Polyclinics Learning and Development Programme Moving Ahead with Implementation Thursday 23rd Octobe

1
Polyclinics Learning and Development
ProgrammeMoving Ahead with ImplementationThursda
y 23rd October 2008
2
Alexandra Avenue Polyclinic Managing Integration

• Harrow PCT

3
Alexandra Avenue Polyclinic

• LIFT Health Centre opened in 2006 range of
  services already operating
• Early adoption of a service led polyclinic -
  prioritising service development for the most
  deprived wards of the borough needs driven
• Expansion of demand management in planned /
  unplanned care
• Enhanced access to general practice acting upon
  patient feedback
• One-stop service provision - enhanced access to
  diagnostics and co-located specialist clinics
• Paediatric Focus
• Further integration of health and social care
  services creating a community asset
• First stage in Primary and Community Care Strategy

4
Existing and Planned Services

• Adult Mental Health Services (CNWL)
• Adult Physiotherapy
• Audiology
• CAMHS
• Children with Disabilities Service
• CHD Diagnostics Service
• Clinical Assessment Service (CAS)
• Community Midwives
• Contraceptive Services
• Dentistry
• Diabetic Retinal Screening
• GPs

• Educational Psychology
• Harrow Wheelchair Service
• Health Visitors Services
• Paediatric Physiotherapy
• Paediatric Occupational Therapy
• Patient Advice and Liaison Service (PALS)
• Podiatry
• Portage Early Support Service
• Special Educational Needs (SEN) Assessment
  Provision Team
• Speech Language Therapy
• Ultrasound

5
KPIs and Delivery

• All stakeholders sign up to KPIs i.e.
• Creation of pathways
• Clinical outcomes
• Access targets
• Patient satisfaction
• Health improvement
• Commissioning goals i.e. reduced AE attendance
• Memorandum of Understanding to secure commitment
• CEO and Board approved

6
Leadership and Accountability

• Building on experience from IS, Seattle and work
  on GP Led Programme
• A manager or management company accountable for
  delivery
• Role analogous to an Acute Trust GM
• Commercial and Clinical oversight
• Concept new to NHS?

Evaluation
7
Making it Operational

• Experience from Equal Access to Primary Care in
  Midlands and North (JG and RDR)
• KPIs from GP Led Contracts
• Off shelf KPIs for mental health available
• Performance management tools exist
• Prioritising practical, easy to collect data
• Appropriate incentives and penalties
• Questions and Ideas?

8
Polyclinics Learning and Development
ProgrammeMoving Ahead with ImplementationThursda
y 23rd October 2008