1. Health Services in Shoebury Melanie Craig, Chief Officer
6 September 2016

2. AREAS TO UPDATE THIS EVENING
NHS – who does what
Progress with new premises
What this means for services in Shoeburyness

3. 1. NHS – WHO DOES WHAT?

4. 1. NHS – WHO DOES WHAT?
NHS Southend Clinical Commissioning Group (CCG)
NHS England
NHS Property Services
Community Health Partnership (CHP)

5. 1. NHS – WHO DOES WHAT? In Shoeburyness
Most GP practices in Southend are smaller than the national average (about 7000) and in Shoeburyness 4 of the 5 practices are smaller than the national average
Many GPs are approaching or are at retirement age
NHS Property Services owns Shoebury Health Centre (and lease Shoebury House and Thorpedene Clinic) and the other 3 GP practices own their own buildings

6. 1. NHS – WHO DOES WHAT? Who have we been talking to? (1/3)
Local GP Practices
Dr Schembri’s Surgery (3734 patients)
Dr Kumar’s Surgery (6958 patients)
Dr Moss’ Surgery (3562 patients)
Dr Marasco Surgery (2879 patients)
Dr. Dhillon’s Surgery (2338 patients)
Total patient register size – 16,592
Total population in across both wards exceeded 21,000 (Census 2011)
Meetings with NHS England
Meetings with NHS Property Services
Meetings with CHP

7. 1. NHS – WHO DOES WHAT? Who have we been talking to? (2/3)
Southend on Sea Borough Council
Southend University Hospital NHS Foundation Trust
Health Overview and Scrutiny Committee (HOSC) leads at the Council
SEPT (community and mental health services)
NELFT (children’s emotional wellbeing services)
A Better Start Programme

8. 1. NHS – WHO DOES WHAT? Who have we been talking to? (3/3)
We have established a Shoeburyness Task and Finish Group:
Ward councillors
Councillor Mike Assenheim (Shoeburyness)
Councillor Roger Hadley (Shoeburyness)
Councillor Nick Ward (Shoeburyness)
Councillor Tony Cox (West Shoebury)
Councillor Derek Jarvis (West Shoebury)
Councillor James Moyies (West Shoebury)
Aline Clayson (South East and Central Essex Mind)
Garrison Residents Association
Shoeburyness Residents Association
Dr Andrea Atherton (Director of Public Health, Southend)
Healthwatch Southend
Local practices also invited

9. 2. PROGRESS WITH SHOEBURY PREMISES

10. 2. PROGRESS WITH SHOEBURY PREMISES
Project Initiation Document (PID) approved by NHS Property Services and NHS England
Funding released by NHS England to develop the business case
Created new Shoeburyness Task and Finish Group
CCG Governing Body approved Tenants Requirements
Services to be located within the new premises being finalised
Outline/indicative design of new premises underway

11. 2. PROGRESS WITH SHOEBURY PREMISES
The Tenants Requirements set out the principles and vision for how the building will be used
This enabled a Schedule of Accommodation to be developed which will help inform the design of the premises (see examples on next slide)
This allowed us to assess the best site from the available options
We want the building to be at the centre of the community
The task and finish group will be involved in developing the design, as will local practices

12. 2. PROGRESS WITH SHOEBURY PREMISES

13. 2. PROGRESS WITH SHOEBURY PREMISES
The final options
New building on Shoebury Health Centre site
New building on Shoebury House site
New building on Garrison site
These options were assessed in August 2016 by a panel including local people to recommend the best option to the CCG and NHS England for approval. They considered criteria such as:
location and accessibility
size and sustainability
deliverability
impact on service delivery
affordability

14. 2. PROGRESS WITH SHOEBURY PREMISES
New building on Shoebury Health Centre site
Plot of land not large enough for the size of development we wish to deliver
It would not have allowed enough land for the required level of car parking
Significant disruption to current services during development
New building on Shoebury House site
The land has an existing planning restriction
New building on Garrison site
Plot of land is large enough for the proposed size of development
There is also enough space for the required level of car parking
There is existing planning permission on the site for a development

