CCG Feedback February 2014 Below are the issues raised in the January Development Workshop CCG feedback segment, along with their outcomes. To raise a query, you can email [email protected] The mailbox is monitored twice daily, issues are then logged and a response should be available within 20 working days. Issue/Query Outcome/Update Feedback on the Sexual Health Services – practices are not clear on what is now happening and where (if at all) they are supposed to refer patients The service is running at the Ipswich Hospital site with limited capacity and additional nurse run clinics have been set up in central Ipswich. All symptomatic STI and HIV patients are seen at the hospital clinic. The message is for all patients to use the Ipswich Hospital clinic as usual – if they phone or attend they will be triaged. The patient contact number has not changed and is 0300 123 3650. The advice line for clinicians only is 01473 703854. Temporary modular buildings are being refurbished for delivery in April which is in time for the final date the hospital have given the service to move out completely. It will be a fully equipped specialist facility based in community for 4 years, after which a permanent solution will be in place. Patient self-referred to AHPS and were called by a private company – this is currently being investigated by PALS IHT physiotherapy wait is around 3 months PALS are not aware of this issue. For any queries please use the contract query email: [email protected] Glaucoma service – the service has been sending letters to practices regarding follow-up appointments for deceased patients (letter states that the patient hasn’t been seen because they are deceased but the practice can re-refer that patient if necessary). SERCO – Medical students are no longer able to shadow district nurses. What is the reason for this? The Contracting team at the CCG are working with the Glaucoma service (Newmedica) to resolve the issue. If practices have any further examples of where this or similar issues have occurred, please email [email protected] The CCG’s Contracting team have provided the latest waiting times for Physiotherapy and these show a maximum wait of 18 weeks, with 17 patients over 12 weeks (7%). This is within the contractual standard. Practices are advised to email the contract query line if they feel that this is not the case so that specific cases can be reviewed. SERCO are not aware of this issue. If there are any specific examples of this please email the contract query email for investigation: [email protected] Issue/Query The Wellbeing Service are telling patients that they have stopped doing counselling and are only now doing group CBT Mandatory training - Can GPs have a day/afternoon covering all mandatory training? APS – there seems to be issues with their capacity out of hours. Consultants at the Nuffield need to tell their patients that they are on the NHS OA hip/knee pathway when relevant QOF QP OA Hip pathway – are the changes to the pathway going to affect the reporting/evidence collecting for QOF QP? SERCO are now long taking bloods in the community – how will this be resolved? Link workers are being asked to undertake wellbeing services NHS 111 – Letters are not reducing in size despite reassurances that they are Outcome/Update NSFT have clarified that one to one CBT is being offered in groups and in individual settings, alongside other therapies, driven by the needs of the service user Sessions commonly known as ‘mandatory’ training will be considered as part of the 2014/15 training programme. There have been a number of on-going issues with the APS service regarding capacity constraints and the Quality and Contracting teams have been collating this information by practice. In addition Ipswich Hospital and SERCO/SCH have completed audits for the Community Intervention Services (CIS) function, collating information of areas/days/times and numbers of constraints. This information has been submitted and discussed through the contracting routes. If practices have any specific examples, please email the contract query email for investigation: [email protected] This is going to be raised at the Trauma and Orthopaedics Clinical Network meeting in March and we are liaising with Contracts to ensure that the Nuffield is aware of the pathway. If practices which to raise any further incidences, or anything of a similar nature, please email [email protected] The CCG have been informed that all practices in Ipswich and East Suffolk have opted to take up the Area Team offer to commence work on the East Anglia Preparatory QOF Scheme. The CCG would like to highlight that whilst we do not expect practices to report on or evidence the use of the QOF QP pathways previously identified, it is expected that practices will continue to use them. Serco has raised with us some important questions about what is included within the contract currently and if and where, gaps may exist. We are working very closely with Serco to address this and ensure a quality service for all housebound patients. Whilst we do this Serco has committed to continuing to provide the service. Linkworkers are now part of the Wellbeing Service but do not deliver wellbeing sessions. However, they will support the end of the wellbeing session clinics to provide advice and signposting on to other services when the wellbeing intervention is about to come to an end. If practices have any concerns or feel that this is not the case, please email the contract query email for investigation: [email protected] This appears to be a national issue. Suffolk NHS 111 and Harmoni have welcomed requests to visit practices and speak to staff and gather feedback.