BLANDFORD MEDICAL CENTRE

PRESENTATION TOBROOKS NEWMARK MP and

NHS ENGLAND21 March 2014

Current pressures and on-going• Under funded practices due to Carr-hill Formula• Disproportionate weighted list size• Expansion of the town, new developments• Essex County Council only consider health resources

with new planning applications • Increase in number of nursing and residential homes,

with patients being accepted with inappropriate conditions staff cannot cope with

• Appears to be no plans to consider the infrastructure required to support the growth of the town

• Inaccurate statements

All of which has

• Increased complaints for the practice• Staff being under extreme pressure, increasing staff

sickness and patients being put at additional risk • Patients seeking care with A&E, OOH or “walk-in

centres” increasing the pressure for these divisions inappropriately

• Patients, media and social media coverage only leads to sensationalising stories

• No support from NHS England

Patient number end March 2013REGULAR PATIENTS IN MAR 2013. BASE IS NATIONAL POPULATION UK 1988 ------------------------------------------------------------------------------ |Age groups |0-4 5-16 17-24 25-34 35-44 45-54 55-64 65-74 75-84 85-89 90+ | |------------------------------------------------------------------------------| |Males 642 1283 928 1309 1255 1138 1087 835 296 66 44 | |------------------------------------------------------------------------------| |Base 603 1241 1333 1336 1257 994 919 696 359 39 16 | |------------------------------------------------------------------------------| |Percent 106% 103% 70% 98% 100% 114% 118% 120% 82% 167% 279% | |------------------------------------------------------------------------------| |Females 606 1255 878 1414 1208 1210 1159 787 389 148 110 | |------------------------------------------------------------------------------| |Base 574 1172 1278 1318 1253 991 966 890 621 111 80 | |------------------------------------------------------------------------------| |Percent 105% 107% 69% 107% 96% 122% 120% 88% 63% 133% 138% | |------------------------------------------------------------------------------| |Total males : 8883 Base : 8793 Percent : 101% | |------------------------------------------------------------------------------| |Total females : 9164 Base : 9254 Percent : 99% | |------------------------------------------------------------------------------| |Total both sexes : 18047 Base : 18047 Percent : 100% | ------------------------------------------------------------------------------

• List size 18047 • Weighted list size disproportionate against practice 1 mile away• Mount Chambers list closed

Current practice list sizesPractice Current list size Weighted list

size% Patients not

funded

St Lawrence 15834 15045 95% 789

Mount Chambers 12900 12200 95% 700

Blyths Meadow 10528 8443 82% 2085

Blandford Medical Centre

17933 15952 88% 1981

Actions taken by practice to support patients and staff

• NHS England rejected our application to close our patient list

• Practice and Patients being put at risk due to non closure

• No support from NHS England with the situation we face

• Practice recruitment programme for GPs from Sept 2011 – Jan 2013, 25 applications, 13 candidates interviewed unsuccessful

• Use of long term locums during recruitment period

• New full-time Dr recruited from January 2013, May 2013 and May 2014 (x3)

• Increased reception staffing to provide greater access

• Increased phone lines into practice with better supporting software providing options for the patient

• Participated in Primary Care Foundation Independent Review of Access to practice:– average consultations for our patient population

6.67 per registered patient per year, against national consultation rates of 5.41 per registered patient for our demographic population.

• Suggested changes were implemented

ACTIONS BY PRACTICE to support patients and staff and reduce risk• Use of long term locums during this period • New Dr recruited from January 2014• Increased reception staffing to provide greater

access• Increased phone lines into practice with better

supporting software providing options for the patient

• Participated in Primary Care Foundation Independent Review of Access to practice

Answers from questions:• Patient Forum Group questions raised during a

meeting between MP and Mr Ray Falco of 17 January 2014

• Why is there no support from NHS England with providing patients with information from a National level about the pressures practices are under?

• Practices are accused of not referring patients to the local Community Hospital as they get a financial incentive for referring to Springfield?