15. 2. PROGRESS WITH SHOEBURY PREMISES
Option
Ranked
New build on Garrison site 1
New build on Shoebury Health Centre Site 2
New build on Shoebury House site 3
Do nothing 4

17. 2. PROGRESS WITH SHOEBURY PREMISES
Task
Finish
Approval of Outline Business Case
February 2017
Approval of Final Business Case
October 2017
Construction commences
January 2018

18. SERVICES IN SHOEBURYNESS
3. WHAT THIS MEANS FOR
SERVICES IN SHOEBURYNESS

19. 3. SERVICES IN SHOEBURYNESS
Local services currently provided in Shoeburyness include:
Phlebotomy/blood taking (Thorpedene clinic)
Speech and language therapy (Shoebury Health Centre)
Stoma nursing services (Shoebury Health Centre)
Therapy for you/ counselling (Shoebury Health Centre and some practices)
Minor injury services (GP practices)
Minor operations (gynae-related with Dr Sinha for her patients only, Dr Moss for his patients only)
Diabetic eye screening (Shoebury Health Centre)
Diabetes (Thorpedene clinic)
Continence (Thorpedene clinic)
Back clinic (Thorpedene clinic)
Health Visitors Clinic (Thorpedene clinic)
Children’s services developed through the ‘A Better Start’ programme

20. 3. SERVICES IN SHOEBURYNESS
Changes in services over the last year
Following your feedback we have increased phlebotomy provision at Thorpedene clinic to over 2000 appointments each week (also provided on a limited basis by some of the GP practices). There is more capacity if needed
Dr Marasco offers appointments, access to medical records and repeat prescriptions online
Drs, Kumar, Moss and Schembri are offering these online services as well as data coded records
New dedicated GP service for residents of care homes to improve the quality of care and improve capacity in GP practices in late summer

21. 3. SERVICES IN SHOEBURYNESS
Local GP Practice opening times
GP Practice
Opening times
Dr Dhillon
Monday, Tuesday, Thursday and Friday 8.30am to 6.30pm
Wednesday 8.30am to 1.30pm
Drs Kumar and Sinha
Monday to Friday 8am to 6.30pm plus extended hours
Dr Marasco
Dr Moss
Monday to Friday 8.30am to 7pm (closed 1pm to 2.30pm for lunch daily) plus extended hours
Dr Schembri
Monday to Friday 8am to 6.30pm
GPs are responsible for their patients from 8am to 6.30pm, Monday to Friday. Extended hours are commissioned by NHS England.

22. 3. SERVICES IN SHOEBURYNESS
We know that not all Shoeburyness residents are registered with Shoebury practices
We know we need resilient and sustainable primary care services for the future
The two Shoebury Health Centre practices will relocate to the new building and we are exploring options for a sixth practice for Shoeburyness
This will help us provide accessible services to address the unique needs of the local population, provide capacity and resilience for the future and take advantage of the Big Lottery investment targeted at addressing needs of very young children and their families

23. 3. SERVICES IN SHOEBURYNESS
We are part of the south and mid Essex Success Regime
This is a national programme which is initially focusing on hospital services
We have developed four distinct localities to support GP practices and deliver community services in Southend
Services will be integrated across health and social care in each locality – with a new complex care service to launch on 1 October 2016

24. 3. SERVICES IN SHOEBURYNESS

25. 3. SERVICES IN SHOEBURYNESS
Southend East Locality
More services to be moved from the hospital and delivered locally
Consistent ‘offer’ of local services within each locality to ensure equity
Better integration of services to provide patients with a single package of care
Improved and coordinated services for patients with complex needs and their carers
Primary care services aligned to the redesign of adult social care and community services - and delivered by multi-disciplinary teams
Support the “prevention agenda” within communities
Align, where possible, health services with;
children services
schools
other health services such as mental health
Working with the family as a whole and communities rather than just focusing on the individual

26. Questions? More information and contact us: www.southendccg.nhs.uk