PCL Annual Review 2024

Wefacilitateseamlesslyintegrated,highqualityhealth serviceswhilstdemonstratingacommitmenttothebest interestsofthepatient,thecommunityandthecompany.

Therightcareattherighttime,intherightplace

Introduction

2023/24hasbeenanotherexcitingyearforLLRPatientCareLocally, CommunityInterestCompanyandweareveryproudtosharethehighlights andhowwehavemadeadifference,withyou.

PCL’sworkhasverymuchbeeninthePlannedCarearenabutthisyearwe havetakenwhatwehavelearntandappliedittocancerpathways–HaematologyandBrain WehavealsogoneovertheLeicester,Leicestershire andRutlandbordersandsupportedneighbouringhealtheconomiesin BirminghamandNorthamptonshire,withourRovingHealthcareUnitsby takingvaccinationstotheirpopulations.

WehavewelcomedmoreshareholdingpracticestoPCL,andwehaveworked inpartnershipwith18PrimaryCareNetworkstoestablishaGPprovider collaborative,LLRTogether.

WearesupportingthedeliveryofcardiorespiratorydiagnosticsinGPpractices, witheveryPCNprovidingabasiclevel.Thismeansthatpatientsarebeing diagnosedquickerandbeingtreatedsoonerandreducingtheburdenonour SecondaryCarecolleagues.

Theteamhasworkedincollaborationwithmoreagenciesthaneverbefore. Unfortunately,weweren’tabletogetsomeprojectsofftheground,suchasthe HealthandWellbeingHubinWigstonbuttherelationshipswehavedeveloped areinvaluable.WelookforwardtoworkingwithourThirdSectorcolleaguesin thefuture.

WeareveryconsciousofthefinancialconstraintsoftheNHSandworkhardto keepourrunningcostsdownandensureourservicesprovidevalueformoney. In2023/24wesavedtheLeicester,LeicestershireandRutlandIntegratedCare Board£4million

Introduction

Wehaveembraceddigitaltechnology,usingittostreamlineprocessesand generateefficiencies–fromcentralisedreportingtoautomationofregistration toincreasedintegrationofsystems.PCLandourdigitalpartnersarelookingat andtriallingarangeofinnovativenewproducts.Wearehopefulthatthese systemswillprovideefficienciesandimprovethepatientexperience,ensuring moretimelycommunicationthatiseasytonavigate.

Thishasbeenachievedwhilstcontinuingwithourdayjob.87,418patient contacts,73providersandinmorelocations.

ThePCLBoardofDirectorsareimmenselyproudoftheachievementsofour team,andwewanttosharewithyouhowwearemakingadifference.

Chair LLRPatientCareLocally

ChiefExecutiveOfficer LLRPatientCareLocally

Whoweareandwhatwedo

PCLwascreatedbyLLRGPsin2011. In2021webecameaCommunity InterestCompany. Wecurrentlyhave93shareholdingpracticesinthe company.

PCL'saimistoprovidetherightcareattherighttime,intherightplace. WeprovidearangeofserviceswithinGeneralPracticeandCommunity settings. WecontractservicesfromlocalGeneralPracticeswherever possible,whichkeepsNHSfundinginlocalorganisations

PCLworkswith73healthcareprovidersacrossLLR. In2023/24,PCL providersdeliveredover87,000patientcontactsthroughitsPrimary Care+contracts.

PCLalsoworksatscale,providingservicessuchasthePatientContact HubandRovingHealthcareUnits,ataSystemlevel.

AsaCommunityInterestCompany,PCLreinvestsprofitsintothelocal healthcaresystem

PCL's4PillarsofServiceDelivery

GENERALPRACTICE+

Facilitationofnon-coreGMScontracts

eg:

Anticoagulation

CommunityCardiorespiratory DiagnosticSpokes

OfferedtoallGeneralPractice/PCN/Feds -butdeliveryofserviceisoptional.

PRIMARYCARE+

FacilitationofspecialisedGP,Consultant andimagingdiagnosticservicesin primary/communitycaresettings,eg:

Dermatology

EarNose&Throat

Musculoskeletal

OfferedtoallGeneralPractice, Primary CareNetworks,Federations. Onlythose withthespecialistskills/qualifications willbeconsidered.

