Transformation Ideas

Proposals Approved
IDEA DETAIL COMMENT

Sowe Valley Cluster (North and South)

Proposal: Joining together the EMIS system across the cluster so that they can make shared appointment s and consultations across the practices in the cluster.

High Impact Actions: the proposal addresses 5 of the 10 high impact actions

Funding required: £6.4k (£4.4k for project administrator, £2k for IG support). This represents 4% of their £2 per head funding

This proposal has been reviewed by IT support for the Primary Care Team. They have confirmed their support for the bid and confirmed that it is moving in the right direction to comply with the Coventry & Warwickshire Local Digital Roadmap, Five Year Forward View and the GP & MH Five Year View.

Go West Cluster 

Establishment of group consultations for Type 2 diabetics across the cluster. Would utilise the services of an ANP to set up the groups, and provide the training needed to run the clinics. A typical group may consist of 15 patients meeting for 1-2 hours. There would need to be a facilitator for the whole session, a clinician for part of the session and a data entry person for after the session.

 

High Impact Actions:  the proposal addresses 5 of the 10 high impact actions

Funding required: £30k. This represents 31% of their £2 per head funding
This proposal has been reviewed by the Diabetes commissioning team. They have advised that this idea was considered by the Diabetes Transformation funding stream, but other initiatives were prioritised. Therefore this doesn’t duplicate anything else that is currently going on. This project would, therefore, be supported by the Diabetes Transformation Group.

 

 

   
Proposals under review
IDEA DETAIL COMMENT

Go West Cluster

Care Homes Pharmacist accessing GP records. The care home pharmacist assists the GPs in the management of patients in care homes. To do this work she has to come into the surgeries to download data for her paper based records, then complete the paperwork and send this back to the surgery for the medical record to be updated.

This work could be done directly on a tablet (or similar), saving both the pharmacist and the practice a lot of administrative time.

High Impact Actions: the proposal addresses 5 of the 10 high impact actions

Funding required: £400 for tablet. £30 per month data package

 

This proposal has been reviewed by the Head of Medicines Management, and IT support for the Primary Care Team. Both have confirmed their support for the bid subject to the following:

·         The cluster retains the responsibility for the IT equipment, and not the CCG employee

·         A privacy impact assessment and data sharing agreement will need to be made between the cluster practices

Go West Cluster

Microsuction for the removal of ear wax and purchase of microsuction machine. Patients often require 2 appointments for ear wax removal as they need to use oil before syringing, but with microsuction would just be able to book with the nurse and have wax removed at the 1st appointment.

If a patient has had ear perforation or surgery to the drum in the past syringing is contraindicated and we are having to refer this patient to secondary care for wax removal.  Therefore offering inhouse could reduce referrals and costs of these initially across the cluster, but could then be rolled out city wide

High Impact Actions:  the proposal addresses 6 of the 10 high impact actions

Funding required: £2.5k. This represents 3% of their cluster allocation

This fits the criteria, and is below the threshold for Chief’s to approve

Go West Cluster

Dermatoscope training and purchase of a dermatoscope.

Large number of referrals, some of these 2 week waits, to dermatology with a high discharge rate after 1st appointment once the lesion has been looked at under a dermatoscope and the patient reassured.

Could reduce referrals and costs of these initially across the cluster, but could then be rolled out citywide

High Impact Actions:  the proposal addresses 5 of the 10 high impact actions

Funding required: £1k. This represents 1% of their cluster allocation

This fits the criteria, and is below the threshold for Chief’s to approve

Go West Cluster

Video of exercises for specific joint pains created by GP and physiotherapist

There is an increasing demand for physiotherapy with a prolonged wait.  This often results in multiple appointments with GPs prior to the appointment to try and manage their systems.

Immediate access to physio exercises should reduce GP workload and reduce physiotherapy referrals

High Impact Actions:  the proposal addresses 5 of the 10 high impact actions

Funding required: £1k. This represents 1% of their cluster allocation

This fits the criteria, and is below the threshold for Chief’s to approve

Proposals not approved
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