Our pilot projectMoving primary care to a population wellbeing approach

Prime Minister’s Challenge Fund: Extending Access to General Practice

West Wakefield

• 6 practices• 63,910 patients

Overview• More hours of availability

• New ways of accessing services

• Care navigators & social prewribing

• Bigger team of direct access professionals

• Better communication

• Mobile outreach service

• Virtual teams to support faster decisions

• Focus on vulnerable elderly in Care homes

and housebound

• Better support for self care

• Develop digital healthcare

• Service directory

AccessHours of Access Ways to access care

Direct attendanceTelephoneEmailVideo call (Skype)Instant MessageOn-line care navigation toolApps – SystmOnlineHealth AppsHealthy Living AppsHealth and wellbeing pod

7 days a week8am to 8pm

Bigger virtual team

PhysiotherapistSocial WorkerPharmacy

Digital

• Phone/Tablet Apps– SystmOne App– West Wakefield Care App– App Library

• Web based Care navigation system– Supporting self-care– Symptom checker– Service Directory

• Telecare

Digital

• Social Networks– Health messages– Hard to reach groups– Tweeting Pod

• Better Connection– Unified communications– Video/voice– Presence aware– Virtual Teams– Social Intranet

Co-ordination & integration

• Integrated teams with social care, nursing, hospitals, community & mental health, GP and voluntary services

• Sharing records• Virtual meetings• Unified communications

Self care

• Care Navigator• Health and wellbeing worker• Voluntary services• Social prescribing• On-line local service directory

Target groups

• Vulnerable elderly– Care home project, proactive integrated team

approach, video consultations, health pod.• People with mental health needs– Social, mental health & community services

integration. Extended access, on-line tools, health pod.

• People with long term conditions– More time for care planning, expert patient program,

self-care and monitoring

Target groups

• Acutely ill– Extended hours, better integration with urgent

care services, symptom checkers, care navigator• Children– On-line resources for parents, care navigator,

better co-ordination for safeguarding issues• Hard to reach groups (including workers)– On-line access & resources, health pod, extended

hours of opening

Charter

Sustainability

• Reduced OOH Contacts• Reduced non-elective admissions• Redesign in direct-access physiotherapy• Reduction in Walk-in Centre attendances

Kelly’s story

http://tinyurl.com/obdf9gk