1. Bracknell and Ascot Patient Assembly Local Primary Care Developments Helen Snowden 17th January 2019

2. BPC Project Update Extended Hours GP Service Homeless project
Bracknell and Ascot Transformation Plan
Bracknell and Ascot Network Plan
New way for funding to be released / services to
be commissioned

3. Extended Hours GP Service update
Christmas uptake
Phlebotomy
Cervical smears
Near Patient Testing
Anything else?

4. Homeless project update
Night shelters re-opened on 1st December. Evening clinics commenced every other Thursday evening.
Kerith session continues on Tuesday lunchtimes
Discussions underway regarding use of HealthWatch’s bus to provide additional outreach

5. Bracknell & Ascot Transformation Plan
General Practice Clinical Pharmacists
Paramedic Home visiting service
General Practice Physiotherapists

6. General Practice Clinical Pharmacists
Full team now in place
1 Senior Pharmacist
5 Pharmacists
Protocols developed:
Hypertension
Lipids
Asthma
Medication reviews
COPD
Diabetes
Contraceptive Pill checks

7. General Practice Clinical Pharmacists
Working closely with practices:
Processing patient discharge summaries
Medication reviews
Anticipatory care planning
Polypharmacy patients

8. Paramedic Home visiting service
Shared Team across 11 Bracknell & Ascot Practices
Specialist Paramedics
Early visits – reduced admissions
Long Term Conditions trained
Direct links to Practice Team
Joined up IT
Share staff with South Central Ambulance Service

9. Paramedic Home visiting service
Funding for 3 Paramedics
28th January start date
Pathway in development – want your input
Practices given allocation of visits based on list size
Visit requests triaged by Duty Doctor
Referrals given priority ranking
Hub allocate
Soft launch
3 clusters / neighbourhoods eventually when full team

10. Version 1 presented at December GP Council

11. Version 2 presented at today’s GP Council

12. Main changes On the day demand based on priority
Triage by practice Duty Dr or Clinician
Duty Dr to book the Appointment
Added in need for communication / feedback between referring clinician and Paramedic
Slow start with 1 WTE starting in January

13. Essential Information
Reason for Referral – what is it you want the paramedic to do
Priority rating (no emergencies)
Up to date Key safe numbers / carer contact details
EMIS template or Document?

14. How should the appointment book work?

15. Proposal:
No timed appointments – 8 slots a day
No definite No’s – down to triaging clinician
Slow start with on the day demand initially – open to all practices but each practice will have and know their own weekly quota so once they’ve used it they shouldn’t refer anymore into the service that week.
Allocation will be based on priority and this will be coordinated by the hub.

16. Proportion of visits per month Proportion of visits per week
Practice Allocations per week 1 Paramedic = 25% of your practices visits in November.
Practice
Proportion of visits per month
Proportion of visits per week
Crownwood 7 1
FHG (incl. BH) 28 6
Easthampstead
Great Hollands
Green Meadows 14 3
Heath Hill 9 2
Kings Corner 10
Magnolia House 13
Ringmead 22 4
Sandhurst 27 5
Waterfield 17

17. General Practice Physiotherapists
Pilot project for Binfield, Evergreen & Gainsborough Practices – not led by BPC but
Physiotherapists in place
Any feedback from patients?

18. Primary Care Network Bracknell & Ascot Agreed Priority Areas
Workforce
Shared Back Office / Resources
Immunisation and screening uptake
Paediatric clinics or additional support
Improved Access to Primary Care for hard to reach patient groups
Learning Disability Health checks

19. Workforce – An ICS priority
New primary Care workforce to be provided at scale to improve resilience and capacity
Clinical Pharmacists
Paramedics
First contact Physiotherapists
Mental Health workers
Bid to move transformation projects from pilot to business as usual

20. Shared Back Office / Resources – Bracknell & Ascot Priority
Many practices are currently having issues recruiting and there is potentially duplication within practices with staff doing the same duties in each practice.
There is now the IT and the logistics available and therefore an opportunity to look at current duties of Administration staff and possibly share roles across practices or across the patch.

21. Reduce variation and improve outcomes for Learning Disability patients – Bracknell & Ascot Priority
Learning disability health checks
Only 63% completed in Bracknell & Ascot - Less across East Berkshire CCG
Standardised recall / information / invitations
Value added consultation
Training for Clinical staff
Buddying up / ability to outsource

22. Reduce variation and improve the Immunisation and screening uptake – An ICS Priority
Improve the uptake of immunisations, vaccinations and screening using Public Health data

23. Improved Access to Primary Care for hard to reach patient groups - A Bracknell & Ascot Priority
Continuation and expansion of homeless / vulnerable patient outreach clinics
Development of outreach clinics for traveller community
Development of outreach clinics for sex workers

24. Happy to take any questions

25. We are working hard to make improvements
We are working differently to create opportunities
We are working together to do things better
We want to work with you to help make it happen