NHS Westminster – Update on GP Led Health Centre, Polysystems and Dental Practices

Posted on November 24, 2009. Filed under: GP-led health centres, Providers, Reports/papers | Tags: , |

NHS Westminster | Board Meeting | 24 November 2009 [pdf]

Introduction
Following the discussions at the last Board, this paper provides an update on key developments within primary and community care in Westminster.
Queens Park GP Led Health Centre Summary Update

Karen Clinton, Assistant Director, Primary Care Commissioning | 3 November 2009

Temporary solution

The GP Led Health Centre opened on 26 October 2009. The service is called Malling Health at Westminster. The practice is open for patients 8.00am – 8.00pm, 7 days a week, from temporary premises situated at Woodchester Square. The practice is adequately staffed with clinical and administrative personnel. NHS Westminster met the Department of Health target to open the GP Led Health Centre by 31 October 2009.

Permanent solution
  • Malling Health and their agents, GPI, have agreed the Heads of Terms (HoT) with Genesis Housing.
  • The rent has been agreed between NHS Westminster and GPI and the rental level is supported by the District Valuer.
  • The planning application for the permanent premises was submitted on 1 October 2009. The process will take 8 – 12 weeks in total. Taking into account the planning process and the work required to make the premises operational, the contractors have advised that the building will be ready for occupation in April 2010. A project plan for delivery of the permanent solution is in development.
  • Dr Thomas Reichhelm, Medical Director for Malling, has met with Dr Srikrishnamurthy, who is located directly opposite the Genesis building.
  • Progress is now being made by Malling Health to integrate into one of Westminster’s PBC clusters.

Significant Risks
  • The planning cycle for “change of use”, from retail to clinical, may take longer than the estimated 8 weeks and could impact upon the building work required to make the premises habitable.
  • The building work may hit unforeseen problems that could delay the opening in April 2010.

Polysystems Update

Simon Hope, Assistant Director, Strategic Commissioning | 3 November 2009

Context

The PCT is progressing development of 3 Polysystems across Westminster. Polysystem boundaries are broadly aligned with the 3 largest PbC clusters and design of Polysystem service models is being led by PbC clusters, supported by the Polysystem Programme Team.

Detail regarding development of each Polysystem is detailed below including the latest position in terms of cost and timescale for implementation:

South

The project is at implementation stage and work is underway to develop the South Westminster Centre, which is the identified system hub. A programme of minor refurbishment is due to begin, and discussions are underway with a range of service providers which will be commencing provision of new clinics in the Centre during the coming months. These include; Improving Access to Psychological Therapies (IAPT), Dermatology, Musculoskeletal services and Diabetes.

A marketing and communications plan is being drafted to include engagement with key stakeholders including clinicians and local residents, regarding the further development of the polysystem.

Discussions with the Victoria Commissioning Collaborative Cluster, regarding arrangements for management of the Polysystem, associated resources and governance arrangements between the Polysystem and the PCT are at an advanced stage.

To date, there has been new investment in the Polysystem of £280,000, to fund minor refurbishment and IT infrastructure costs. Further significant investment will be required in order to facilitate extended hub opening hours, building management, and commissioning of an on-site Urgent Care Centre. Specific detail of costs will depend on the respective service models and procurement routes selected. Savings to be accrued from the Polysystem, linked to development of redesigned community-based services, are being calculated using the Commissioning Support for London (CSL) framework, which is being relaunched in November. Detail will be included in the next Board update.

Central

Following a workshop with the Central London Healthcare Cluster, a design report has been produced which highlights a significant range of areas where further work is required in order to finalise the service model.

The Cluster’s preference is for a largely federated system, with services provided in a range of locations and integration achieved via its planned Clinical Co-ordination Centre.

The major focus to date has been in relation to the model for commissioning community-based Urgent Care services. The model put forward by the Cluster proposes multiple practice-based sites, providing integrated planned and urgent care by current primary care providers, 12 hours a day, 7 days a week. The PCT is assessing the affordability of this option and whether it meets Healthcare for London requirements.

In addition to scoping the potential for development of a number of practice-based sites for urgent care provision, the project has PCT Management Team approval to work with Central London Community Healthcare (CLCH) to develop an integrated planned and urgent care service at the Soho Centre for Health, by integrating the PMS practice and the Walk-In service already commissioned there.

Work is ongoing to identify potential locations for other Polysystem services. The cluster is keen that, as far as possible, services are hosted by GP practices and is developing criteria which potential host sites will be required to meet.

An engagement process with local stakeholders is due to commence during November, the findings of which will be incorporated into the final service model which should be complete by February 2010. The timescale for implementation will be dependent on the model, as will the requisite investment and planned savings over time.

North West

Following a workshop with the Queens Park and Paddington Cluster, a design report has been produced which highlights a significant range of areas where further work is required in order to finalise the service model.

The Cluster’s proposal is for development of the Queens Park Medical Centre (QPMC) as a polysystem hub, working with the GPs in the centre to deliver an integrated model of planned and urgent care services. The Project Team is assessing the affordability of the urgent care element of this model, linked to the likely footfall of patients through the service and the close proximity of other urgent care services at the planned GP-led Health Centre on Harrow Road, and also at St Charles Hospital in NHS Kensington and Chelsea. If affordability and return on investment of the urgent care element of the model cannot be demonstrated, work to develop the QPMC as the hub will continue, with a range of other services being located there.

An engagement process with local stakeholders is due to commence during November, the findings of which will be incorporated into the final service model which should be complete by February 2010. The timescale for implementation will be dependent on the model, as will the requisite investment and planned savings over time.

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