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

2. 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)

3. 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

4. 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

5. 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

6. 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

7. LIVE – 1ST SEPTEMBER 17

8. 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%

9. 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

10. 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

11. Thank you and Questions