20 schemes
Wave two: Apr 2015, 37 schemes
About the GP Access Fund
w ww.england.nhs.uk #Expo15NHS #PMChallengeFund
Aims: ‘right access’
w ww.england.nhs.uk
An example of this in practice at the
moment is the Prime Minister’s GP Access
Fund. Now covering a significant
proportion of the country, practices in this
are implementing quite wide-ranging
redesign of their services, acknowledging
that extended hours are only one part of
good access. The practices participating in
this programme are already beginning to
implement many of the transformational
changes envisaged by the Five Year
Forward View. This is generating valuable
learning about the specific changes
required, including the ways in which the
system can make progress easier and
more sustainable.
Innovations being tested
Slough Clinical Commissioning Group 7
• 30 April 2013: Slough CCG Board meeting in Public – that question: “I cannot get an appointment with my GP. How can you help me?”
• (Used prescribing savings to increase the number of GP appointments– 5,000 extra
over the Summer/Autumn. Used Winter Pressures funding to add to this further – 6,000 more)
• 18 October: PM announcement of £50m funding for improving access
• December 2013: Slough practices committed to application – led by our patients & public – “What would great general practice in Slough look like?”
• January 2014: Used the ELC process to co-design our bid for funding
Prime Ministers Challenge Fund (PMCF)……… in Slough, Berkshire
Slough Clinical Commissioning Group 8
• Application in on 14 February 2014 – 48,000 appointments, 11 additional projects
• Confirmed successful 14 April 2014 - £2.95m awarded
• Practices & Patient Group Forum mobilised, feverish activity, evening meetings concrete plans
• 1 July: phased start of extended hours
• 2nd week in August: fully implemented across Slough
Prime Ministers Challenge Fund (PMCF)……… in Slough, Berkshire
Slough Clinical Commissioning Group 9
• All patients registered at a Slough practice • GP appointments to 8pm, Monday to Friday and Saturday & Sunday from 9am to 5pm • Delivered from four Clusters or Hubs – to keep costs down
• Popular, well subscribed, mainly routine bookable appts., some walk-ins also
• Part-time GPs increasing their commitments, new GPs attracted into Slough
• Weekend and evening appointments increase as a proportion of the total – the times
better suit many people, flexibility suits many GPs
Prime Ministers Challenge Fund (PMCF)……… in Slough, Berkshire
Slough Clinical Commissioning Group 10
Additional projects: • Phone texting: For cancelled appts; Public Health messages; and reminders • Dedicated mobile number for urgent contact (vulnerable patients) • Development of Patient Reference Group – the Slough Forum • Info programme: Comprehensive health information to be made available around self-
care and keeping well & healthy • Group consultations introduction: At practice level • Simple Words programme: GPs and patients managing difficult consultations - using
simple words / plain English • Schools health programme: ‘Pester power’ around use of NHS services • Slough OD work – helping practices develop through this process www.sloughccg.nhs.uk jim.o’[email protected]
Prime Ministers Challenge Fund (PMCF)……… in Slough, Berkshire
65% of consultations remote
75% resolve remotely 70% reduction in DNAs
15% increase in capacity 15%-26% drop in A+E
attendance Driven by patient choice
80% of patients think service has improved
FOR 60,000 PATIENTS IN BIRMINGHAM (over 1000 per day)
[email protected] @DigiLifeSci @Robin_Vickers
FOR OVER 1,000 LONG TERM CARE PATIENTS IN SCOTLAND
Shifting 60% of long term care
consultations out of hospital through video on demand
Taking supported self-
management programmes to 75% of COPD patients in a
matter of months
[email protected] @DigiLifeSci @Robin_Vickers
DIGITAL ENABLERS + TRANSFORMED BUSINESS MODELS = BENEFITS
[email protected] @DigiLifeSci @Robin_Vickers
WHERE IS THE AT SCALE BUSINESS MODEL FOR REMOTE CLINCAL
SUPPORT?
[email protected] @DigiLifeSci @Robin_Vickers
BIRMINGHAM (1 ALREADY, 3 MORE THIS YEAR)….
THIS IS MUCH MORE THAN “DOING A FEW MORE HOURS AND ADDING
SOME TECHNOLOGY”………
IT IS A NEW BUSINESS MODEL FOR PRIMARY CARE
[email protected] @DigiLifeSci @Robin_Vickers
Dr Chris Jones Clinical Lead and Programme Director
West Wakefield Health and Wellbeing Ltd
@drchrisjones1
@drchrisjones1
West Wakefield Health and Wellbeing • GP Federation: 6 practices 64,000 patients
• Prime Minister’s Challenge Wave 1
• MCP Vanguard
@drchrisjones1
What have we done? • Extended Operating Hours
• Physiotherapy First
• Pharmacy First
• Video Consultations and E-messaging
• Care Navigators
• Digital Care Navigation
– Service Directory, Care Navigation app and web, Kiosks
• Social Prescribing
@drchrisjones1
What have we done? • HealthPod
• Schools App Challenge
• Care Home project
• Unified Communications
@drchrisjones1
@drchrisjones1
Meet the innovators
#PMChallengeFund
bit.ly/PMCFresources1
