Stockport Health & Wellbeing Board - Sarah Ferguson Interim CEO
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
Stockport
Health & Wellbeing Board
Sarah Ferguson
Interim CEOPrimary Care Access National Picture GP Forward View set out plans to commission and provide additional capacity By 2020 everyone has improved access to improved GP services Sufficient routine appointments at evenings and weekends Alongside effective out of hours and urgent care access
Regional Picture Greater Manchester Standards Improving access to GP Improving outcomes for patient with mental illness Improving cancer survival rates and earlier diagnosis Ensuring a proactive approach to health improvement and early detection Improving the health and wellbeing of carers Improving outcomes for people with long term conditions Promoting medication checks GM Commitments to 7 day access Improving outcomes around December 2015 there were 35 Primary Care childhood asthma locations offering extended access. Proactive disease management
Stockport Together
Local Picture
Provide a wider range of services in
primary care.
Improve access to primary care
services (local delivery and extended
hours of operation.)
Reduce variation in the quality of
services.
Support more people to access
services in the neighbourhood
setting (reduced need for accessing
services in the acute environment.)
£1.55m investment to support delivery of
Support a greater focus on early
intervention and prevention. the GM standards with additional local
funding to £2.1m to ensure General
Provide more intensive support for Practice is safe and sustainable.
those with long-term conditionsEase of getting through to GP surgery on the phone
Q3. Generally, how easy is it to get through to someone at your GP surgery on the phone?
CCG’s results over time CCG’s results Comparison of results
CCG National
% Easy % Not easy
4% Very easy
100
90
80 79 78 16%
6%
26%
Fairly easy 74% 68%
76 76 74
70
Not very easy Easy Easy
60
50
40 Not at all easy
30
20
10
19 20 21 20 23
48%
Haven't tried 23% 28%
0
June July July July July
2013 2014 2015 2016 2017
Not easy Not easy
Practice range in CCG - % Easy Local CCG range - % Easy
Lowest Highest Lowest Highest
Performing Performing Performing Performing
31% 96% 59% 76%
Base: All those completing a questionnaire: National (804,177); CCG 2017 (4,827); CCG 2016 (5,161); CCG 2015 (5,436); CCG 2014 (5,703); %Easy = %Very easy + %Fairly easy
CCG 2013 (5,930); Practice bases range from 18 to 143; CCG bases range from 3,404 to 8,512 %Not easy = %Not very easy + %Not at all easy
5
© Ipsos MORI 15-080216-01 Version 1 | PublicSuccess in getting an appointment
Q12. Last time you wanted to see or speak to a GP or nurse from your GP surgery, were you
able to get an appointment to see or speak to someone?
CCG's results over time CCG’s results Comparison of results
CCG National
% Yes % No
Yes
100
90
80
88 88 88 89 88
9%
4%
88% 84%
12% Yes, but I had to call
70
back closer to or on the Yes Yes
60
50 day
40 No
30
20
10 9 9 9 8 9
76%
Can't remember
9% 11%
0
June July July July July No
2013 2014 2015 2016 2017
No
Practice range in CCG - % Yes Local CCG range - % Yes
Lowest Highest Lowest Highest
Performing Performing Performing Performing
66% 97% 79% 88%
Base: All those completing a questionnaire: National (772,293); CCG 2017 (4,629); CCG 2016 (4,900); CCG 2015 (5,203); CCG 2014 (5,434); %Yes = %Yes + %Yes, but I had to call back closer to or on the day
CCG 2013 (5,754); Practice bases range from 18 to 140; CCG bases range from 3,252 to 8,117
6
© Ipsos MORI 15-080216-01 Version 1 | PublicConvenience of appointment
Q15. How convenient was the appointment you were able to get?
CCG's results over time CCG’s results Comparison of results
CCG National
% Convenient % Not convenient 6% Very convenient
100
90
80
93 93 93 93 94 Fairly convenient 94% 92%
70 50% Convenient Convenient
60 Not very convenient
44%
50
40
Not at all convenient
30
20
10
7 7 7 7 6
6% 8%
0
June July July July July
2013 2014 2015 2016 2017
Not convenient Not convenient
Practice range in CCG - % Convenient Local CCG range - % Convenient
Lowest Highest Lowest Highest
Performing Performing Performing Performing
81% 100% 89% 95%
Base: All those able to get an appointment: National (658,980); CCG 2017 (4,098); CCG 2016 (4,369); CCG 2015 (4,599); CCG 2014 (4,848); %Convenient = %Very convenient + %Fairly convenient
CCG 2013 (5,133); Practice bases range from 14 to 131; CCG bases range from 2,838 to 6,548 %Not convenient = %Not very convenient + %Not at all convenient
7
© Ipsos MORI 15-080216-01 Version 1 | PublicWhat patients do when they are unable to get appointment / are
offered an inconvenient appointment
Q17. What did you do on that occasion?
