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Our pilot projectMoving primary care to a population wellbeing approach
Prime Minister’s Challenge Fund: Extending Access to General Practice
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West Wakefield
• 6 practices• 63,910 patients
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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
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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
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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
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Digital
• Social Networks– Health messages– Hard to reach groups– Tweeting Pod
• Better Connection– Unified communications– Video/voice– Presence aware– Virtual Teams– Social Intranet
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Co-ordination & integration
• Integrated teams with social care, nursing, hospitals, community & mental health, GP and voluntary services
• Sharing records• Virtual meetings• Unified communications
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Self care
• Care Navigator• Health and wellbeing worker• Voluntary services• Social prescribing• On-line local service directory
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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
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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
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Charter
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Sustainability
• Reduced OOH Contacts• Reduced non-elective admissions• Redesign in direct-access physiotherapy• Reduction in Walk-in Centre attendances
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Kelly’s story
http://tinyurl.com/obdf9gk
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