New GP Practices

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Enclosure 6
New GP Practices Health Centres in the West
Midlands
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Eamonn Kelly

• Director of Commissioning
• NHS West Midlands

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Purpose of Today

• To provide you with
• An understanding of the Extended Access to
  Primary Medical Care programme in the West
  Midlands
• Information about the procurement process
• The Next Steps

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Introduction by Eamonn Kelly

• What Patients tell us they want (survey by bmrb)
• GPs and Reception staff to have better soft
  skills
• Staff and Surgeries to be clean and tidy
• Appointments to be easier to make and when
  convenient for us
• Lifestyle advice
• Longer opening hours
• Modern buildings
• Co-location of other services on site

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Gillian Goodlad

• Deputy Senior Responsible Owner
• SHA West Midlands

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NHS Next Stage Review EAPC in WM
Access to primary medical care services varies
significantly across the country
Poorest communities worst health outcomes
Lord Darzi Report
Life expectancy gap between most and least
deprived areas has widened,
Major inequalities exist within England-life
expectancy-infant mortality-cancer mortality
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Life Expectancy and GP Numbers
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The Need for Improvement in the West Midlands
The West Midlands is under-doctored

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National and Local Services for EAPC

• National level
• At least 100 new general practices in 25 of
  PCTs with the poorest provision
• And one new GP led health centre in each PCT in
  easily accessible locations
• Equitable Access in Primary Medical Care
  Programme will play a significant role in
  achieving more personalised care set out by Lord
  Darzi

• Local level
• 22 new GP Practices located in deprived areas of
  NHS West Midlands
• 17 new health centres in accessible locations,
  open 7 days a week, 12 hours a day
• Improved access for all members of the
  population
• Tenders advertised by NHS West Midlands

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Principles

• New capacity not expansion or replacement of
  existing surgeries or health centres. Though PCTs
  may use funding for services that were already in
  planning stage at the time of Our NHS, Our Future

• Investment is for additional capacity (i.e. extra
  GPs, nurses and support staff)

• New and innovative services, not necessarily new
  buildings or facilities. PCTs may wish to utilise
  LIFT or other community developments.

• Every health centre will have GP services at its
  core. Anyone (regardless of where they are
  registered) should be able to get bookable GP
  appointments or walk-services

• All services commissioned following an open and
  transparent tendering process, most likely using
  APMS as the contracting vehicle.

• PCTs to work out potential integration with other
  services (pharmacy, diagnostic, social care)

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Core Requirements
GP practices ?Core GP services ?List Size gt6k
patients ?Extended opening hours ?Plans for
Accredited Training Practice ?Practice based
commissioning ?Wide practice boundaries
Health Centres ?Core GP services ?Integrate and
co-locate with other community based
services ?Easily accessible locations ?Open 8am-
8pm 7 days a week ?Bookable GP appointments
walk in services ?Registered and non-registered
patients
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Integration of Services

• Emphasis on integration of Primary Care with
  Community services also other services in some
  projects
• Each PCT is developing its own Strategic Plan
• These plans and therefore projects will vary

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PCT Projects in the West Midlands
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North Staffordshire
1
Stoke on Trent
2
1
1
South Staffordshire
Telford Wrekin
1
Walsall Teaching
Wolverhampton City
1
Shropshire County
1
Birmingham East North
1
3
3
1
Sandwell
1
Heart of Birmingham Teaching
3
1
3
1
Dudley
2
2
1
1
1
Solihull
1
Coventry Teaching
2
South Birmingham
Warwickshire
Worcestershire
1
1
Herefordshire
1
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The Benefits

• Improved access to Primary Care for people in
  deprived and under-doctored areas throughout the
  West Midlands
• Provision of longer GP opening hours in easily
  accessible locations for a range of GP and other
  services e.g., social services
• Improved health and well-being for patients in
  the West Midlands
• Reduced demands on hospitals for acute care

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Bob Donkin

• Programme Manager
• NHS West Midlands

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Programme Management in the WM

• In December 2007 Ministers decided that National
  Procurements would in future be devolved and this
  procurement of New GP Practices and Health
  Centres is the first of these

SHAs PCTs
Department of Health
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National Timeline (see pack)
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Key Dates
SHAs to report progress against the 5 milestones
below during 2008/09
Hols !!
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Programme Management Structure
Eamonn Kelly
SRO
SHA
PCTs
Deputy SRO
Programme Board
PCT Project Mgrs
Programme Manager
Procurement Advisors
Legal Advisors
Programme Office Team
BB
HPC
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Programme Office Team
CRAIG
MANDY
TANYA
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The Benefits of using PPM

• Benefits to Bidders-
• reduces risk of post-contract legal objections
• procurement programme is professionally resourced
  managed
• Benefits to the NHS-
• programme is delivered on time on cost
• reduces chances of things going wrong
• we want your bids!!
• pass any audits by OGC Gateway or Audit
  Commission

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Questions Answers Session

• Chaired by Eamonn Kelly
• Director of Commissioning
• NHS West Midlands

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Gillian Goodlad

• Deputy Senior Responsible Owner
• SHA West Midlands

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The Next Steps

• Bidder Workshop Days
• Help to Bidders with assembling Tender Documents
• But no help with content!
• Bidders we want your comments ideas
• Information Packs contain
• Agenda, this presentation, PCT projects
  groupings, timetable, letters from DH, FAQs,
  questionnaire, list of attendees
• Key Dates coming soon
• May 9 - 16 Issue Advert and MOI
• May 23 BIDDERS MUST REGISTER THEIR
  INTEREST