Percentage who went on to do something else when
unable to get appointment/ offered inconvenient
100%
90%
80%
70%
appointment
60% CCG
50% 43% National
40% 35%
30%
21% 20%
20% 14% 13% 13% 15%
10% 4% 6% 5% 6%
2% 2% 3% 3%
0%
Went to the Got an Had a consultation Went to A&E Saw a pharmacist Used another Decided to contact Didn’t see or
appointment I was appointment for a over the phone NHS service my surgery speak to anyone
offered different day another time
Comparisons are indicative only: differences may not be statistically significant
Base: All those who were not able to get an appointment or were offered an inconvenient appointment: National (110,834); CCG (501)
8
© Ipsos MORI 15-080216-01 Version 1 | Public7 Day Services Additional appointments Access to same day and within neighbourhoods at pre-bookable evenings and weekends. appointments on a Weekday provision will Saturday and Sunday. increase by 1.5 hours per Clinical triage and Acute day 6:30 pm-8:00 pm. Visiting 7 days per week 8 Providing same day and am-8 pm for patients with pre-bookable urgent medical needs at appointments to general risk of hospital practice services. attendance/admission.
Neighbourhood 7 Day
Community Hub Access
8 Neighbourhoods
Community Hubs accessible by the
1 1 whole population of Stockport
Alternate weekends for every
Neighbourhood
1 Open 10-4 pm Saturday (6 hrs)
1 Open 10-2 pm Sunday (4 hrs)
Offering pre-bookable access to
Primary Care appointmentsClinical Triage & Acute
Visiting Weekdays
Provides acute visiting in response to
practice clinical triage (within 2
hours)
4 4 Provided for the whole population of
Stockport.
Operates 10 am-8 pm weekdays
Provides support to Neighbourhoods
and practices
2 Support home visits to release
capacity in practices.Clinical Triage & Acute
Visiting Weekends
Provides clinical triage and
1 acute visiting on weekends to
1 support NH teams.
Provided for the whole
population of Stockport
Accessible by clinicians.
1 Operates 8 am-8 pm Saturday
Operates 8 am- 8 pm SundayViaduct High Level Delivery Programme Plan*
2017 2018
Oct Nov Dec Jan Feb Mar Apr May Jun
Governance £ modelling Viaduct CIC Go Live
Organisational Board Development, workforce capacity and capability development
Framework HR back office 1st Dec 2017
Development
All services fully
Commissioner 1st Commissioner 2nd Commissioner 3rd Commissioner operational 29
response response 27 Oct response 12 Jan response 2 Mar June
Hub 1&2 Hub 3 Hub 4
7 Day Service
7 day Service GO LIVE
Detailed plan 24 Nov
CT & Acute Visiting Deadline 27th Service Implementation and embedding
(Week) Oct
CT & Acute Visiting Service Implementation and embedding
(W/E)
Detail Plan Pharmacy GO LIVE Service Fully
12 Jan 12 Jan
Enhanced Pharmacy Operational 30 April
Detail Plan Physio GO LIVE Service Fully
Direct Access Physio 27 Oct 01 Dec Operational 30 April
Detail Plan MW&SCC GO LIVE
Mental Wellbeing/
12 Jan 30 Apr
Self Care Coaching
Detail Plan
Workflow 12 Jan WFO GO LIVE
Optimisation (BO) Overview 01 Jan
plan
Deadline 27th Detail Plan Service GO LIVE
Find & Treat Oct 12 Jan 30 April
Specialist GP Deferred-plan required June 2018
Treatment Rooms &
Minor Injuries
Deferred-awaiting commissioner clarification
KEY *Areas based on commissioner timeline
Overview Detail Service Fully Commissioner
Plan Plan GO LIVE Operational ResponseYou can also read
