South Tyneside Primary Care Strategy – progress and plans update

1. South Tyneside Primary Care Strategy – progress and plans update South Tyneside Patient Reference Group Thursday 8th February 2018 Jo Farey, Head of Commissioning (Primary Care)

2. General Practice Strategy – 5 Work Streams In Place

8. Progress – key highlights  Foundation of primary care estates and workforce strategies – 90% of practices have had their premises surveyed for suitability and all but one of our practices are using a unique workforce development tool  Young Practitioners Forum has commenced and meets bi-monthly  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

9. Progress (2)  Innovative Better Outcomes Scheme (BOS 4) in place focusing on delivering improved outcomes in Respiratory, Cancer and CVD and other areas identified by practices as priorities  Regular practice visits – great source of soft intelligence & particularly useful in supporting resilience (helping to nip problems in the bud where we can)  Quarterly quality meetings with a well developed CCG dashboard highlighting variation and outcomes

10. Progress (3)  Patient navigation/signposting • Most administration and clerical staff trained in Active signposting Level 1 and level 2 • Managing medical correspondence programme of training commenced • 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

11. Progress (4)  Extended access in place and live from September 2017 • 13 practices across 3 rotating hubs • 78 hours a week since September 2017 – 312 extra appts per week • Mix of appointment types GP’s, Nurses and Healthcare professionals • So far over 5300 additional appointments have been offered across South Tyneside (Sept to Dec ‘17 position)

12. Real results….

13. Prescribing Prescribing spend is forecast to be below budget for the first time in several years. e.g. we are now prescribing significantly more inhalers from the local COPD guidance to improve management of COPD and considering cost effectiveness. This alone has led to prescribing cost savings from April to September 2017 of £150,000 for the CCG. Electronic Prescription Items are the highest in the North East at 75%

14. Breast Cancer Screening

15. Care Homes 2014 – 2448 A&E attendances 2015 – 2433 A&E attendances 2016 – 2356 A&E attendances 2017 (April-Dec only) – 1459 A&E attendances a potential improvement of 411 fewer care home residents attending A&E)

16. Admissions COPD admission rate has fallen at the current rate, end of year predictions could see 19 fewer patients admitted across the year

17. Cancer diagnosis at stage 1 and 2

18. Ease of getting through to GP surgery on the phone Q3. Generally, how easy is it to get through to someone at your GP surgery on the phone? CCG’s results Comparison of results CCG’s results over time CCG National Easy Easy Not easy Not easy Practice range in CCG - % Easy Local CCG range - % Easy %Easy = %Very easy + %Fairly easy %Not easy = %Not very easy + %Not at all easy

19. 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

20. Summary Lots of work going on, but still lots to do Huge transformation agenda Supporting our clinicians and other professionals – particularly those at the front line Primary Care Strategy is key and needs to be constantly evolving T h a n k y o u