1. Providing sustainable resilient primary care
at Saltash Health Centre
July 2018

2. Currently… 13.000 patients but growing Aging population
Complex medical needs
Long term conditions
Offloading from hospital to the community
It is almost impossible these days to open a newspaper without reading that our health service is under immense strain. The continued funding squeeze, rising demand and the need to safeguard quality are combining to exert huge pressure across the entire system. These challenges are not limited to England but are faced by health systems across the world.
None of the pressures is likely to abate. An ageing population, changing patterns of disease and rising patient expectations will all add to the demands on the NHS. There is now wide consensus that health care needs to change dramatically to meet these demands.

3. Recruitment Crisis Fewer doctors training to become GPs
Increase in numbers of GPs retiring
Practices merging or closing
Primary care is well established as the first port of call for most people when they need medical help. For many, the GP surgery is a constant thread in their lives. As such, primary care has the potential to offer a much wider range of support. By going beyond medical care as we know it, primary care teams have the chance to influence the wider social determinants of people’s health – and to help them make lifestyle and behavioural changes.
General practice, with its registered list and everyone having access to a family doctor, is one of the great strengths of the NHS, but it is under severe strain. Even as demand is rising, the number of people choosing to become a GP is not keeping pace with the growth in funded training posts - in part because primary care services have been under-resourced compared to hospitals.

4. for Saltash Health Centre?
What does this mean
for Saltash Health Centre?
Innovative practice
Integrated team
Multidisciplinary health professionals
Alongside traditional GPs

5. Our vision
Primary care is well established as the first port of call for most people when they need medical help. For many, the GP surgery is a constant thread in their lives. As such, primary care has the potential to offer a much wider range of support. By going beyond medical care as we know it, primary care teams have the chance to influence the wider social determinants of people’s health – and to help them make lifestyle and behavioural changes.
General practice, with its registered list and everyone having access to a family doctor, is one of the great strengths of the NHS, but it is under severe strain. Even as demand is rising, the number of people choosing to become a GP is not keeping pace with the growth in funded training posts - in part because primary care services have been under-resourced compared to hospitals.

6. What will the future look like?
Signposting
Three key elements
Minor ailment scheme at the Pharmacy
Self care
Over the counter medication
Build the public’s understanding that pharmacies and on-line resources can help them deal with coughs, colds and other minor ailments without the need for a GP appointment or A&E visit

7. Acute Assessment Clinic
3 Paramedics already
2 more Paramedics to start in September
Home Visits

8. Musculoskeletal Specialist
Twice a week
Rapid assessment
Early advice on self help
Prompt onward referral if indicated

9. Mental Health Practitioner
Twice a week
Prompt assessment
Onward referral if indicated
Continuity in management

10. Pharmacist Safe prescribing
Adjusting medication after hospital stays or appointments
Answering questions in a timely manner
Optimization of medicines

11. Nursing Team Minor Illness Clinic Chronic disease management
Training of HCA in management of hypertension and asthma

12. Patient Care Co-ordinator
Ongoing evolvement of their role to support clinical staff and co-ordinate patient’s care
Signposting to more appropriate pathways
Key element to the patient’s journey

13. By Sept 2018 Sign-posting Supported by GPs Minor ailments
Direct access to a range of health professionals
Nurse / HCA
Paramedic
Musculoskeletal Physiotherapist
Mental Health Practitioner
Pharmacist
E consult
Acute Assessment Clinic

14. Saltash Health Centre: Our vision
Signposting
Receptionist
Phlebotomy
Health Care Assistant
Nurse
Pharmacist GP
Paramedic
Mental Health Practitioner
Musculoskeletal
Initial assessment
Education
Investigations
Prevention
Quality Outcome Framework
Treatment
Safeguarding
Medicine optimization

15. Professional, competent and caring staff More co-ordinated care
New Care Model: while change is challenging in itself, we are hoping to achieve positive impact on individual patients
Opportunities
Professional, competent and caring staff
More co-ordinated care
Patients will receive the right care by the right clinician
“The workload constantly gets bigger and bigger. And we can adapt to that, if we keep up with innovative ideas.”

16. Thank you
Questions