Non-Emergency Patient Transport Service Commissioner Perspective

1. Non-Emergency Patient Transport ServiceCommissioner Perspective Claire Strawbridge Head of Contracts and Performance NHS Hull 15th June 2011

2. Contents • Background • Public Engagement • Priorities • Eligibility Screening • Information Leaflet • Quality Standards • Monitoring Quality

3. Background • NHS Hull and NHS East Riding planned to tender all PTS in 2010/2011 • An independent Impact Assessment indicated that there MAY be risks to the ambulance emergency response reliance if YAS lost the PTS provision • Commissioners decided to implement a managed change process and contract with YAS for all PTS requirements of Hull and East Riding communities

4. Public Engagement • Joint public engagement with NHS East Riding February to July 2010 • Aims: • Understand local needs • Inform quality standards and monitoring systems • Inform eligibility criteria • Develop service specifications that meet community’s needs

5. How did we reach people? • Information to Overview and Scrutiny Committees • Letters to local MPs • Local Involvement Network • North Bank Forum • Hull CVS • Local Media • Diverse groups/HANA • NHS Hull Members • Local Healthcare Providers • Hull Carer’s Centre • Hull Libraries • GPs • RNIB • Hull City Council

6. Responses • 643 responses received • 40% responses from patients • 31% of Reponses from members of the public • 45% of responders had used the service in last 12 months • The full report can be found at: http://www.eastridingofyorkshire.nhs.uk/templates/Page.aspx?id=5828

7. Engagement Outcome

8. Engagement Outcome – Priorities

9. Eligibility • PTS is designed for people whose health would suffer if they travelled by other means • Normally a healthcare professional assesses eligibility before booking • Unique locally – patients can book their own transport • Dilutes the service when too many people use it • Need to give the service back to those it was originally designed for • Not a cost cutting exercise – efficiencies are to lead to increased quality • Criteria developed in public focus groups • Decided ALL renal dialysis patients are eligible in first instance • Will be reviewed

10. Eligibility

11. Escort Eligibility

12. Information Leaflet • What is PTS? • Who is PTS designed for? • Why is it designed for those that have a medical need? • How to book PTS • When can an escort travel? • Other travel options, such as taxis, buses, community transport • Healthcare Travel Cost Scheme

13. Quality Standards

16. Improve Call Handling – Calls should be answered within 5 minutes

17. Monitoring Quality • Monthly Quality Reports • Quality Review Group bi-monthly • Priority Patient Working Group • PTS User Group, facilitated by Hull and East Yorkshire hospitals • If YAS are likely to breach quality standards, it is their responsibility to facilitate alternative transport to ensure healthcare services and patient experience are not adversely affected. • 6 months to show demonstrable improvement or NHS Hull and NHS East Riding will seek an alternative provider

18. Any questions?