Alison Yates, Howbeck Healthcare 30th November 2017 East Staffordshire Primary Care Partnership The Primary Care Access Hub Implementation Alison Yates, Howbeck Healthcare 30th November 2017

The aim… Provision of weekend GP appointments over the Winter Pressures period Two Hub locations – Uttoxeter and Burton Saturdays for 18 weeks & Bank Holidays Available to all patients registered at all practices Provision of a more local, convenient and familiar service for patients needing urgent care Reduction in demand on A&E and other Urgent Care services over the busy Winter Pressures period Reduction in demand in local practices on Monday mornings

The solution… Two Hub Locations: 15 minute appointments Balance Street, Uttoxeter Trent Meadows, Burton 15 minute appointments Offered between 08:30 and 12noon every Saturday and BH for 18 weeks (56 appts per week) GP and ANP – ideally 50:50 split Team: Hub Manager (Michele Kavanagh) Clinical Lead (Dr David Atherton) Bank of GPs and ANPs Bank of Receptionists Host Practices Howbeck Healthcare support (Sarah Laing)

The patient… Route will be via NHS111 (SDUC) Patient Pathway Eligible if registered with any East Staffs Partnership practice Patient calls 111 (after 9pm* on a Friday night) After 111 guidelines followed, if eligible, Adastra system will indicate to Call-Handler that a Hub appointment is appropriate Patient will be asked to give consent for Hub to view shared record Warm transfer of patient to EMIS-user in 111 Call Centre Patient will be offered appointments at either Hub regardless of their home location or registered practice

The Host Practices… As the Partnership is not a CQC Registered Provider in its own right – Host Practice model. Host Location Host Practices will process payments for staff through their payroll Clinicians will present monthly invoices for hours worked Receptionist ‘Packages’ purchased from receptionist’s home practice Reception Two receptionists at all sessions At least one receptionist from Host Practice Chaperone training and DBS checks

The Hub Consultation… EMIS Clinical Services Clinical Record Sharing with EMIS GP systems SCR access for patients from non-EMIS practices Patient consent is key Separate budget for prescribing Limited Spine function No EPS No E-Referrals No electronic Fit Notes Referral recommendations to registered practice (other than 2ww and urgent)

Practice Notification… Discharge Summary – on the day For all Hub consultations For all Hub DNAs Sent electronically to EMIS Practices via EMIS Workflow Manager Sent by secure email to non-EMIS Practices Last resort – safe haven fax Shared record view within EMIS at Practice end Interoperability work ongoing between EMIS and other suppliers Monday morning – Hub Manager follow-ups (e.g. 2ww referrals)

What’s needed? Data Sharing Agreements EMIS Go Live EMIS Optimisation and Configuration Discharge Summary Doc End of Consultation Protocol KPI data recording and reporting Rota for GPs, ANPs and Receptionists Policies, Procedures and other Documentation Patient engagement EMIS Practice activation of: Data Sharing Agreements (both ways) Document Sharing

Random final thoughts… It’s a pilot!! We are proving a model Be prepared for a slow start Opportunities for developing the model Weekend overflow? Other services? Expanding dates/times/no of Hubs Optimising the use of the open Hub location

Any Questions?