Redesign of Walk In Services in Portsmouth date Improving health services… Improving health services… Improving health services…
Background • Historically two WICs – A nurse-led WIC and Minor Injuries Unit (MIU) at SMTC - 7 days per week until 10pm – “GP - led” WIC at GWHC - 8am until 8pm days a week – Conditions presenting to the GWHC typical of a walk in centre - many of them being classed clinically as minor. Improving health services… 2
Presenting complaints at GWHC Presenting Condition (OPCS-4) Count Percentage Upper respiratory tract infection 1,187 9% Acute Tonsillitis 713 5% Skin/subcutaneous infections 695 5% Lower respiratory tract infection 655 5% Urinary tract infection 584 4% Requests for Medication 425 3% Otitis media 383 3% Sore throat 364 3% Viral infection 318 2% Cough 307 2% Improving health services… 3
From July 1 st 2016 • Following public consultation unregistered walk in activity transferred from GHWC to the SMTC • Workforce at STMC increased and includes GP • Single multidisciplinary WIC for the provision of both minor injuries and illness within one location in the city. • Continuation of the GP practice for registered patients at Guildhall Walk. • Includes some sit and wait style appointment and some extended hours. – Monday and Friday from 8am to 8pm – Tuesday, Wednesday and Thursday 8am to 6.30pm – Saturday and Sunday 8am to midday Improving health services… 4
Additional services at SMTC • Ophthalmology • ENT • Dermatology • Audiology • 24 hour cardiac monitoring • These are alternatives to referral into secondary care for non complex patient conditions. • The service offers shorter waiting times and focuses on education for both patient and referring clinician. Improving health services… 5
Enhanced services from Community pharmacies • Minor Ailments – enhanced the service we commissioned from the local pharmacies – particularly to meet the needs of the younger student demographic. • Pharmacy Urgent Repeat Medicines – Alternative to OOH, A&E and WICs Improving health services… 6
Impact of Change Portsmouth CCG Monthly Activity: Minor ED and WICs SCW CSU BI & Analytics | Report 8520 | Data Source: various QA Main ED - minor St Marys WIC Guildhall Walk WIC 4,500 4,000 3,500 3,000 2,500 2,000 1,500 1,000 500 0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Improving health services… 2015/2016 2016/2017 7
Future of GHWC practice • Full procurement for GP practice initiated in April 16 • National primary care strategy (GP Forward View) outlines radical change in delivery of primary and community services • CCG planning for the delivery of integrated primary and community care • CCG has decided to suspend the procurement and to extend the current interim contract with the incumbent for a further period of 12 to 18 months. Improving health services… 8
New Models of Care • New models need to take account of – Changes to workforce – Increased workload – Triage or telephone first models of care – Urgent Primary Care being delivered at scale across the city potentially from a number or hubs – Access to routine primary care 7 days a week for the whole population 2019/ 2020 • Will be piloting Saturday urgent care services on Saturday over the Winter period ( access will be via 111) Improving health services… 9
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