Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
2. w ww.england.nhs.uk #Expo15NHS #GPaccess
Rosamond Roughton. Director of NHS Commissioning, NHS England.
Dr Robert Varnam. Head of General Practice Development, NHS England.
Dr Chris Jones. Chair, Health and Wellbeing Wakefield.
Robin Vickers. Director, Digital Life Sciences.
Dr Jim O'Donnell. Chair, Slough CCG.
Dr Chaand Nagpaul CBE. Chair, General Practitioners Committee, BMA.
PollEv.com/gpaccess
3. w ww.england.nhs.uk #Expo15NHS #GPaccess
The future of access to general practice
Rosamond Roughton
Director of NHS Commissioning, NHS England
4. w ww.england.nhs.uk #Expo15NHS #GPaccess
What are the
GP Access Fund schemes doing?
Dr Robert Varnam
Head of General PracticeDevelopment, NHS England
@robertvarnam
7. w ww.england.nhs.uk #Expo15NHS #GPaccess
What are PMCF schemes doing?
Wider primary care at scale
Redirect
demand
Active
front-end
Consultation
channels
Match
capacity &
demand
Rapid
access
model
Release capacity
Extended
hours
Service redesign team
Broaden
skillmix
Complex
care model
Premises I.T. Workforce
@robertvarnam
8. w ww.england.nhs.uk #Expo15NHS #GPaccess
What are PMCF schemes doing?
Wider primary care at scale
Redirect
demand
Active
front-end
Consultation
channels
Match
capacity &
demand
Rapid
access
model
Release capacity
Extended
hours
Service redesign team
Broaden
skillmix
Complex
care model
Premises I.T. Workforce
@robertvarnam
9. w ww.england.nhs.uk #Expo15NHS #GPaccess
What are PMCF schemes doing?
Wider primary care at scale
Redirect
demand
Active
front-end
Consultation
channels
Match
capacity &
demand
Rapid
access
model
Release capacity
Extended
hours
Service redesign team
Broaden
skillmix
Complex
care model
Premises I.T. Workforce
@robertvarnam
10. w ww.england.nhs.uk #Expo15NHS #GPaccess
What are PMCF schemes doing?
Wider primary care at scale
Redirect
demand
Active
front-end
Consultation
channels
Match
capacity &
demand
Rapid
access
model
Release capacity
Extended
hours
Service redesign team
Broaden
skillmix
Complex
care model
Premises I.T. Workforce
@robertvarnam
11. w ww.england.nhs.uk #Expo15NHS #GPaccess
What are PMCF schemes doing?
Wider primary care at scale
Redirect
demand
Active
front-end
Consultation
channels
Match
capacity &
demand
Rapid
access
model
Release capacity
Extended
hours
Service redesign team
Broaden
skillmix
Complex
care model
Premises I.T. Workforce
@robertvarnam
12. w ww.england.nhs.uk #Expo15NHS #GPaccess
What are PMCF schemes doing?
Wider primary care at scale
Redirect
demand
Active
front-end
Consultation
channels
Match
capacity &
demand
Rapid
access
model
Release capacity
Extended
hours
Service redesign team
Broaden
skillmix
Complex
care model
Premises I.T. Workforce
@robertvarnam
13. w ww.england.nhs.uk #Expo15NHS #GPaccess
What are PMCF schemes doing?
Wider primary care at scale
Redirect
demand
Active
front-end
Consultation
channels
Match
capacity &
demand
Rapid
access
model
Release capacity
Extended
hours
Service redesign team
Broaden
skillmix
Complex
care model
Premises I.T. Workforce
@robertvarnam
14. w ww.england.nhs.uk #Expo15NHS #GPaccess
What are PMCF schemes doing?
Wider primary care at scale
Redirect
demand
Active
front-end
Consultation
channels
Match
capacity &
demand
Rapid
access
model
Release capacity
Extended
hours
Service redesign team
Broaden
skillmix
Complex
care model
Premises I.T. Workforce
@robertvarnam
15. w ww.england.nhs.uk #Expo15NHS #GPaccess
What are PMCF schemes doing?
