Wefacilitatetheprovisionofclinicalserviceswithinprimary careandthelocalcommunity,servingthepeopleofLeicester, LeicestershireandRutland.
Spring2024
WelcometoourSpring2024Shareholderupdatein whichwesummarisetheprojectswehavebeen workingonmostrecently,ourplansforthecoming monthsandrespondtoyourquestionsas ShareholdersofLLRPCL. Ifthereareanyareasyou wouldliketodiscussfurther,pleasedogetintouch. Wecanarrangeacall,visitorQ&Aresponse.
Therightcareattherighttime,intherightplace
PCLmade£400kavailabletoshareholdingpracticestoenablethemto accesscapitalwithwhichtopurchaseequipmentviaarentalagreement. Thiswassetuptosupportthepurchasingofequipmentwhichthe shareholdingpracticedidnothavethefundstopayforupfront.
Duringthelasttworoundsoffunding,66applicationsweresubmitted withatotalof£194kofequipmentapprovedtobepurchasedviathefund.
PCLislaunchingafinalroundoffunding,applicationsforwhichmustbe submittedby17thJuly,2024. Duetothereducedinterestfrompractices onthelastroundandtheongoingresourcesrequiredtoadministerthe existingrentalagreements,PCLhasmadethedecisionthatthiswillbethe finalopportunitytoaccessthefund.
Frequentlyrequesteditemsare includedinapre-approvedlist:
Phlebotomychair
Hydrauliccouch
Electriccouch
Hyfrecator
MESIABPI
KeitoK9
MobileExamination
light
Exampleitemswhichhave previouslybeenappliedfor andapproved:
TransformationalItems:
PrescriptionKiosk
Theatresuite equipment
OtherItems: PatientCareNavigation screen ENTendoscope.
Shareholdingpracticeto identifyequipment requirement
Practicetosubmit applicationformvia
https://forms.office.com/r/P QkjH6dJvd
PCLelectedBoardmembersmeettoreviewapplications
IfNOTApproved IfApproved
PCLtocontactpracticeto confirmnotapprovedwithin thisround
PCLtocontactpracticewith leaserentalagreement
Practicetoreturnsigned leaserentalagreement
Equipmenttobeorderedand deliverydatesarranged
Theformalcontractforthiswillformarentalagreementwithanoptional purchaseattheendoftherentalterm,foranominalvalue. Thisensuresthatthe equipmentisbeingaccountedforcorrectlyfororganisationalliability.
Thecalculations(above)showthefinancialimpactoftherentalagreementto practices,priortocorporationtax.
NoadministrativechargeisappliedbyPCLtothismodel. Costsforequipment arerecognisedandVATischarged,asisapplicable,togetthefinalcost
BenefitstotheGPPractice:
Financialsavingsincomparisontoabusinessloanat6-7%currentmarket rates. At7%foraloanontheequipmentonly,plusthecostofthe maintenancecontract,wouldbeacostof£14,691acrossthe5yearterm.
Totalsavingof£1,803acrosstheagreementterm
ThisisopentoallShareholdingPracticesnotsubjecttolengthyprocesses requiredforabusinessloanagreement
PCLisresponsibleforthemaintenanceandmanagementoftheassetduring the5yeartermoftherentalagreement
Therewillbeaclauseinthecontractforpurchaseoftheassetforanominal valueattheendoftherentalterm
InAugust2023,theShefaMedicalPracticeappliedtothePCLEquipment RentalFundtopurchaseanENTendoscopeandcamerastackanda videootoscope. Theapplicationwasapprovedandtheequipmentwas deliveredtothepracticeafewmonthslater. Thisprovidedareplacement superiorcameraandenabledphotographsandvideos,wherenecessary, tobeaddedtothe clinicalrecord.
ThenewequipmentprovidedDrFeisalDocratandhisteamwithan improvedview,improvedrecordkeepingandenablesthepracticeto continuetoimprovethePCLENTPrimaryCare+servicetothoseLLR patientswhochoosetobereferredtothepractice.
TheRovingHealthcareUnitscontinuetohaveabusyyear. Theyremain animportantpartofLLR’sCovidvaccinationprogramme,supporting populationstoaccessthevaccination. In2023/24,theRHUsupported 5,044peoplegettheirvaccine,across115locationsinLeicester, LeicestershireandRutland.
TheRHUalsoplayedasignificant roleinthepromotionanddelivery ofMMRvaccinationsacrossboth LLR. Supportingthevaccination of240adultsandchildren.
TheRHUteamhasnotjustsupportedvaccinations,however. TheAortic AneurysmAssessmentteamfromUHLhasusedtheRHUeachmonthto providescreeningwithinthecommunity. TheRHU’shavealsobeenused byInclusionHealth,whohavesupportedthehomelessandrefugee communitywithaccesstocareinthecommunitybyvisitingtheDawn Centreandlocalhotelswhichhouseasylumseekers.
