Provision of unscheduled primary care and GP access. Dr Josip Car Medical Director & PEC Chair NHS Hammersmith and Fulham and Director of eHealth Unit Imperial College London. A Framework for Action. The need to improve Londoners' health The NHS is not meeting Londoners' expectations
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Dr Josip Car
Medical Director & PEC Chair
NHS Hammersmith and Fulham
and Director of eHealth Unit
Imperial College London
What’s Our History?
Why go out to Tender?
Improved outcomes for residents across the area by developing a new service model, improving performance measures and addressing issues of equity, quality and access
Patients attending A&E for what could be described as routine Primary Care conditions represent a growing cohort and present the PCT with a significant financial challenge due to:
The patients belong to a variety of groupings that can be categorised as those patients who are:
Current services categorised as those patients who are:
Single Point of Access categorised as those patients who are:
There is currently no single point of access call number for the locality.
there are a wide range of community services that could be used on an unscheduled basis to avoid an A&E attendance. These include District Nursing, End of Life Care teams, Falls Teams, Respiratory Care, Diabetes Nurses, Catheter Care teams etc.
We know from our OOH provider that call handling can be extremely effective in reducing A&E demand and we need to replicate this in some form for in hours.
The key objectives of the project: categorised as those patients who are:
Project approach July 2009 and that robust contract management processes are established to ensure that the new service meets performance standards.
The project includes the following services commissioned by Hammersmith and Fulham PCT:
Constraints Hammersmith and Fulham PCT:
Scope of the Tender?
Why choose Competitive Dialogue?