Issue - meetings

The Committee were provided an update on Urgent Primary Care from a previous presentation which had been provided in November 2018.

The Committee were provided an update on the walk-in centre.  Consultation had been undertaken on different models of urgent primary care.  There was not an alternative to the walk-in centre at this time.  The winter had brought into focus the reconfiguration of the North East Sector and the adaptations in provisions.  The members were informed that it had been a difficult winter with a significant effect on accident and emergency provision, but the level of safety had been maintained.  Members were also informed of the 88% customer satisfaction level.  The four hour waiting time had been difficult to achieve.  Members were also informed that when demand had been analysed, 42% presented at A&E had not been from Oldham, and 14% of individuals who had attended the walk-in centre had not been from Oldham. 

Members were also provided an update on the business case for the express care hub.  Members were also provided an update on the 7-day access and routine primary care for those unable to access services during normal hours which provided 8000 minutes over four sites on top of general practice hours. 

Members sought clarification on any expansion of the services and were informed that the funding was only for 8000 minutes over the four sites.

Members advised that they had used the 7-day service at Royton but could not find the way in.  Members were informed that this feedback had not been provided before and would be investigated.

Members asked about the Integrated Care Centre and were informed of the One Oldham Estate review.  Members sought and received an update about the service hours of the ICC.  Members raised the issue of waiting times at A&E and the use of call-out doctors.  Members were informed of the Urgent Care Review and that this will come back to a future meeting.  Members were informed that the ‘111’ helpline was used more in the North West than anywhere else.  Members were also informed that out-of-hours capacity problems were due to decisions beyond the CCG’s control and issues were being resolved.

Members commented on the experiences of this winter and lessons to be learned.  Members were informed of the unbalanced demand with the number of ambulances and the problems with flu.  Another review was pending for the Winter 2019/20.

Members were informed of the IT situation, i.e. access issues and compatibility of systems.  Progress had been made with every practitioner being able to access date.  Members were informed of issues related to GDPR and the need for a data sharing agreement.

RESOLVED that:

1.       The progress made on the implementation of the new model of Urgent Primary Care be noted.

2.       An update be provided in six months’ time.

3.       Out-of-Hours Access to the Royton Medical Centre be reviewed.