LocalAuthorities,inparticularMentalHealthandWellbeingteams,have beenabletoreachouttotheircommunitiesbyholdingdrop-insessions usingtheRHU’s-reachingpatientswhomightotherwisenothaveasked forhelp. TheAdultLearningDisabilitiesTeamalsousedtheRHUsto educateandsupportthecommunitywhoneededspecialisthelparound varioushealthtopicsincludingoralhealthandunderstandingbowel habits. ThiswasachievedbytakingtheRHUouttoMENCAPandbeing abletoprovideacomfortable,safespaceinwhichtotalkandeducate.
PCL’ssocialmediapresencehasbeenvitalininformingthepublicabout whereweare,usingavarietyofdifferentsocialmediatools(suchasposts, videos,tweetsetc). Mostpeoplesaytheybecameawareofusvia Facebook. Thosewhohaveusedtheservicehavebeenhighly complimentary.
Whoeverthoughtofthis deservesamedal!
Thisisvery convenient!
Mucheasiertocome here!
AspartoftheUKresponsetoCoronavirus,CovidMedicineDeliveryUnits (CMDU)wereestablishedacrossthecountrytodeliveroutpatientbased therapeutictreatmentsforCovid-19. Thesetreatmentsareclinicallyprovento improvepatientoutcomesandreduceCovid-19relatedhospitaladmissions Mostimportantly,patientscanaccessthemedicationfromaCommunity PharmacyratherthanSecondaryCare PCLhasbeensuccessfullydelivering thisserviceinLeicester,LeicestershireandRutlandaspartoftheCovid VaccinationProgramme
Theserviceinvolvesthreecomponents:
TheReferralSupportService
SpecialistGPaTelephoneClinicalTriageService CMDUPharmacyNetworktodispensemedication
Whilsttheservicedoesnotreleaseanycostsavingstothesystem,itis estimatedthat£1.2millionperyearofcostsarebeingavoidedbecause patientsarebeingkeptoutofhospital.
CMDU:PatientSurveyFeedback
HerearesomeofthecommentspatientshavemadeaboutourCMDUservice
Fab! Overall,an amazingservice.
Noproblemsatall-a lovelyservice
Allstaffwentaboveand beyond. Verygrateful fortheirpatience
VeryEfficient
Verywellexplained Thankyoutoallthe staff
Allstaffwerevery caringand understanding
Bookingonlinewas veryeasy
Ofpatientswould recommendtheCMDU service
PCLcommencedit’squarterlyscheduleofOpenBoardmeetingstowhich shareholdingpracticesarewelcometojoin,meetthePCLDirectorsandTeam andparticipateinthediscussion
Thediscussionscoveredperformance,contracting,qualityandprocurement Keypointsincluded:
TherenamingoftheReferralSupportServicetothePatientContactHub. Managingaround56,000referralsand80,000callsperyear VaccinationandImmunisationactivitiesincludingMMRandextendinginto Northamptonshireandtootherservicesandorganisations
AimingforcontractstobesignedbytheendofMay2024.Thedelayin approvalisduetotheICBschallengingfinancialposition
PCLservicedeliverysavedthesystem£4min2023/24
PCL’srobustapproachtopatientsafetywasevidenced PCL’sprocurementpolicywasunderreview
ThiswasfollowedbyaQuestionandAnswersessionduringwhich:
Itwasconfirmedthatshareholdersapprovedthemovetoonevoteper practiceattheExtraordinaryGeneralMeeting
Itwasconfirmedthatshareholdersapprovednewshareholdingpractices attheAnnualGeneralMeetingthatfollowed
ItwasreiteratedthatPCLcouldnotsharethesalarypaidtoeach director/employeeduetothesensitivityofthislevelofinformation. Companypayatabandinglevel(benchmarkedagainstNHSandprivate sectorsalaries,usingAgendaforChangewhereappropriate)hadbeen sharedtwicepreviously
ThenextOpenPCLBoardmeetingwillbeheldonThursday25thJuly2024, 6.00pm-7.00pm,viaMSTeams.Pleaseemailinfo.llrpcl@nhs.nettoconfirm yourattendanceandreceivetheOutlookcalendarinviteandmeetingpapers?
Ourvisionistosupportthedeliveryofhigh-qualityhealthcare,ensuring patientsalwaysreceiveapositiveexperiencebybeingabletoaccess clinicallyappropriate,transformationalservicesclosertohome.
Wewillworktoreducehealthinequalitiesbyprovidinghealthcareservices thatmeettheneedsofthelocalcommunityandtakehealthcareprovision tocommunitieswhofinditdifficulttoaccess.
Throughinnovative,transformativeandcollaborativeworking,wewill delivercarethatbestsupportsthepatient,thecommunityandthe System.
WewouldliketothankyouforyourcontinuedsupportofLLRPatient CareLocally.
Ifyouwouldliketotellushowyouthinkwecanprovidegreatersupport toourshareholdingpractices,pleasecontactusviaemail,at:
info.llrpcl@nhs.net
Followusonsocialmedia: www.facebook.com/LLRPCL: wwwlinkedincom/llr-patient-care-locally: www.twitter.com/llrpcl:
Therightcareattherighttime,intherightplace