introducing the new community ... - nhs croydon ccg document... · a: the ccg is legally obligated...
TRANSCRIPT
Kwame Amankwa
Croydon Clinical Commissioning Group Project Lead
Introducing the New Community
Anticoagulation Service
Community Anticoagulation Patient and
Public Engagement Event
13th November 2015
Time 2pm – 4pm
Old Coulsdon Congregational Church
336 Coulsdon Road
Old Coulsdon, Surrey
CR5 1EH
2.00 – 2.15pm Sign in; refreshments
2.15 – 2.30pm Welcome & Introductions
2.30 – 2.40pm
Presentation: Overview of community anticoagulation services &
what will the new service look like?
Kwame Amankwa, CCCG Pathway Redesign Manager
&
Shirley Walker, Anticoagulation Service Manager
2.40 – 3.30pm Questions and answers (Open session)
3.30- 4.00pm Close
Agenda
Housekeeping
Government’s healthcare reforms - the health service is changing
The Health and Social Care Act 2012
Expected Outcomes :
1. Improved health service for the benefit of all patients and the wider community through;
• Continuous quality improvement in services
• Reducing inequalities
• Enabling choice and
• Encouraging patient involvement in healthcare.
2. An integrated health system
3. Drive towards managing patients in the community
4. Better, nearer, sooner and more convenient
Introducing the New Community
Anticoagulation Service...
Why did we want to do it differently in
Croydon?
The Community Anticoagulation
Services – The History In 2008 Croydon Primary Care Trust (PCT), as part of its local
community development strategy, tendered for a community
service for the Monitoring of AF patients on anti-coagulant
therapy.
The aim - To provide monitoring for patients more locally & to
reduce pressure on a busy hospital-based service.
4 community providers (two GP practices and two community
pharmacies) were successful in being awarded this tender .
They were:
Selsdon Park Medical Centre
Parchmore Medical Centre;
A-Z Pharmacy
Fishers Chemists
CUH managed the complex cases.
• Generally there were issues – longer waiting
times, lack of a uniformed provision and lack of
flexibility among others.
• In 2014 the existing contract with the providers
was coming to an end. In line with NHS NHS
Procurement and Competition Rules the
contracts could not be rolled over and was
reviewed.
• The Croydon CCG re-tendered the service to
commission a service that provided warfarin
initiation and on-going monitoring for stable AF
patients.
• Few of the incumbent providers wanted to
continue providing the anticoagulation service.
The Community Anticoagulation
Services – Review
• Following a robust procurement
process in 2014, the CCG awarded
Boots UK Limited the contract to
deliver community anticoagulation
services across the six GP network
locations.
• The new service commenced on 1st
April 2015 in a phased
implementation approach.
• The Old Coulsdon Services will
transfer to Boots from the 23rd
November 2015.
Introducing the New Community
Anticoagulation Service...
What are the anticipated benefits of the new
service to patients? 1. Flexibility – 7 days extended cover &
longer opening hours
2. Choice of clinic
3. A “one-stop shop” service
4. An Advice Helpline with a
pharmacist at the end of the line
5. Access to a Croydon University
Hospital Consultant Haematologist.
6. The services will be delivered to the
Standard NHS Contract & Service
specification.
Shirley Walker, Boots Anticoagulation Service Manager
Sabina Daboo, Boots Clinical Lead
Working together in partnership
Introducing the New Community
Anticoagulation Service...
• Introduction
• Boots previous experience in anticoagulation
• The new Croydon Community Anticoagulation Service
• Locations and clinics
• Transition Arrangements
What else are patients telling us?
It’s very useful for the pharmacist to be on hand to answer any questions about current medication that has been prescribed
“Super speedy service. I've never waited more than 5 minutes as opposed to an hour and three quarters at the
hospital. Easy to contact. People know what they are talking about. Information gets passed on. I rang the helpline and
they knew all about it at my next appointment. I would highly recommend the service to other Warfarin patients.”
Excellent - resulting in me having my eye tests carried out at Boots Bromley. Look
forward to further services being established
Can't find fault with your service, being able to go to a
Boots of choice makes life easier. Well done Boots
To be able to speak to the Pharmacist and get results immediately is so convenient. V happy with service
What will Boots provide in Croydon?
