Summary Progress Report of Primary Care Strategy
Key
Target Achieved
Expected achievement of
target
Progress made but not to
level expected
No progress
Target
Roll-out of primary care advanced access strategy to all practices, to ensure that
patients can get an appointment with a GP within two working days and a primary
care professional within one working day
Implement new unscheduled care services for GP out of hours
Numbered
Action
from
Strategy
2
Timescale
Comment
2003
Enhanced by the introduction of the
Access enhanced service
2003
100% of practices covered by the PCT
service
12 GP’s recruited in 2003, 17 recruited in
2004
GpwSI relocated in 2004, replacement
being made
Recruit six extra GPs each year for the next three years
6
2003
Appoint a GP with a special interest (GPwSI) to lead development of primary care
based mental health services, and implement guidelines on mental health diagnosis
and symptoms for general practice
Set up a locality based referral, management and booking service (RMBS)
Start to move outpatient appointments to local settings
15
2003
17
19
2003
2003
provide minor surgical procedures in a local primary care setting to undertake 1200
procedures per year
Start building the new heath and social care centres
21
2003
1 & 24
2003
50% of practices contracted under PMS
Status
2004
Phase two of unscheduled care service including single call access through NHS
Direct and integrated working with other services such as social care
Open a walk-in centre
3
2004
5
2004
Support the electronic transmission of prescriptions between GPs and pharmacies
13
2004
Relocated minor surgery and
musculoskeletal outpatients services.
Minor surgery scheme at the Willows and
the Angel has exceeded expectations
LIFT programme delayed from original
timescale
40% achieved this target has now been
superceded by the nGMS contract
Integration underway but still in
development stage
Delay in construction of building will be
open by April 2005
This is a national programme, not yet
implemented in Salford. Outside PCT
Numbered
Action
from
Strategy
Timescale
Implement referral triage through RMBS for all Salford GP direct referrals to
specialists
27
2004
plans to manage outpatient appointments, including tertiary referrals, should be
progressed within the heath and social care centres to move the majority of
outpatients to local settings over the next three years
Extend the Rapid Response Team to cover weekends and extended hours
Implement a review of the arrangements for the provision of all community and
primary care based mental health care within Salford
Over the next three years, commission additional intermediate care beds
19
2004
22
16 & 33
2004
2004
23
2004
Establish community-based services to support chronic disease management including the development of ‘expert patients’ in a range of clinical areas
25 & 37
2004
Implement a comprehensive Palliative Care Strategy to ensure all community nurses
and GPwSIs have training in palliative care
Develop a Sexual Health Strategy for Salford
Implement a new Drug Misuse Strategy
26
2004
28
15
2004
2004
Take forward the Healthy Eating Strategy
30 & 31
2004
Develop an optometrist-based service to manage minor eyesight problems in the
community and involve all local eye hospital providers in a programme to speed up
access to eye tests and treatments
First heath and social care centre opens in Swinton
14
2004
5
2005
7
2005
2005
Target
Roll-out of primary care advanced access strategy to all practices complete
Set minimum standard for practice nursing and agree an investment strategy to
Status
Comment
control
Triage for all children’s and
musculoskeletal services in place, plans
to manage referrals, this is not by direct
triage of each referral
Delay in building programme of health
and social care centres means cannot
accommodate clinics until they are open
Achieved Jan 04
Review underway
Additional beds commissioned through an
additional provider and spot purchasing.
Rapid Response capacity increased
An alternative approach is being used to
develop CDM, self care. The nGMS
contract has led to significantly better
performance around the registering and
ongoing monitoring of patients with a
chronic disease
Review of existing strategy underway,
targets achieved in shared care
Obesity strategy being developed this will
combine healthy eating and physical
activity within it. Implementation officer in
post from May 2005
Strategy developed, about to be
implemented
Scheduled for 2007, and in Lower Kersal
and Charlestown
Nursing Strategy sets out action to
Numbered
Action
from
Strategy
Timescale
10
2005
8
2005
Assess possibility of a PCT practice nurse employed work force, with possible
extension to health care assistant and trainee assistant practitioner
At least one of the new health and social care centres should plan to provide plain film
X-ray, ultrasound and echocardiography access in the community
Electronic transmission of prescriptions between doctors’ surgeries and pharmacies
will be implemented
Provide a range of intermediate recovery and crisis support services for local people
via walk-in facilities in the four new health and social care centres
Implement a Physical Activity Strategy – the local authority will improve its Exercise on
Prescription scheme, and the PCT will develop closer links with other relevant
services
11
2005
achieve this target
Paper light practice initiative will enable
delivery of target
The QOF will provide basis for investment
plans. Number of initiative including GP
referral management, development of
new practices and Primary Care
Development Plan
Still under consideration
20
2005
Planned for Swinton
13
2005
24
2005
32
2005
Remaining LIFT centres to open
5
2006
The PCT will ensure its own staff and services are deployed where they are needed
most, so all patients have access to the right care as near to where they live as
possible. This will be achieved through the new locality structures.
The PCT will take the lead in developing facilities in Swinton to enable more than
5,000 operations to be performed in primary care by 2008
The PCT will investigate access to health care for homeless people and ethnic
minority groups to improve this. This will be built into the second phase of the
programme to develop health and social care centres
The PCT will support a supplementary prescribing pilot scheme in 2004/05 to enable
some patients long term prescribing to be managed by pharmacists with agreement of
local GPs.
To improve safety, the PCT will work with the local authority to support safe streets,
parks, workplaces and homes, through a series of public campaigns
The PCT will support the provision of an on-line public health information service.
9
2003
Unlikely to hit target date due to problems
with national programme
Services will be available before the new
health and social care centres are open
An Obesity Strategy is being developed
this will combine physical activity and
nutrition within it, this will be complete by
October 2005
Centres planned to open from 2007
onwards
Services now provided on a locality basis
1
2008
4
2004
12
2005
Target
achieve it
Develop administration support facility for practices to ensure that GP time is not
overburdened with paperwork
Establish basis for equal primary care services
Status
Comment
Centre Planned to open in 2007 Service
design underway
Homeless PMS expanded Intermediate
care provided in a hostel. PMS for
Asylum Seekers opened Oct 04
PCT now employ supplementary
subscribers + commission from 1 comm
provider – plans to role out by end 2005
34
35
2005
Working through the crime and disorder &
Target
Other media will be used to promote local knowledge about health care issues,
including breast feeding, parenting skills and diet, and there will be wider public
access to the project at the new health and social care centers.
The PCT wants to see the role of health visitors developed to lead work around health
improvement, and reducing inequalities
The PCT will continue to encourage locality and neighbourhood initiatives that support
the health and well-being of local communities, including the continuation and roll out
of the Welfare Benefits Advice Scheme.
The PCT will continue to support collaborative working on initiatives to tackle social
exclusion and child poverty, including Sure Start and Connexions – a project for older
children and young people.
The PCT will review employment, recruitment and retention strategies across public
sector to support the provision of more job opportunities for all age groups.
Numbered
Action
from
Strategy
Timescale
Status
Comment
community safety programmes of the city
council.
36
38
39
40
Role redesign completed currently being
implemented
Welfare benefits advice being
incorporated into LIFT Centres and
Salford Direct
Support continues, Children’s Act
impacted on model of service delivery
future paper to be presented to Board.
Recruitment and retention strategies
reviewed?