SYSTEMFACILITATION

Providingservicesonbehalfofthe System,deliveringatsystemlevel,eg:

PatientContactHub

RovingHealthcareUnits

DIRECTCOMMISSIONEDSERVICES

GeneralPractice/PCNs/FedscontractPCLto deliverservices,eg:

ProvidingEnhancedAccess(inanalliance withDerbyshireHealthcareUnited& PhoenixHealthPartnership)onbehalfof GeneralPractice

ProvidingBackOfficefunctionsonbehalf ofGeneralPracticesuchas: Payroll

HumanResourcesAdministration

BusinessIntelligence

Health&Safetycompliance

Whoweareandwhatwedo PCLInNumbers

*fordiagnostics Patientsseen throughPrimaryCare+services forcoreservicesonly

Totalpatient contacts

Numberof Covidvaccines given

Triages

Interprovider transfers %ofpatients seenwithin6 weeksofreferral*

Numberof MMRvaccines given Locations visitedacross LLRonly

Wouldrecommend non-diagnostic services

Wouldrecommend diagnosticservices

60staff members 73 Service Providers

RTTofpatients treatedwithin18 weeksofreferral

Positiveendof appointment experience

Whoweareandwhatwedo

PatientFeedback

FeedbackontheservicesthatPCLprovidersdelivertoourpatientsisanimportant partofourgovernanceprocess. PCLproviderssurveytheirpatientsmonthly. The resultsarereviewedmonthlyandarereportednationally. Weareproudthat patientsconsistentlyfeedbackthattheyarehappywiththeservicesprovided. Ourresultsarehigherthanthenationalthreshold,withmorethan95%ofour patientsreportingthattheywouldverylikely/likelyrecommendourservicesto theirfriendsandfamily

Non-diagnosticservices(eg DermatologyandENTclinics):964% recommended Diagnosticseervices(eg EchocardiographyandNon-ObstetricUltrasound Scans):97.6%recommended.

Inadditiontoourproviderssurveyingtheirpatients,weintroducedaPatientVoice Surveyin2023/24,whichinvolvedtelephoningasampleofpatientswhomhad recentlybeencaredforineachservice,inordertobetterunderstandtheir experience. YouwillseesomeofthesepatientresponseslaterinthisAnnual Review.

Wewerepleasedtohearfirsthandthatourpatientsarehappywiththeserviceswe provide. Herearesomedirectpatientquotes:

Verywellexplained. Thankyoutoallthe staff!

Allstaffwentaboveand beyond Thankyou!

Verywelcoming,staffput meatease.

Allstaffwereverycaring and understanding

Bookingonlinewas veryeasy!

Clinicianwasvery patient

SupportingTheSystem

PCLSupportingTheSystem

LLRTogether-GeneralPracticeProvider Collaborative

PCLisfacilitatingandisapartnerinLLRTogether,alongside:

LLRTogetherintendstounifytheaboveGeneralPracticeprovidersintoan effectivesystempartnertoinnovateGeneralPractice+services(non-coreGMS activity)andtogeneratenewopportunitiesforGeneralPracticetodeliverservices.

ThePCLBoardhascommitted£50kintoLLRTogetherin2024/25,whilstit establishesitself. ThefundingwillsupportTaskandFinishGroupactivitiesto delivertheCollaborative’sWorkPlan. LLRTogetheristobeself-sustainablefrom 2025/26.

TheCollaborativeintendstohaveapositiveimpactonthelocalhealthcaresystem intermsof:

PCLSupportingTheSystem

RovingHealthcareUnits

TheRovingHealthcareUnitshavehadabusyyear. Theyremainanimportantpart ofLLR’sCovidvaccinationprogramme,supportingpopulationstoaccessthe vaccination. In2023/24theRHUssupported5,044peoplegettheirvaccine, across115locationinLeicester,LeicestershireandRutland.

TheRHUalsoplayedasignificantrolein thepromotionanddeliveryofMMR vaccinationsacrossbothLLRand Northamptonshire. Supportingthe vaccinationof240adultsandchildren.

Thisyearhasnotbeenallaboutvaccinations,however. TheAorticAneurysm AssessmentteamfromUHLhasusedtheRHUeachmonthtoprovidescreening withinthecommunity. TheRHU’shavealsobeenusedbyInclusionHealth,who havesupportedthehomelessandrefugeecommunitywithaccesstocareinthe communitybyvisitingtheDawnCentreandlocalhotelswhichhouseasylum seekers.

