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Birkenhead & Wallasey Primary Care Trust ‘improving health, reducing inequalities’ Fresh approaches to developing Primary and Social Care through premises Dr Alan Roberts Iain Stewart, Head of Wallasey Birkenhead and Wallasey PCT is part of the Cheshire and Merseyside teaching PCT Collaborative ‘a learning community’ Birkenhead & Wallasey Primary Care Trust ‘improving health, reducing inequalities’ Wallasey locality profile Population: 73,000 Number of practices: 17 Number of GPs: 44 Birkenhead and Wallasey PCT is part of the Cheshire and Merseyside teaching PCT Collaborative ‘a learning community’ Birkenhead & Wallasey Primary Care Trust ‘improving health, reducing inequalities’ History of Wallasey - 1990 – Informal meetings/PGEA meetings - Locality/Extended Executive/CMG - Multi-Fund formed between smaller practices - Therapeutics Groups established before PCGs - Established concept of sharing clinical knowledge to improve practice - Locality-wide Protected Learning Time Birkenhead and Wallasey PCT is part of the Cheshire and Merseyside teaching PCT Collaborative ‘a learning community’ Birkenhead & Wallasey Primary Care Trust ‘improving health, reducing inequalities’ Birkenhead and Wallasey PCT is part of the Cheshire and Merseyside teaching PCT Collaborative ‘a learning community’ Birkenhead & Wallasey Primary Care Trust ‘improving health, reducing inequalities’ Birkenhead and Wallasey PCT is part of the Cheshire and Merseyside teaching PCT Collaborative ‘a learning community’ Birkenhead & Wallasey Primary Care Trust ‘improving health, reducing inequalities’ Future profile of GP premises Centre 1. 4 practices Centre 2. 4 practices Centre 3. 3 practices Centre 4. 1 practice Centre 5. 3 practices Centre 6. 1 practice Birkenhead and Wallasey PCT is part of the Cheshire and Merseyside teaching PCT Collaborative ‘a learning community’ Birkenhead & Wallasey Primary Care Trust ‘improving health, reducing inequalities’ Services at each Centre: Phlebotomy Dietetics Podiatry Physiotherapy Counselling/CBT Citizens Advice Bureau Medical Training facilities Social Care services Complementary therapies PALS Birkenhead and Wallasey PCT is part of the Cheshire and Merseyside teaching PCT Collaborative ‘a learning community’ Birkenhead & Wallasey Primary Care Trust ‘improving health, reducing inequalities’ Contractual flexibility via Personal Medical Services • 15 Practices, 41 GP’s working together to address public health needs • Wallasey Heart Centre/ Care of Elderly in Nursing Homes • Dermatology service • Sharing best practice and clinical knowledge – no more competition • Higher profile nursing investment – Access targets met WEF 2001 as a PCG • Type II Diabetic Management in primary care – NSF Secondary to primary • Feel good factor Birkenhead and Wallasey PCT is part of the Cheshire and Merseyside teaching PCT Collaborative ‘a learning community’ Birkenhead & Wallasey Primary Care Trust ‘improving health, reducing inequalities’ Birkenhead and Wallasey PCT is part of the Cheshire and Merseyside teaching PCT Collaborative ‘a learning community’ Birkenhead & Wallasey Primary Care Trust ‘improving health, reducing inequalities’ The start of a Local Quality Framework? Secondary Intermediate Extended Primary Birkenhead and Wallasey PCT is part of the Cheshire and Merseyside teaching PCT Collaborative ‘a learning community’ Birkenhead & Wallasey Primary Care Trust ‘improving health, reducing inequalities’ Contracting from 2004; A local deal versus a national deal Local contract structured as simply as; Managing Chronic Disease Access to Primary Care services Addressing Health Inequalities PCT Star Rating areas Managing the business Local Quality Framework Contract Value £ Birkenhead and Wallasey PCT is part of the Cheshire and Merseyside teaching PCT Collaborative ‘a learning community’ Birkenhead & Wallasey Primary Care Trust ‘improving health, reducing inequalities’ So, a fresh approach? Well, these guys had a premises idea too……………. Birkenhead and Wallasey PCT is part of the Cheshire and Merseyside teaching PCT Collaborative ‘a learning community’