• Initiation of Warfarin for newly diagnosed AF patients
• Transfer & ongoing maintenance of stable AF patients
• A service run and managed by a team of dedicated anticoagulation
pharmacists supported by a clinical lead pharmacist at the Bromley hub
• Access to a consultant haematologist for anticoagulation pharmacists in
an advisory capacity
• Flexibility for patients to move between sites
• Initially matching all current clinics with an opportunity to grow in
response to patient need
Changing NHS
Proposed Clinic Days and Locations
Boots Croydon Anticoagulation Service Clinic Days
MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
AM Addiscombe Road Parchmore Addiscombe Coulsdon Parchmore tbc
Purley Whitgift Whitgift Purley (9/11) Valley Park
Coulsdon(from 7/12) New addington(11/11)
PM Addiscombe Road Parchmore Addiscombe Purley Parchmore tbc
Purley(from7/12) Whitgift(23/11) New addington Coulsdon(9/11)
Coulsdon tbc
Number of Clinics 3 from 7/12 2 3 from 9/11 2(from 9/11) 2 1(tbc)
Proposed Patient Transition timeline March April May June July August Sept October November December
Parchmore
CCG Letter/Patient Engagment/ Patient Transfer Go Live
Fishers Pharmacy
CCG Patient Letter
Patient Engagment /Patient Transfer Go Live
A-Z Pharmacy CCG Patient Letter
Patient Engagment /Patient Transfer Go Live
Parkway HC
CCG Letter/Patient Engagment/ Patient Transfer Go Live
Old Coulsdon MP
CCG Letter/Patient Engagment/Patient Transfer/Go Live
Selsdon Park MP
CCG Letter/Patient Engagment/ Patient Transfer Go Live
BOOTS UK LTD
ANTICOAGULATION HUB CONTACT NUMBER
0208 466 5372
Some patients questions from our previous
events & our responses
Q: How will we know what is going to happen after the 23rd
November 2015? Who will tell us about our next appointment?
A: All existing appointments before the 23rd November will stay
the same. The new provider (Boots) has worked with the
existing provider to transfer all the existing patient data onto
their data system. Very shortly, starting from tomorrow, all
patients will be contacted and given information about the
changeover. Patients who have existing appointments after the
9 Nov will be offered an appointment as close to the time and
date of that appointment, where possible.
Q: At the current clinic we have a waiting room big enough for
about 8 or 9 people. Older people often like to come early, well
before their appointments, so they can sit and chat and sit in
the waiting room for quite a long time. Where are they going to
sit in that tiny Boots store, there’s no room?
A: We will have a very small waiting area but will have room for
a couple of chairs. Most of the appointments will be very quick,
about 10 minutes in total, so we don’t anticipate that people
will have a long wait. But we don’t want people to feel that they
have to arrive too early ahead of their appointment, if they
arrive on time for their appointment we won’t have too much of
a queue.
Some patients questions from our previous
events & our responses
Q: Why have you changed a service we are happy with? We get respect at the Parkway clinic. Parkway is a great service, why change it? Is this just about money? A: The CCG is legally obligated to put services out for tender when a contract with a provider ends. There are circumstances where contracts can be extended; however, the procurement of services is a process that the CCG must follow. Under the rules all current providers can bid as well as new potential providers. The bids are assessed against a whole range of criteria. We also want to take into account the hours and days that a service can be available to patients in the future. This may include evenings and weekends and is important for patient choice. The service specification included a requirement for later openings and weekend clinics and more sites. The existing providers did not meet the requirements. Since 2008 there has been a move towards locating more services within the Community to try to improve patient access.
Some patients questions from our previous
events & our responses
Q: When I had to go in to hospital for an operation my Warfarin
was stopped and I had to go to St Georges Hospital for the
treatment, which was an injection. Will Boots be able to supply
this service ibn the future?
A: Boots will not be able to provide the treatment if injections
are required for the treatment. The patient will go back to
University Hospital Croydon if that is the case. In the future if
patients are about to have an operation but do not require
injections Boots pharmacists will be able to help patients
manage their warfarin.
Some patients questions from our previous
events & our responses
Q: Will we have to queue with the rest of the Boots customers?
A: No the pharmacists will have a list of patients and will call
you. You will not have to queue with the rest of the customers.
Q: What will happen to the existing staff? Will they lose their
jobs?
A: The nurses you currently see are employed by the practice
and the anti-coagulation service is a very small part of their
work so they should not lose their jobs.
Some patients questions from our previous
events & our responses
Q: Will local people have to go to the Boots at Old Coulsdon?
A: They have a choice. They can either go to their local Boots or, if it’s
more convenient, they can use any of the Boots sites in Croydon.
Q: Who do we contact if we need to change the appointment or talk to
someone?
A: There is a main number 0208 4665372 that you can ring, if
you have any query or question or concern. At that number you can
speak to a pharmacist if you want reassurance or help. That number
operates 7 days a week.
Some patients questions from our previous
events & our responses
Q: Will we get new paperwork? What about our yellow books?
A: You don’t need any new paperwork. You can still use your existing
yellow books; we can just stick the new telephone numbers over the old
ones.
Q: Will I be able to use the Boots stores outside the borough?
A: The community anticoagulation services are for patients registered
with a Croydon GP. It is a Croydon service.
Q: When does the new service start in Old Coulsdon?
A: 23rd November 2015.
Some patients questions from our previous
events & our responses
For Further Information…..
Boots UK Limited Team
Alison Green - Boots Healthcare Development Manager: [email protected]
Shirley Walker-Boots Anticoagulation Service Manager: [email protected]
Boots South London Anticoagulation Service Hub Tel: 0208 466 5372
Monday - Wednesday, Friday and Saturday: 08.30am-6pm, Thursday 08.30am-9.00pm and Sunday 11am-5pm
Croydon CCG Team
Kwame Amankwa – Pathways Redesign Manager & Project Lead: [email protected]