PCLSupportingTheSystem

LocalAuthorities,inparticulartheMentalHealthandWellbeingteam,havebeen abletoreachouttotheircommunitiesbyholdingdrop-insessionsusingtheRHU’s -reachingpatientswhootherwisemaynothaveaskedforhelp. TheAdult LearningDisabilitiesTeamalsousedtheRHUtoeducateandsupportthe communitywhoneededspecialisthelparoundvarioushealthtopics,includingoral healthandunderstandingbowelhabits ThiswasachievedbytakingtheRHUout toMENCAPandbeingabletoprovideacomfortableandsafeplaceinwhichtotalk andeducate

PCL’ssocialmediapresencehasbeenvitalininformingthepublicaboutwherewe areandwhen,usingavarietyofdifferentsocialmediatools(suchasposts,videos, tweetsetc) MostpeoplesaytheybecameawareofusviaFacebook Thosewho haveusedtheservicehavebeenhighlycomplimentary.

Whoeverthoughtofthis deservesamedal

Thisisveryconvenient

Thankyou-much appreciated!

Thanks-yousavedmea journey!

Mucheasiertocomehere

PCLSupportingTheSystem

SupportingElectiveRecovery

In2023/24,3,580patientsweretransferredfromsecondarycareandtreated throughLLRPCL Patientsbenefittedfromshorterwaittimes,withdiagnostics takinglessthan6weeksandnon-diagnosticsunder18weeks. Patientsarealso offeredachoiceoflocationsclosertotheirhome ThesupportPCLprovidedto secondarycarehasensuredpatientsreceivetimelytreatmentinthemost appropriatesetting,releasingcapacityfortheTrustatareducedcosttothe system. Belowisabreakdownofsupportedspecialities.

SupportingTheSystem

LLRIHGHerniaService

In2020, LLRPCLcommissionedasinglepointofaccessherniaservicedelivered bytheIndependentHealthGroup;aCQCratedoutstandingorganisation.Theaim wastoprovideclinicaltriagetoensurepatientsmetthecriteriaforanabdominal herniarepairandforthosepatientswhowereappropriate,providetheprocedure underlocalanaestheticinthecommunity.

PatientWaitingTimes(RTT)

Patientswhohadtheirsurgeryasaresultofattendingtheservicereceivedtheir surgerywithin14weeksfromtheGPreferraldate. Thisissignificantlybelowthe NationalReferralToTreatmentrequirementof18weeks.

SupportingTheSystem

LLRIHGHerniaService

ReferralDemographics

Thisrepresentsthehubandspokemodelwhichprovidesoutpatientappointments inthecommunity,closertopatients’homes.

BluedotsrepresentHerniaReferrals Redcrossesrepresenttreatmentsites

LLRIHGHerniaService SupportingTheSystem

Patientswereaskedtorespondtoaquestionnaireconcerningtheirexperienceof theIHGHerniaService. Herearetheresults:

Throughoutmytreatment,IhaveseenthesameSurgeon

WhentheSurgeonsawme,he/sheknewaboutmycase

WhenIwaswiththeSurgeon,he/shegavemeachancetotalk

WhenIspoketotheSurgeon,he/shelistenedandunderstood me

Iwasgiveninformationaboutmytreatmentandprogress

Apartfromthediscomfortduringtheinjection,thelocal anaestheticwaseffectiveduringmyoperation.

ThepostoperativewoundcareinstructionsIwasgivenpost operationwere...

ItwasmadecleartomewhomtocontactifIwasworriedabout myconditionortreatment,postoperation.

