Stockport Health & Wellbeing Board - Sarah Ferguson Interim CEO
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Stockport Health & Wellbeing Board Sarah Ferguson Interim CEO
Primary 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 conditions
Ease 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 | Public
Success 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 | Public
Convenience 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 | Public
What 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 | Public
7 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 appointments
Clinical 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 Sunday
Viaduct 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 Response
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