Point of Care Testing within the Community Project Acknowledgement to the following recipients for their collaboration & input: Author/Project Lead – Finlay Love (Thames Valley Health Knowledge Team) Pathology Clinical Reference Group Oxford University Hospital NHS Trust Heatherwood & Wexham Park Hospitals NHS Foundation Trust Plymouth Hospitals Trust Buckingham Healthcare NHS Trust St Mary’s Hospital, Isle of Wight University Hospital Southampton NHS Foundation Trus t

Point of Care Testing within the community Proliferation of POCT technology over the last 10 years The global point-of-care (POC) diagnostics market reached $13.8 billion in It will further grow to $16.5 billion in Large increase in tests available Devices are becoming smaller, more portable and easier to use Costs are reducing as competition in the market expands Existing markets such as the USA and Australia are driving demand with new emerging markets in Asia and China

POCT within Secondary Care Increased demand on laboratory services within the acute setting GPs referring Patients to Hospitals for tests resulting in them having to travel Follow up appointments at GP practice (weeks?) to find out results, despite pathology 24hr turn around Little or no partnership with social services Ever increasing admissions for elderly patients often from complications resulting from LTCs

POCT within Primary Care Fragmented service delivered around POCT Increased appointments for results follow up Insufficient staff training in device usage Little or no partnership with social services Limited IM&T available to capture results Little or no external accreditation within Quality Assurance & Governance

Secondary Care Business Model A. Strong Executive Support B. Trust POCT Team H. Trust Governance within Primary & Secondary Care C. IM&T D. Pharmacy E. Procurement F. CPA ISO Trust Quality Assurance G. Staff & Training I. SLA Index A.Strong Executive Support B.Clinically lead Point of Care Testing Team C.Strong partnership with Trust IM&T D.Pharmacy to advise & procure consumables E.Large potential gains in joint procurement F.Although voluntary, recommend CPA/ISO accreditation within POCT G.Staff training linked to CPA H.POCT Board to oversee Governance within both Primary & Secondary care I.Service Level Agreement to cover (A to H)

Primary Care Business Model Index A.POCT Board to oversee Governance within both Primary & Secondary care B.CCG POCT lead to link with Trust POCT Board C.Community Hospital(s) to follow POCT guidance & quality assurance D.Multiple GP surgeries to share Community POCT centre via commissioning from CCG E.Community Nursing to link in with community POCT centre F.CCG POCT Community centre serving the patients within the community G.Essential to link in with social services H.Service Level agreement to Cover (B to G) A. Trust Governance for both primary & secondary care B. Pathology/POCT CCG Lead C. Community Hospital(s) D. GP Surgery E. Community Nursing F. CCG POCT Community centre G. Local Authority/Social Services H. SLA

Patient Benefits “Unity is strength... when there is teamwork and collaboration, wonderful things can be achieved”. Mattie Stepanek Access to patient medical history Linking to third party providers such as social services Reducing hospital admissions Treating patients within their homes One stop care Continuity of care with dedicated health team Faster diagnosis & follow up Reduced financial costs in travel & parking

Cost benefits within Primary & Secondary care Joint procurement Shared service across GP practices (reduced staff & equipment) IM&T savings Reduction in Hospital admissions Reduced logistics costs Savings in patient transport Reduction in GP workload Better prevention of complications arising with patients with LTCs

Abingdon Emergency Multidisciplinary Unit Direct referral from GP Practices One stop Health Centre Heavily reliant on POCT Integrated with Social Services Provides Community Nursing Provides Specialist Community Nursing Provides short term admission Has own patient transport Average patient age 88