Wider primary care at scale
Redirect
demand
Active
front-end
Consultation
channels
Match
capacity &
demand
Rapid
access
model
Release capacity
Extended
hours
Service redesign team
Broaden
skillmix
Complex
care model
Premises I.T. Workforce
@robertvarnam
16. w ww.england.nhs.uk #Expo15NHS #GPaccess
View from the frontline
Dr Chris Jones
Clinical Lead and Programme Director, West Wakefield Health & Wellbeing
@drchrisjones1
PollEv.com/gpaccess
17. West Wakefield Health and Wellbeing
• GP Federation: 6 practices 64,000 patients
• Prime Minister’s Challenge Wave 1
• MCP Vanguard
@drchrisjones1
18. What have we done?
• Extended Operating Hours
• Physiotherapy First
• Pharmacy First
• Video Consultations and E-messaging
• Care Navigators
• Digital Care Navigation
– Service Directory, Care Navigation app and web, Kiosks
• Social Prescribing
@drchrisjones1
19. What have we done?
• HealthPod
• Schools App Challenge
• Care Home project
• Unified Communications
@drchrisjones1
21. w ww.england.nhs.uk #Expo15NHS #GPaccess
View from the frontline
Robin Vickers
Director, Digital Life Sciences
@DigiLifeSci @Robin_Vickers
PollEv.com/gpaccess
25. 65% of consultations
remote
75% resolve remotely
70% reductionin DNAs
15% increase in capacity
15%-26% drop in A+E
attendance
Driven by patient choice
80% of patients think
service has improved
FOR 60,000 PATIENTS IN BIRMINGHAM (over 1000 per day)
Robin.Vickers@digitallifesciences.co.uk
@DigiLifeSci @Robin_Vickers
26. FOR OVER 1,000 LONG TERM CARE
PATIENTS IN SCOTLAND
Shifting 60% of long
term care
consultations out of
hospital through
video on demand
Taking supported self-
management
programmes to 75%
of COPD patients in a
matter of months
Robin.Vickers@digitallifesciences.co.uk
@DigiLifeSci @Robin_Vickers
27. BUT HOW DO YOU DO THIS?
Robin.Vickers@digitallifesciences.co.uk
@DigiLifeSci @Robin_Vickers
29. WHEREIS THE AT SCALE BUSINESS
MODEL FOR REMOTECLINCAL
SUPPORT?
Robin.Vickers@digitallifesciences.co.uk
@DigiLifeSci @Robin_Vickers
30. w ww.england.nhs.uk #Expo15NHS #GPaccess
View from the frontline
Dr Jim O’Donnell
Chair, Slough CCG
jim.o’donnell@nhs.net www.sloughccg.nhs.uk
PollEv.com/gpaccess
31. Slough Clinical Commissioning Group 31
• 30April 2013: Slough CCG Board meeting in Public – that question: “I cannot
get an appointment with my GP. How can you help me?”
• (Used prescribing savings to increase the number of GP appointments– 5,000
extra over the Summer/Autumn. Used Winter Pressures funding to add to this
further – 6,000 more)
• 18October: PM announcement of £50m funding for improving access
• December 2013: Slough practices committed to application – led by our
patients & public – “What would great general practice in Slough look like?”
• January 2014: Used the ELC process to co-design our bid for funding
Prime Ministers Challenge Fund
(PMCF)……… in Slough, Berkshire
32. Slough Clinical Commissioning Group 32
• Application in on 14 February 2014 – 48,000 appointments, 11 additional
projects
• Confirmed successful 14April 2014 - £2.95mawarded
• Practices & Patient Group Forum mobilised, feverishactivity, evening
meetings concrete plans
• 1July: phased start of extended hours
• 2nd week in August: fully implemented across Slough
Prime Ministers Challenge Fund
(PMCF)……… in Slough, Berkshire
33. Slough Clinical Commissioning Group 33
• All patients registeredat a Slough practice
• GP appointments to 8pm, Monday to Friday and Saturday & Sunday 9am to
5pm
• Deliveredfrom four Clusters or Hubs – to keep costs down
• Popular, well subscribed, mainly routine bookable appts., some walk-ins
also
• Part-time GPs increasing their commitments, new GPs attracted into Slough
• Weekend and evening appointments increase as a proportion of the total –
the times better suit many people, flexibility suits many GPs
Prime Ministers Challenge Fund
(PMCF)……… in Slough, Berkshire
34. Slough Clinical Commissioning Group 34
Additional projects:
• Phone texting: For cancelled appts; Public Health messages; and reminders
• Dedicated mobile number for urgent contact (vulnerable patients)
• Development of Patient Reference Group – the Slough Forum
• Info programme: Comprehensive health information to be made available
around self-careand keeping well & healthy
• Group consultations introduction: At practice level
• Simple Words programme: GPs and patients managing difficultconsultations
- using simple words / plain English
• Schools health programme: ‘Pester power’ around use of NHS services
• Slough OD work – helping practices develop through this process
Prime Ministers Challenge Fund
(PMCF)……… in Slough, Berkshire
35. w ww.england.nhs.uk #Expo15NHS #GPaccess
Looking ahead
Dr Chaand Nagpaul CBE.
Chair, General Practitioners Committee, British Medical Association
@cnagpaul
PollEv.com/gpaccess
36. w ww.england.nhs.uk #Expo15NHS #GPaccess
Dr Chaand Nagpaul CBE. Chair, General Practitioners Committee, BMA.
Dr Chris Jones. Chair, Health and Wellbeing Wakefield.
Dr Jim O'Donnell. Chair, Slough CCG.
Dr Robert Varnam. Head of General Practice Development, NHS England.
Robin Vickers. Director, Digital Life Sciences.
Rosamond Roughton. Director of NHS Commissioning, NHS England.
PollEv.com/gpaccess