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Workstream 4 Primary Care Surge Capacity & Business Continuity

Workstream 4 Primary Care Surge Capacity & Business Continuity. Issues of focus Where we are now Key challenges. Issues of Focus. Managing the surge GP Practices Community Pharmacies Dentists & Optometrists Local FPU Offices Facilitation of contractors Plans

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Workstream 4 Primary Care Surge Capacity & Business Continuity

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  1. Workstream 4Primary Care Surge Capacity & Business Continuity Issues of focus Where we are now Key challenges

  2. Issues of Focus • Managing the surge • GP Practices • Community Pharmacies • Dentists & Optometrists • Local FPU Offices • Facilitation of contractors • Plans • Buddying & Clustering Arrangements

  3. Issues of Focus cont’d • Training & Awareness Raising • General & Specific • Plan Related • Buddy / Cluster • Information Flows • Medicines Supply Issues • PPE - Standard & Specific • Standard Stock Replenishment • Fit Testing for staff from all Practices

  4. Issues of Focus cont’d • Out of Hours • Out of Hours • In Hours • Database Development • Flucon & Other Requirements • Local Office Reorganisation

  5. Where we are now • Plans - template based for standardisation • GPs - developed, submitted & reviewed • Push for those not submitted • Critical data set requested • Training includes plan implementation & buddy arrangements • Community Pharmacies - ongoing • Push for those not submitted • Assistance for those who need help • Clusters Determined • Facilitation of Cluster Implementation

  6. Where we are now cont’d • Dentists - Guidance Sent Out • Optometrists - Finalising Arrangements • Out of Hours • Major Piece of Work Undertaken • Issues / Gaps Identified & being Addressed • Capacity to Cope In as well as Out of Hours • Business Case being Finalised • Staffing & Other Resources

  7. Where we are now cont’d • Training etc • Taken Place in All Areas • Building on Earlier Awareness Raising • Practical Issues Raised • FAQs • Use of Intranet for Updates etc • PPE • Standard Stock in Practices • FFP3 Fit Testing Mop Up Underway • Stock Replenishment Model Developed

  8. Where we are now cont’d • Databases (& user guidance) Developed / In Development for Flucon, Stock Monitoring / Ordering, other information requirements (Apollo) • Capacity Review of Local Offices • Determination of Key Swine Flu & Non Swine Flu Essential Tasks • Reassignment of Duties

  9. Key Challenges • Staffing • Organisational Change & Loss of Key Staff • Co-Ordination of Remaining Staff across Local Offices for Essential Swine Flu & Non Swine Flu Tasks • Independent Contractors • National & Local Contractual Arrangements Outside our Control • eg Standing Down of QOF • Command & Control - Is is Possible?

  10. Key Challenges cont’d • Out of Hours • Ensuring Robustness • Triggers & Mechanisms to go from Buddying to OOH when Buddies Break Down • Interface Issues • Communication • Admission & Discharge Information • Timeliness of Discharge Summaries • Quick Contact for Specialist Clinical Advice

  11. Key Challenges cont’d • Maintaining the Pharmacy Network & Medicines Supply Chain • Communications Issues • Running Pandemic Immunistation Programme at Time of Surge • Ensuring Robust Leadership & Process with Clear Understanding of Decision Making Ability

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