Equitable access to primary care

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Item 1 Presentation
Equitable access to primary care GP-led health
centres
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National requirement to commission GP-led health
centres by March 2009
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Key features

• New capacity not expansion or replacement of
  existing surgeries or health centres
• Investment in additional clinical capacity
• New and innovative
• Bookable appointments and walk-in services
  8am-8pm, 7 days a week
• Open and transparent tendering
• process (APMS)

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Local context
EoE SHA announces 14 new GP-led health centres 1 February 08
PEC support co-terminosity with LGH sites following SHA advice on procurement process 20 February 08
HSC consider draft consultation paper and agree a two month consultation period 18 March 08
PCT Boards approve locations and process for procurement 25 26 March 08
Start of consultation 26 March 08
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Consultation process -proposals

• Proposed locations
• Services
• Communication and information
• Involvement in selection of provider

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Stakeholders

• GPs and local practitioner committees
• Patients / Patient groups
• MPs
• Local Authorities including social care services

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Consultation activities

• Public focus groups - ORS
• Community events/workshops
• Briefings/meetings - informal and formal
• Presentations

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Focus groups -feedback

• Overall, a lukewarm response
• Usage anticipated on a walk-in rather than
  pre-booked basis
• Limited value for whole PCT area
• Identified need for proactive communications
  campaign

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Focus groups -feedback

• Other services immunisations, diagnostics,
  minor surgery
• Parking and transport concerns
• Support for Urgent Care Centres
• Patient frustration in making appointments at GP
  surgery

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Written responses GPs

• Largely negative
• Not needed waste of resources
• Duplication and undermining of local GPs
• Questioning of choice of location and
  consultation

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Written responses public

• Concern that introduction will destabilise
  existing general practice that is highly valued
• Worries about patient records private companies
  continuity of care loss of personal touch big
  doesnt mean better

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Written responses other

• Mixed reaction
• Opportunities for better integration of services
  and innovation
• Clarity sought on how centres will work and their
  impact
• Concern over data handling

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Procurement process where we are now

• Advert published inviting Expressions of
  Interest
• Information giving events held in May for
  potential bidders

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Procurement process where we are now

• East North Herts
• 41 Expressions of Interest received from
  organisations41 Pre-Qualification
  Questionnaires issued to potential bidders

West Herts 43 Expressions of Interest received
from organisations43 Pre-Qualification
Questionnaires issued to potential bidders
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Procurement process in progress
PQQ - Hertfordshire Bidder QA session 20 June 2008
PQQ return date 27 June 2008
Evaluation of PQQs 10 July 2008
Organisations successful in PQQ evaluation invited to submit a tender (ITT) Organisations successful in PQQ evaluation invited to submit a tender (ITT)
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Procurement process at planning stage
ITT documentation in preparation
ITT signed off by PCT Board July 08
ITT signed off by SHA July/August 08
ITT documentation issued to bidders August 08
ITT Bidder event QA Session August 08
ITT documentation returned by bidders September 08
ITT evaluation completed by 24 October 08
ITT evaluation approved by PCT Board November 08
Contract signed with successful bidder by 31 December 08
Contract Lead in commences 1 March 09
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Your questions