BLANDFORD MEDICAL CENTRE PRESENTATION TO BROOKS NEWMARK MP and NHS ENGLAND 21 March 2014

Current pressures and on-going Under funded practices due to Carr-hill Formula Disproportionate weighted list size Expansion of the town, new developments Essex County Council only consider health resources with new planning applications Increase in number of nursing and residential homes, with patients being accepted with inappropriate conditions staff cannot cope with Appears to be no plans to consider the infrastructure required to support the growth of the town Inaccurate statements

All of which has Increased complaints for the practice Staff being under extreme pressure, increasing staff sickness and patients being put at additional risk Patients seeking care with A&E, OOH or “walk-in centres” increasing the pressure for these divisions inappropriately Patients, media and social media coverage only leads to sensationalising stories No support from NHS England

Patient number end March 2013 List size Weighted list size disproportionate against practice 1 mile away Mount Chambers list closed

Current practice list sizes PracticeCurrent list size Weighted list size % Patients not funded St Lawrence %789 Mount Chambers %700 Blyths Meadow %2085 Blandford Medical Centre %1981

Actions taken by practice to support patients and staff NHS England rejected our application to close our patient list Practice and Patients being put at risk due to non closure No support from NHS England with the situation we face Practice recruitment programme for GPs from Sept 2011 – Jan 2013, 25 applications, 13 candidates interviewed unsuccessful

Use of long term locums during recruitment period New full-time Dr recruited from January 2013, May 2013 and May 2014 (x3) Increased reception staffing to provide greater access Increased phone lines into practice with better supporting software providing options for the patient

Participated in Primary Care Foundation Independent Review of Access to practice: – average consultations for our patient population 6.67 per registered patient per year, against national consultation rates of 5.41 per registered patient for our demographic population. Suggested changes were implemented

ACTIONS BY PRACTICE to support patients and staff and reduce risk Use of long term locums during this period New Dr recruited from January 2014 Increased reception staffing to provide greater access Increased phone lines into practice with better supporting software providing options for the patient Participated in Primary Care Foundation Independent Review of Access to practice

Answers from questions: Patient Forum Group questions raised during a meeting between MP and Mr Ray Falco of 17 January 2014 Why is there no support from NHS England with providing patients with information from a National level about the pressures practices are under? Practices are accused of not referring patients to the local Community Hospital as they get a financial incentive for referring to Springfield?