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Provider Development Project The Department of Health is now working with out-of-hours providers and PCTs to support the development of a robust and effective network of clinical service providers. The project’s aim is to explore how co-ops might best evolve into organisations capable of designing, implementing and managing new methods of clinical service delivery, especially as GP’s increasingly opt-out of or transfer responsibility for out of hours care. The project will: - assist in the development of a provider network with integrated GP and other services
- ensure the OOHs network develops in support of the GP contract and delivers a new network by December 2004.
These organisations will form a key part of the increasingly integrated out of hours service which PCT’s must make available to patients, embracing NHS Direct, Accident and Emergency departments, Walk In Centres and Ambulance Services together with wider community providers. Two workstreams have been established to take this work forward: OPM (Office of Public Management) Modelling exercise - A modelling exercise involving stakeholders from emergency care, ambulance services, Trusts, SHAs, PCTs, local authorities, OOH providers, private sector companies, NAGPC, NatPaCT and patients will provide detailed information on how integrated OOH care can be provided. A process toolkit for PCTs, that enables them to manage the development of new systems for delivering OOH care will be made available to all PCTs over the summer. Future structures project sites - Five sites have been invited to participate in an exercise that will explore how OOH providers can adapt to provide integrated OOH care to their localities. An initial meeting has been conducted between the Department, the NAGPC. The context for and outcomes of the project have been agreed and all project sites have been required to submit project plans to the Central Project Group. These plans detail how each site will achieve the high level aims expressed to them at the initial meeting. Only then will participation in the project be confirmed.
| Pilot project focuses | - The workload and case mix currently handled by existing services but ideally managed by a new combined primary care clinical services provider in the OOH period.
- A suitable structure, skill mix and governance framework for delivering care to that case load.
- The required changes in existing service provision pattern along with the management implications of doing so.
- The barriers to creating these changes and suggestions for overcoming these difficulties
- Methods of facilitating leadership roles within clinical and managerial staff and identification of motivators and structures to keep such leaders in place.
- The scope for the provision of daytime support to practices
- Systems for joint working and co-operation with neighbouring providers.
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Combined, these two workstreams will provide valuable information that will allow local OOH providers and PCTs to make informed judgements concerning an organisation’s structure and governance arrangements. Key development dates
OPM modelling exercise
Phase 1 Identify alternative service models -
Corporate Governance | Apr 03 | Phase 2 Understanding future requirements -
Ideal Structure | Apr 03 | Phase 3 Prototype testing -
24 hour workshop/ open stimulation | May 03 | Phase 4 Production of advice, guidance and support - Analysis of results
Phase 5 Distribute report | May - Jul 03
Aug 03 |
Future structures project
| Phase 1 Caseload and case mix analysis mapped by volume/location/time/transport options | Jul - Sep 03 | | Phase 2 Suitable clinical team identified to meet caseload/case mix (to include accommodation, IT and staffing) | Nov 03 | | Phase 3 Barriers and levers for production of effective team identified | Nov 03
| | Phase 4 Budget calculation and financial estimations | Nov 03 - Jan 04 |
Project Site Selection Process
Each of the five project sites have varying local challenges, which provide for a rich resource of information that can be disseminated to PCTs. Working closely with the NAGPC, five potential sites were identified and subsequently invited to take part as project sites. Each site was required to submit a detailed project plan describing how they intended to develop a high quality, integrated and sustainable OOH service. All sites were in receipt of supportive funding from the Department of Health with the exception of Primecare Leicester. |
