1. Alison Yates, Howbeck Healthcare 30th November 2017
East Staffordshire Primary Care Partnership The Primary Care Access Hub Implementation
Alison Yates, Howbeck Healthcare
30th November 2017

2. The aim…
Provision of weekend GP appointments over the Winter Pressures period
Two Hub locations – Uttoxeter and Burton
Saturdays for 18 weeks & Bank Holidays
Available to all patients registered at all practices
Provision of a more local, convenient and familiar service for patients needing urgent care
Reduction in demand on A&E and other Urgent Care services over the busy Winter Pressures period
Reduction in demand in local practices on Monday mornings

3. The solution… Two Hub Locations: 15 minute appointments
Balance Street, Uttoxeter
Trent Meadows, Burton
15 minute appointments
Offered between 08:30 and 12noon every Saturday and BH for 18 weeks (56 appts per week)
GP and ANP – ideally 50:50 split
Team:
Hub Manager (Michele Kavanagh)
Clinical Lead (Dr David Atherton)
Bank of GPs and ANPs
Bank of Receptionists
Host Practices
Howbeck Healthcare support (Sarah Laing)

4. The patient… Route will be via NHS111 (SDUC) Patient Pathway
Eligible if registered with any East Staffs Partnership practice
Patient calls 111 (after 9pm* on a Friday night)
After 111 guidelines followed, if eligible, Adastra system will indicate to Call-Handler that a Hub appointment is appropriate
Patient will be asked to give consent for Hub to view shared record
Warm transfer of patient to EMIS-user in 111 Call Centre
Patient will be offered appointments at either Hub regardless of their home location or registered practice

5. The Host Practices…
As the Partnership is not a CQC Registered Provider in its own right – Host Practice model.
Host Location
Host Practices will process payments for staff through their payroll
Clinicians will present monthly invoices for hours worked
Receptionist ‘Packages’ purchased from receptionist’s home practice
Reception
Two receptionists at all sessions
At least one receptionist from Host Practice
Chaperone training and DBS checks

6. The Hub Consultation… EMIS Clinical Services
Clinical Record Sharing with EMIS GP systems
SCR access for patients from non-EMIS practices
Patient consent is key
Separate budget for prescribing
Limited Spine function
No EPS
No E-Referrals
No electronic Fit Notes
Referral recommendations to registered practice (other than 2ww and urgent)

7. Practice Notification…
Discharge Summary – on the day
For all Hub consultations
For all Hub DNAs
Sent electronically to EMIS Practices via EMIS Workflow Manager
Sent by secure to non-EMIS Practices
Last resort – safe haven fax
Shared record view within EMIS at Practice end
Interoperability work ongoing between EMIS and other suppliers
Monday morning – Hub Manager follow-ups (e.g. 2ww referrals)

8. What’s needed? Data Sharing Agreements EMIS Go Live
EMIS Optimisation and Configuration
Discharge Summary Doc
End of Consultation Protocol
KPI data recording and reporting
Rota for GPs, ANPs and Receptionists
Policies, Procedures and other Documentation
Patient engagement
EMIS Practice activation of:
Data Sharing Agreements (both ways)
Document Sharing

9. Random final thoughts…
It’s a pilot!! We are proving a model
Be prepared for a slow start
Opportunities for developing the model
Weekend overflow?
Other services?
Expanding dates/times/no of Hubs
Optimising the use of the open Hub location

10. Any Questions?