SupportingTheSystem

MSKHubs

Purposeoftheservice

TheMSKHubssupportpatientswhoareexperiencingpainintheirbones,jointsor musclesbutdonotrequire(orthepatientdoesnotwant)surgicalintervention. The serviceisrunbyGPswithaspecialistinterestinMusculoskeletalMedicine. The HubsarelocatedinanumberofcommunitylocationsacrossLLR. Theshorter waitingtimesofferedbytheHubsmeananearlierdiagnosisandtreatment,thus preventingdeteriorationincondition. Theclinicscandiagnoseandtreatwith musculoskeletalinjectionsifrequired. Theyalsoofferexercise,weightlossand holisticpatientcarearoundorthopaedicproblems. Forthosepatientswhogoonto requiresurgicalintervention,theguidanceprovidedbytheclinicensurestheyhave theopportunitytobeinthebestpossiblephysicalconditiontoundergosurgery. Thisreducescomplicationratesandshortenstimeinhospital

Benefittothepatient

TheserviceusesPatientInitiatedFollowUp(PIFU)asafollowupmodel This meansthatthepatientcontactstheserviceiftheywishtoseeoneofthespecialist GPs. Appointmentstendtobebyphone. Thismeansthepatientisincontrolof theircareanddoesnothavetheinconvenienceofhavingtotravelwhentheywish tospeakwiththeirclinician.

FollowingthetrialoftheMSKHubPilotScheme,aspartofelectiverecoveryin 2022/23,theMSKHubshavecontinuedtoenjoyfundingthroughout2023/24. A businesscaseforpermanentfundinghasbeensubmittedtotheICBandis currentlypendingadecision. Asminimumwehopeforextendedfundinginto 2024/25.

2023/24sawtheadditionofafourthCityCentrelocation~OneClinic.Inaddition, theserviceunderwentachangeoflocation,fromStationViewHealthCentreto BurbageSurgery.

SupportingTheSystem

MSKHubs

In2023/24,theservicesawanincreaseof3,486referrals.

PIFU(PatientInitiatedFollowUp)isfullyintegratedwithintheMSKHubservice aspartofpatientdischarge. In2023/24,1,690patientsweredischargedviathis process. Afurther316weredischargeddirectlybytheserviceclinicians. This resultedina48%dischargeratefromtheservice.

RemoteorVirtualfollow-upshaveincreased,with40%ofallappointmentsnow takingplaceviatelephoneorvirtually.

The2023/24servicereceivedalargevolumeofpositivepatientfeedback, especiallyaroundthenext-stepsandactionplanspatientswereadvisedto undertakeinordertopositivelymanagetheirownhealth.

PatientresponsesconcerningtheirwelcometotheMSKHub

SupportingTheSystem

MSKHubs:PatientSurveyFeedback

100%ofpatientswhowereasked(viathephone)gavegreatfeedbackconcerning theservice. Herearesomeoftheircomments: Anamazingservice!!

SupportingTheSystem CovidMedicinesDeliveryUnitExpansion

AspartoftheUKresponsetoCoronavirus,CovidMedicineDeliveryUnits(CMDU) wereestablishedacrossthecountrytodeliveroutpatientbasedtherapeutic treatmentsforCovid-19. Thesetreatmentsareclinicallyproventoimprovepatient outcomesandreduceCovid-19relatedhospitaladmissions. Mostimportantly, patientscanaccessthemedicationfromaCommunityPharmacyratherthan SecondaryCare.

PCLhasbeensuccessfullydeliveringthisserviceinLeicester,Leicestershireand RutlandaspartoftheCovidVaccinationProgramme.

Theserviceinvolvesthreecomponentswhichcanbecommissionedseparatelyor asonecompletepathway.

TheReferralSupportService

GPSITelephoneClinicalTriageService

CMDUPharmacyNetworktodispensemedication

PCLiscurrentlyintheprocessoflaunchingthisserviceacrossNorthamptonshire ICB. theGoLivedateforthisservicewillbeJune17th,2024. Wearealsoin discussionswithotherEastMidlandsICBsregardingtheservicewithavisionof providinganEastMidlandsCMDUservice.

Whilsttheservicedoesnotreleaseanycostsavingstothesystem,itisestimated that£1.2millionperyearofcostsarebeingavoidedbecausepatientsarebeingkept outofhospital.

CMDU:PatientSurveyFeedback

SupportingTheSystem

CMDU:PatientSurveyFeedback

HerearesomeofthecommentspatientshavemadeaboutourCMDUservice:

Fab!Overall,anamazing service!

Veryefficient

Allstaffwereverycaring andunderstanding.

Noproblemsatall-a lovelyservice

Verywellexplained Thankyoutoallthestaff

Bookingonlinewasvery easy

Allstaffwentaboveand beyond Verygratefulfor allstaff’spatience.

