Taking on board the consultation responses and comments from patients, public and stakeholder groups, the Governing Body agreed to go ahead with the proposals, subject to a number of recommendations in response to issues raised during the consultation.
Dr Gary Howsam, Clinical Chair and Chief Clinical Officer said,
“The CCG is committed to reducing health inequalities and to improving access to services for all patients. We believe that having a co-located GP Out of Hours base at Addenbrooke’s will not only enable services to work closer together but make them more clinically effective for the patient.
“At a time when A&E departments are seeing rising attendances, we believe our proposal will help alleviate the pressure on Addenbrooke’s A&E department whilst being in line with a national requirement for GP streaming models to be in place at all A&E departments by October 2017.
“However, we also recognise the issues that have been raised throughout the consultation and have identified some immediate actions and some longer term proposals to address these concerns.
“For patients in the Chesterton, Arbury and King’s Hedges areas we’re developing plans to extend access to GP services. It is also clear that we need to raise awareness of current services such as the newly commissioned Integrated Urgent Care (IUC) service, the First Response Mental Health Service, accessed by calling 111, and the recently launched MyHealth App to help ensure patients get the right treatment, in the right place, at the right time.
“The feedback we have received has been invaluable and we plan to have patient, staff and local councillor representation as part of the project to oversee the development, planning and implementation phases.”
The CCG’s Governing Body discussed the feedback from the public consultation, and discussed the issues that had been raised. The Governing Body noted the concerns and discussed the mitigations that could be put in place to address them. The Governing Body agreed that a co-located GP Out of Hours service, combined with a GP streaming service at Addenbrooke’s, would have the following benefits:
- Access to comprehensive primary care services, for patients referred either through Out of Hours or via the A&E Department;
- If a patient’s condition deteriorates (5% need this) access to A&E is immediate;
- Access to diagnostics, or a specialist opinion if needed;
- Timely access to care for patients with an urgent care need;
- Helps to reduce A&E overcrowding which improves outcomes for emergency patients;
- Economies of scale regarding GP shift fill (1830 – 0800 and weekends) where recruiting GPs is a challenge both locally and nationally;
- Opportunity to extend hours of on site pharmacy at CUHFT; and
- Single location that is well known by the general population with direct bus routes/access.
The Governing Body also asked that there be careful oversight of an implementation plan and a steering group involving Healthwatch and local patients to take the project forward. A clinical subgroup will also established to ensure a safe transition.
Cambridgeshire and Peterborough CCG will now work with Cambridge University Hospitals NHS Foundation Trust, Herts Urgent Care, and stakeholders to implement the changes.
Notes to editors:
- Cambridgeshire and Peterborough Clinical Commissioning Group (CCG) is a clinically led organisation with 105 GP practices as members across Cambridgeshire, Peterborough and parts of Hertfordshire and Northamptonshire. We are one of the largest CCGs in England and responsible for ensuring that high quality NHS services are provided to our 940,000 patient population.
- The Governing Body was presented with a report based on all of the feedback received during the six week public consultation that ran from 13 January until 6 March 2017.
- Feedback was collected during the consultation in a number of ways. This included public meetings, distributing printed copies of the consultation document, attending meetings of other interested groups, running an online survey and collecting letters, emails and telephone calls with feedback on what people thought of these proposals.
- The CCG received 1,069 responses to the consultation, as well as a petition containing 2,234 signatures.
- Anyone with concerns regarding this decision patients can contact:
Patient Experience Team
Freephone: 0800 279 2535
- The CCG carefully considered all the feedback from the public consultation, a summary of the issues raised and mitigations is below. More detail can be found in the CCG Governing Body papers.