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Planned Care Programme Update

This update provides information on the planned changes to the phlebotomy service, including the intention to replace the current GP enhanced service arrangements and the next steps in the process.

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Planned Care Programme Update

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  1. Planned Care Programme Update Dr Gary Marlow 5th February 2015

  2. Community Phlebotomy Update • The intention is to replace the current GP enhanced service arrangements with a new phlebotomy service which aims to: • Provide an equitable service to all GP patients – patient can access other clinics if their GP doesn’t provide • Provide a mix of appointment and walk-in services • Improve access by providing more patient choice and some early morning access • Ensure high quality service with well trained staff providing phlebotomy

  3. Phlebotomy - Next steps • A recent market testing advert established that the local GP Confederation is the only interested provider for the new specification • Subject to Contracts Committee approval the CCG will commence negotiations with the GP Confederation for a contract to provide phlebotomy to the new specification in 15/16 • It is proposed the current arrangements will be extended by 3-5 months for contract negotiation and mobilisation

  4. Wound Care - Status Update • Dressings Optimisation Scheme – Oct. 2014 implementation stage; launch April 2015 • Lymphoedema Service – Oct. 2014 • Adult Community Nursing – 2015/16 Service Specification to be reviewed with Integrated Care (Leg Ulcers) • Post-Operative Wound Care – NEW

  5. Post-Operative Wound Care • The service is for the removal of sutures and general wound care following a hospital procedure where: • The operation was performed as a consequence of a referral to, or on-going care by hospital services • It is either inconvenient for or undesirable for the patient to attend at hospital. This would include follow-up of patients from A&E or PUCC.

  6. Key Elements • Episodes of suture removal • Episodes of clip removal • Episodes of other removal • Episodes of wound care - dressing changes and wound management expected duration >2weeks • Lacerations • Post-surgical burns • Peri-anal abscess • Pilo-nidal sinus

  7. Criteria • Acceptance criteria: • Registered with a City and Hackney GP • Identified wound requiring active intervention • Referrals via the hospital, PUCC or GP Surgery • Exclusion criteria: • Complex wounds where the hospital is treating as outpatient • Complex care; vasculitic, sickle, • Housebound patients • Lymphoedema • Leg Ulcers • Episodes of wound care: • expected duration < 2 weeks • resulting from minor surgery in general practice

  8. Location and Hours • At least 1 site across each of the 4 quadrants • Available 7 days/week; some extended hours • Provide a mix of appointment and walk-in services

  9. Finances • The contract is a cost per case arrangement and providers will receive: • £12 per appointment (Monday – Friday) • £20 per appointment (Saturday-Sunday) • Project Management & Set up - TBC

  10. Next Steps • Finalising Specification • Primary Care Contracts Committee approval • Procurement • Market Testing exercise • Full procurement (if warranted)

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