Penny Emerit, Polyclinics Project Manager, HfL

1
Penny Emerit, Polyclinics Project Manager, HfL
2
Forward Look

• Workshop 7 Implementing the service model
• Using patient scenarios to bring the service
  model to life
• Workshop 8 Delivering integration in
  polyclinics
• Commissioning and contracting for integration
• IT as an enabler for integration
• Learning from service redesign
• Workshop 9 Ensuring sustainability
• How to continue implementation across London

3
Implementing a common vision locally

• There is no single solution, different models
  will evolve to meet local needs
• However
• There is a London-wide vision with common, core
  characteristics
• There are some known minimum standards
• But there is flexibility within the model to
  enable local development within the London vision
• The model will develop with local implementation
  not as a result of a mandate across London
• To ensure the ambition of the model is not
  compromised, we should conduct a reasonableness
  test in relation to local interpretation of the
  core characteristics through implementation

4
Examples of local implementation of the model

• Consistent approach to give patients clarity on
  expectations
• All polyclinics will provide a range of services
  covering the core characteristics
• Access 12 hours a day, 7 days a week, bookable
  walk-in, for registered and unregistered
• Urgent care provision
• The range of services will be tailored locally
• Outpatient services in hospital-based polyclinics
• Dispensing pharmacy
• Access to some specialist services
• Broader range of local authority services

5
Polyclinic services

• GP
• GP services
• - Consulting and procedure rooms
• - Dedicated child-friendly facilities
• - Core and extended GP services
• - Extended hours - 12 hours, 7 days
• Practice Nurse services

• Community services
• District Nursing
• Health visitors childrens services
• Midwifery
• Specialised therapies
• Outreach services (TB/HIV)
• End-of-life care
• Dieticians

• Diagnostics
• Phlebotomy
• ECG, Pulse Oximetry, Spirometry
• X-ray, U/S and Vascular Doppler
• CTG
• CT, MRI
• Colonoscopy
• Haematology, microbiology and pathology

• Pharmacy
• Medicines use review
• Medicines management services
• Anti-coagulation services
• Dispensing services

• Long-term conditions
• Detection of undiagnosed
• Screening early detection
• Community matrons
• Management of disease registers
• Access to
• - Expert patient programme
• - Information prescriptions
• - Managers of complex needs

• Outpatient services
• Management of chronic illness (e.g. COPD, asthma
  and diabetes)
• Community paediatrics
• Consultant or PwS
• Mental health
• Audiology
• Chemotherapy
• IV transfusions
• Access to pain management

• Other healthcare professionals
• Optician
• Dentist
• Other health professionals