Confirming the Polyclinic Goals

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• Confirming the Polyclinic Goals
• Juliet Mellish, Head of Leadership and Engagement

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Polyclinic Programme

• Is ambitious and provides a unique opportunity to
  deliver a step change in patient care
• Is a new type of healthcare delivery model that
  aims to improve health outcomes, reduce health
  inequalities and improve patient experience
• Is the setting where most routine health care
  needs are met and with which most people will
  have contact with
• Uses commissioning to ensure that the services
  delivered are integrated and patient focused
• Requires a customer focus approach so that we
  meet public expectations and continually raise
  our ambition
• Is not a one size fits all Pan London
  programme, developed and implemented locally to
  reflect local need
• Requires strong clinical leadership and patient
  engagement in shaping and commissioning services
  for the local population.

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Core Goals of Polyclinic Programme
Core Goals of polyclinic programme
Wider Considerations
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Core Goals of Polyclinic Programme
Health and Wellbeing
Focal point for information and services for the
community
Services that respond to patient needs and
activity seeks out new and hard to reach groups
Addressing Inequality
Strong clinical governance that develops and
implements innovative evidence based pathways and
activity seeks out new and hard
Core Goals of polyclinic programme
Clinical Quality
Open at least 127364 Walk in and registered GP
services Range of access options e.g. e-mail
Access
Responsive and convenient services Elimination of
unnecessary repeated visits
Patient Experience
Efficient use of new and existing estate Reduced
avoidable use of secondary care
Value for Money
Wider considerations
Impact on wider Health Economy
Encourages innovation in other providers
Workforce Development
Ensuring investment in training and development
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Goals Group Work

• Discuss on your tables
• Are there any surprises, anything missing?
• How are you going to use these goals in the
  commissioning of your local polyclinics?

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Evaluation Framework What are we seeking to
achieve

• To develop a rigorous but practical evaluation
  framework that
• supports ambition and captures the learning
• provides feedback to the commissioners to drive
  organisational development and sustainable
  improvement
• is integral to implementation of the service
  model rather than a separate process
• assesses the achievement against goals and tests
  the wider benefits of the polyclinic programme
• delivers a better understanding of the factors
  that contribute to commissioning successful
  polyclinics

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Key Principles of Evaluation Framework

• The aim of the evaluation is to improve the
  commissioning of polyclinics through
• Measuring if polyclinics have met their goals
• Understanding what mechanisms drive differences
  in performance and outcomes and how this varies
  by context
• Improving delivery by widely sharing the outputs
  of the evaluation with commissioners, providers,
  patients and other key stakeholders
• Commissioners learning how to drive improvement

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Evaluation methodologies

• Method for evaluation
• Traditional evidence-based approaches
• Realistic evaluation techniques
• Action research methodologies

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Key messages

• The evaluation framework is integral to the
  implementation of polyclinics
• It is there to help you as the commissioner of
  polyclinics
• It will be tailored to meet your local needs
• It seeks to understand what works, why and how,
  so that improvements can be made, and learning
  shared
• Measuring and feeding back the patients /
  customer experience is crucial in ensuring that
  the polyclinics commissioned meet patients
  expectations and needs
• This will require effective patient and public
  engagement and clinical leadership in the design
  and shaping of local polyclinics