Developing Polyclinics in Waltham Forest

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Developing Polyclinics in Waltham Forest

October 2008
Alison Goodlad Head of Primary Care Commissioning
and Development
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ORGANISATIONAL MODELDrivers
Recent investment in new buildings
Good quality GPs
Momentum of change in General Practice
Movement of care outside of hospital
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ORGANISATIONAL MODELPolyclinic Facilities
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ORGANISATIONAL MODELDrivers- Providing more
care outside hospital
8859 diagnostic tests in the community
Increase the number of diagnostic tests done
directly by Primary Care
41000 OPD consultations
Increase the number of OPD consultations done by
Primary Care
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Community Specialist Services introduced in
2008/09

• Anticoagulation
• Community Cardiology Service
• Carpal Tunnel Service
• Colorectal Clinic
• Community Dermatology
• Community Diabetes
• Direct Access Physiotherapy
• Direct Access Gastroenterology
• Community based Musculoskeletal Pain Service
• Community Specialist Urology Service

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ORGANISATIONAL MODELNetworked Polyclinic model
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ORGANISATIONAL MODELNetworked Polyclinic model
Example of the hub and spoke model in
Leyton/Leytonstone
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Network Agreement

• This outlines the principles and rules by which
  the network will function
• Patients should be referred to polyclinic
  services where clinically appropriate, in line
  with patient pathways unless the patient has
  requested to go elsewhere.
• Patients may be referred to any of the
  polyclinics
• Practices in the hub must not proactively seek to
  encourage patients registered with the spokes to
  switch registration.

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ORGANISATIONAL MODELStakeholder Engagement
GP and Stakeholder engagement six workshops
held so far
Three Public events were held in July
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GP Stakeholder Event

• Key Concerns
• The hub will pull patients from the spokes
• Anxiety around the possibility of the private
  sector managing GPLHC
• Services GPs would like to see in a polyclinic
• Diagnostics
• Health Promotion
• Health Visiting
• Out-Patient Services
• Counselling

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Public EngagementGetting patients views on
Polyclinics / GP Led Health Centres

• Services patients wanted to access
• Tests (i.e. blood tests, x-rays)
• Urgent Care
• Outpatient Clinics
• Preferred hours for accessing services outside
  the working day
• Evenings
• Saturday Mornings
• Early Mornings
• Important factors to access Polyclinics
• Transport Links
• Parking

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SERVICE MODEL
Tender for combined GPLHC and polyclinic and up
to three stand-alone polyclinics
Contract will be for leadership and management of
polyclinics
Focus on integration of services and front of
house
Movement of care outside of hospital
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Polyclinic Tender ProcessBidders to choose the
location

• Bidders can choose from a number of potential
  locations indentified by the PCT
• There are nine options in total
• ADVANTAGES
• Sensitivity of where the polyclinics will be
  located
• Decisions will be made as part of the evaluation
  of the Tender
• DISADVANTAGES
• Planning can be made difficult by not knowing
  the location of the clinics until the outcome of
  the tender is known

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PROJECT STRUCTURELong Term plan
1st Polyclinic / GPLHC goes live in early part of
2009/10
2nd Polyclinic goes live in latter part of 2009/10
3rd Polyclinic (Chingford) goes live 2010/11