Planned Care Programme Update

Dr Gary Marlow

5th February 2015

Community Phlebotomy UpdateThe 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

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

Wound Care - Status Update1. Dressings Optimisation Scheme – Oct. 2014

implementation stage; launch April 2015

2. Lymphoedema Service – Oct. 2014

3. Adult Community Nursing – 2015/16 Service Specification to be reviewed with Integrated Care (Leg Ulcers)

4. Post-Operative Wound Care – NEW

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.

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

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

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

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

Next Steps• Finalising Specification • Primary Care Contracts Committee approval• Procurement

• Market Testing exercise• Full procurement (if warranted)