Graham Urwin

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Graham Urwin Chief Executive Stoke on
Trent Primary Care Trust
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Stoke on Trent PCT

• Registered population 276,000
• Allocation 390 million
• Primary Care
• 145 GPs in 56 practices
• LIFT Co established 2003

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Stoke-on-Trent PCT Community Hospitals Health
Centres and GP Practices
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What we used to build!
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Packmoor Primary Care Centre
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Packmoor

• Built to replace a portacabin accommodating a
  PCT run practice
• 770 m2 of which 50 is GMS space
• Opened in April 2006
• Target list size 6,500 patients
• Actual list size 2,500 patients
• Other services District Nursing and Health
  Visiting

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Strategic Context
White Paper Our Health, Our Care, Our Say
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Strategy Redesigning Primary Care

• New SSDP out for consultation strategic
  service
• redesign aligned with local authority strategy
• PFI hospital downsized in January fewer beds
  and
• more services shifting closer to home etc

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• Intermediate Care Capacity Bridge Analysis
• This shows the change in bed numbers at UHNS, the
  current step up / down intermediate care
  capacity and the development of intermediate
  care, assessment and rehabilitation beds / places
  in the community.

UHNS Modelling Assumptions
Shift to 90th Daycase Rate -5 ?
Impact of Waiting List Assumptions -1 ?
Demographic Growth 205 ?
LOS Reduction -332 ?
Admission Avoidance -32 ?
UHNS Baseline 1054 Beds Daycase Beds 2005 / 06
(Excluding Maternity, Critical Care Dialysis)
LOS Reduction due to Intermediate Care -91 ?
UHNS Forecast New Acute 798 Beds Daycase Beds
2013/14 (Excluding Maternity, Critical Care
Dialysis)
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Stoke-on-Trent PCT Neighbourhood Management Areas
Investment in Tier 2 and Tier 3 centres is
currently being made in the north and east of the
city using PFI. The Strategic Service
Development Plan (Consultation commences Jan 07)
sets out further investments using the North
Staffordshire LIFT initiative.
Capacity to delivery 84 of the out patient
transfer from secondary to primary care will be
in place by 2010. 100 capacity is dependent
upon the outcome of consultation regarding the
West of the city and funding availability but
could be delivered by 2013 / 14.
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Tier 2 3 Services Stoke-on-Trent PCT
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Planned OP Capacity Stoke-on-Trent PCT

• In the following specialities
• ENT
• Gynaecology
• Neurology
• Urology
• Plastics
• Ophthalmology
• General Medicine (predominantly Diabetes)

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What we will build!
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Shelton Health Centre
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Shelton

• On site now due to complete in April 2008
• 2800m2 comprehensive facility
• In one of the most deprived areas of
  Stoke-on-Trent
• Patient list 16,000
• 3 GP practices coming together under one roof
  all sharing 1st floor
• Substantial generic accommodation for
  out-patient appointments, primary care
• treatment facility, including minor surgery,
  long term conditions management
• 2/3rds of the building is flexible, bookable
  space which can be used by all
• Substantial training facility opposite higher
  education college
• Community space on ground floor for self-care
  activities

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Graham Urwin Chief Executive Stoke on
Trent Primary Care Trust