1. South Tyneside Primary Care Strategy – progress highlights and our plans for e-consult rollout
South Tyneside Local Engagement Board Thursday 8th March 2018 Jo Farey, Head of Commissioning (Primary Care) John Bulmer, North of England Commissioning Support Unit

2. General Practice Strategy – 5 Work Streams In Place
Stakeholders working together to deliver primary care at scale
Reducing variation
Changing the focus of primary care
Improving Access to Primary Care
Workforce planning
General Practice Strategy initially developed summer 2016
5 workstreams remain in place to focus work
Time to refresh and refocus
Changing world …….
Investment and Initiatives via GP Forward View
Increased scrutiny and reporting
Aspiration nationally to reduce services delivered
in secondary care & increase the community offer
Path to excellence

3. Progress – key highlights
 Continued rise in the number of patients using Think Pharmacy First and excellent working relationships with our local community pharmacies
 Attracting a skilled workforce to South Tyneside
Student Nurse and Physicians Associate placements
 Patient navigation/signposting
Most administration and clerical staff trained in Active signposting Level 1 and level 2
Some of our practices now have a welcome telephone message from the GP telling them the receptionist will ask them for a brief nature of their need for an appointment

4. Progress  Extended access in place and live from September 2017
312 extra appts per week
Mix of appointment types GP’s, Nurses and Healthcare professionals
So far 8000 additional appointments have been offered across South Tyneside (Sept 17 to Feb 18 position)

5. Progress
 Prescribing spend is forecast to be below budget for the first time in several years
 Electronic Prescription Items are the highest in the North East at 75%
 COPD admission rate has fallen - at the current rate, end of year predictions could see 19 fewer patients admitted across the year

6. Cancer diagnosis at stage 1 and 2

7. Challenges
We still have over reliance on urgent care via the A&E route
Primary Care Access can be variable and we have ‘hotspots’ of areas with known access problems
Increasing patient expectations
Workforce remains a pressure – we need to concentrate on skill gaps
Telemedicine implementation is slow and can be complex but could help us with many of our challenges and help patients to better access services

8. Enhanced Access E-Consultations
Presented by
John Bulmer

9. Primary Care Consultations
The use of technology to support GP appointments is growing in popularity:
Video Consultations
e-Consultations
2 way SMS messaging

10. Aims Focus will be on E-consultations What is an E-consultation?
How does it work?
Highlight potential benefits

11. What is an E-Consultation?
It is a patient communicating with their GP online Condition-based questionnaires Via a mobile app or online portal Replies are not instant but are expected by a certain time frame

12. How it works? Patients make practice website first point of contact
Range of options open to the patient
Find out about symptoms, conditions, treatments
Request call back from 111 clinician
Send details of problem/query to GP
GP will receive information as a task
Deal with online, make face-to-face appointment, call patient for further details or prescribe

13. How it works? Cont…

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18. Potential Benefits Reduce unnecessary appointments
Patients receive the right care
Better health outcomes
Improved efficiency
Free up GP Time
Reduce A&E admissions

19. What are your initial views about e-consult
What are your initial views about e-consult? Do you think patients will like it? What are the barriers?