Extended Access - An overview of the service so far Sean Barnett, Business Manager, South Tyneside Health Collaboration

Background Nationally mandated initiative patients can access routine bookable appointments: At weekends, Monday to Friday in the early morning (before 8.00am) and Monday to Friday evenings (after 6.30pm)

30 minutes per week per 1000 population to be provided That’s around 78 hours per week for South Tyneside Service to commence by September 2017 Skill mix can be locally defined. Can be nursing, physio, pharmacy led etc, but a GP must be available at all times

How we planned for delivery in South Tyneside Focus/engagement events – Local Engagement Event and Access in general with practices Practice audit work to understand capacity and demand for services Capacity and Demand Mapping GP Workload Audit

Service specification developed and service procured a seamless extension to existing primary care services delivered from existing practice premises across 3 ‘hubs’, flexed across each hub to ensure equitable access to additional services for all South Tyneside Patients Access to the full patient record

Range of pre-bookable and ‘on the day’ services: where continuity is not imperative for conditions or situations Patients wanting an appointment who can’t be seen through the week during ‘normal’ surgery hours (due to working pattern or caring responsibilities for example) on the day bookable appointments for under 5’s

LIVE – 1ST SEPTEMBER 17

Feedback from the first 3 weeks… Providing full 78 hours required That’s over 300 appointments per week Current uptake is at 78% GP slots used - 98% Nurse Practitioner slots used - 84% Practice Nurse slots used - 64% Health Care Assistant slots used - 17% DNA rate (missed appointments) at 10%

Key features: All practices can book into the slots from their own appointment systems Currently 13 different locations providing services – maximises equitable access, particularly at weekends Patient satisfaction survey – feedback is very positive so far, with 98% reporting that they would recommend to friends and family Text message appointment reminders in place

Moving the service on Hoped that direct booking from 111 will be possible in time Service will be continually evolving to match patient need and patient demand Looking at establishing a patient group to focus on developing extended access

Thank you and Questions