Developing Polyclinics in Waltham Forest October 2008 Alison Goodlad Head of Primary Care Commissioning and Development
ORGANISATIONAL MODEL: Drivers Recent investment in new buildings Good quality GPs Momentum of change in General Practice M...
ORGANISATIONAL MODEL: Polyclinic Facilities 70% infrastructure in place to deliver Polyclinics Waltham Forest ready to mov...
ORGANISATIONAL MODEL: Drivers- Providing more care outside hospital Increase the number of diagnostic tests done directly ...
Community Specialist Services introduced in 2008/09: <ul><li>Anticoagulation </li></ul><ul><li>Community Cardiology Servic...
ORGANISATIONAL MODEL: Networked Polyclinic model Polyclinic PROVIDER HUB PRACTICE Polyclinic PROVIDER HUB PRACTICE HUB PRA...
ORGANISATIONAL MODEL: Networked Polyclinic model Example of the hub and spoke model in Leyton/Leytonstone
Network Agreement: <ul><li>This outlines the principles and rules by which the network will function </li></ul><ul><li>Pat...
ORGANISATIONAL MODEL: Stakeholder Engagement GP and Stakeholder engagement – six workshops held so far Three Public events...
GP & Stakeholder Event: <ul><li>Key Concerns: </li></ul><ul><li>The hub will pull patients from the spokes </li></ul><ul><...
Public Engagement: Getting patient’s views on Polyclinics / GP Led Health Centres <ul><li>Services patients wanted to acce...
SERVICE MODEL Tender for combined GPLHC and polyclinic and up to three stand-alone polyclinics Contract will be for leader...
Polyclinic Tender Process: Bidders to choose the location <ul><li>Bidders can choose from a number of potential locations ...
PROJECT STRUCTURE: Long Term plan 1st Polyclinic / GPLHC goes live in early part of 2009/10 2 nd  Polyclinic goes live in ...
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Developing polyclinics in Waltham Forest

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Developing polyclinics in Waltham Forest

  1. 1. Developing Polyclinics in Waltham Forest October 2008 Alison Goodlad Head of Primary Care Commissioning and Development
  2. 2. ORGANISATIONAL MODEL: Drivers Recent investment in new buildings Good quality GPs Momentum of change in General Practice Movement of care outside of hospital
  3. 3. ORGANISATIONAL MODEL: Polyclinic Facilities 70% infrastructure in place to deliver Polyclinics Waltham Forest ready to move forward with new build/refurbished centres Waltham Forest ready to move forward with centres in each locality
  4. 4. ORGANISATIONAL MODEL: Drivers- Providing more care outside hospital Increase the number of diagnostic tests done directly by Primary Care 8859 diagnostic tests in the community Increase the number of OPD consultations done by Primary Care 41000 OPD consultations
  5. 5. Community Specialist Services introduced in 2008/09: <ul><li>Anticoagulation </li></ul><ul><li>Community Cardiology Service </li></ul><ul><li>Carpal Tunnel Service </li></ul><ul><li>Colorectal Clinic </li></ul><ul><li>Community Dermatology </li></ul><ul><li>Community Diabetes </li></ul><ul><li>Direct Access Physiotherapy </li></ul><ul><li>Direct Access Gastroenterology </li></ul><ul><li>Community based Musculoskeletal Pain Service </li></ul><ul><li>Community Specialist Urology Service </li></ul>
  6. 6. ORGANISATIONAL MODEL: Networked Polyclinic model Polyclinic PROVIDER HUB PRACTICE Polyclinic PROVIDER HUB PRACTICE HUB PRACTICE GPLHC HUB PRACTICE SPOKE PRACTICE SPOKE PRACTICE SPOKE PRACTICE SPOKE PRACTICE SPOKE PRACTICE SPOKE PRACTICE SPOKE PRACTICE SPOKE PRACTICE SPOKE PRACTICE SPOKE PRACTICE SPOKE PRACTICE
  7. 7. ORGANISATIONAL MODEL: Networked Polyclinic model Example of the hub and spoke model in Leyton/Leytonstone
  8. 8. Network Agreement: <ul><li>This outlines the principles and rules by which the network will function </li></ul><ul><li>Patients should be referred to polyclinic services where clinically appropriate, in line with patient pathways unless the patient has requested to go elsewhere. </li></ul><ul><li>Patients may be referred to any of the polyclinics </li></ul><ul><li>Practices in the hub must not proactively seek to encourage patients registered with the spokes to switch registration. </li></ul>
  9. 9. ORGANISATIONAL MODEL: Stakeholder Engagement GP and Stakeholder engagement – six workshops held so far Three Public events were held in July
  10. 10. GP & Stakeholder Event: <ul><li>Key Concerns: </li></ul><ul><li>The hub will pull patients from the spokes </li></ul><ul><li>Anxiety around the possibility of the private sector managing GPLHC </li></ul><ul><li>Services GPs would like to see in a polyclinic: </li></ul><ul><li>Diagnostics </li></ul><ul><li>Health Promotion </li></ul><ul><li>Health Visiting </li></ul><ul><li>Out-Patient Services </li></ul><ul><li>Counselling </li></ul>
  11. 11. Public Engagement: Getting patient’s views on Polyclinics / GP Led Health Centres <ul><li>Services patients wanted to access: </li></ul><ul><li>Tests (i.e. blood tests, x-rays) </li></ul><ul><li>Urgent Care </li></ul><ul><li>Outpatient Clinics </li></ul><ul><li>Preferred hours for accessing services outside the working day: </li></ul><ul><li>Evenings </li></ul><ul><li>Saturday Mornings </li></ul><ul><li>Early Mornings </li></ul><ul><li>Important factors to access Polyclinics: </li></ul><ul><li>Transport Links </li></ul><ul><li>Parking </li></ul>
  12. 12. SERVICE MODEL Tender for combined GPLHC and polyclinic and up to three stand-alone polyclinics Contract will be for leadership and management of polyclinics Focus on integration of services and front of house Movement of care outside of hospital
  13. 13. Polyclinic Tender Process: Bidders to choose the location <ul><li>Bidders can choose from a number of potential locations indentified by the PCT </li></ul><ul><li>There are nine options in total </li></ul><ul><li>ADVANTAGES: </li></ul><ul><li>Sensitivity of where the polyclinics will be located </li></ul><ul><li>Decisions will be made as part of the evaluation of the Tender </li></ul><ul><li>DISADVANTAGES: </li></ul><ul><li>Planning can be made difficult by not knowing the location of the clinics until the outcome of the tender is known </li></ul>
  14. 14. PROJECT STRUCTURE: Long Term plan 1st Polyclinic / GPLHC goes live in early part of 2009/10 2 nd Polyclinic goes live in latter part of 2009/10 3 rd Polyclinic (Chingford) goes live 2010/11
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