Ofpatientswould recommendthe CMDUservice

PCLSupportingTheSystem

PCLhasbeenaskedtouseitsexpertiseinstreamliningreferralpathwaystosupport cancerservicesinordertomanagethegrowingnumberofreferralsandtoensurethat thosepeoplewithacancerdiagnosisreceivetheircareinanappropriatetimeframe

TwoWeek WaitHaematology

TheUHLHaematologyserviceapproachedPCLastheyhadidentifiedthata numberofreferralsbeingreceivedviathepathwaydidnotmeettherequirements for2WW. Theservicedidnothavearoutetoeasilydowngradereferralsorgive advicetothereferrerwithoutthereferringGPre-referringthepatient.

BenefitstotheserviceprovidedbyPCLincludeonlyappropriate2wwreferralsare receivedbyUHLHaematologyteams,patientsarekeptinformedthroughoutthe wholeprocess,referralscanbedowngraded/advicegiven/rejectedwithouttaking upadditionalGPtime

Thetablebelowshowsthatthemajorityofpatientsreferredonthispathwaydo nothaveacancerdiagnosis. Thispathwayenablesthehaematologiststoidentify thosewhodonothavecancerandputthepatientonamoreappropriatepathway whilstalsoallayingtheirfears. Thusclinicalcapacityisfreedupforthosewith cancer

TwoWeekWaitBrainPathway PCLSupportingTheSystem

Tobeabletostreamlineapathway,itwasimportanttounderstandtheexisting processes Theteamidentifiedanumberofdifferentstakeholdersandhandover ofcareinvolvedinthediagnosisofapatient. Duetothelownumberofreferrals, therewasanervousnessaroundtheunderstandingofprocessamongstGeneral Practice.

IncollaborationwiththeICBCancerClinicalLeadandUHL,anewpathwayhas beenagreedthatreducesthenumberofhandoverofcarepointsandensuresthere is continuityofcare,withallreferralscomingviatheRSSandmanagedbyPCL’s clinicalandadministrativeteam Thepatientsarekeptinformedateverystepof thepathwayandareseenquicker.

TheRSSclinicianorderstheMRIandreceivestheresultsandactionsthe appropriatepathway. Thetablebelowshowsthatthemajorityofpatientsreferred onaBrain2wwpathwaydonothavecancer. Asignificantnumberdo,however, haveincidentalfindingsontheirMRI. TheRSSclinicianswillactionthenextstage ofthispathway,keepingthepatientandtheirGPinformed.

SupportingPatientChoice

PCLSupportingPatientChoice

PatientContactHub

2023sawtheestablishmentofthePatientContactHub

Asthenamesuggests,thisservicecontactspatientsfora varietyofservices,throughavarietyofmeans.Theservice pridesitselfinusingdigitaltechnologytosupportboth patientcontactsbutalsopatientchoice.

TheserviceisalsosupportingpatientsinNorthamptonshire andNottingham.

Thediagram illustratestherangeofservicesthatare supported.

SupportingPatientChoice

TheReferralSupportService

TheReferralSupportService(aspartofthewiderPatientContactHubteam) continuestofocusonequitableandfairchoicebeingofferedtoallpatientsacross allservices. Utilisingtechnologyhasbecomeakeyfeatureinmovingtheservice forward.

60,829referralswerereceivedbytheRSSteamacrossallclinicalpathwaysin 2023/24. Ofthosetriagedtosecondarycare,eachreceivedaminimumof6 choices Thosetriagedtoprimarycareavarietyofchoices;asdidallpatients transferredfromUHLintothecommunity.

PCLhasbeentriallinganew,webbasedplatform-theLocalVaccinationFinder -whichhasallowedpatientstochosethebestlocationsforthemtobe vaccinatedagainstCovid19and‘Flu.

WearecurrentlyworkingalongsidePatientsPlusLimited,integratingtheWait LessTimesystem. Thiswillallowustheefficiencytoofferpatientchoice digitallyratherthanviaphonecall andwillextendtheselectionofhealthcare providersonoffer.

SupportingGeneralPractice

PCLSupportingGeneralPractice

CommunityCardiorespiratoryDiagnostics

Spokes

SinceSeptember2023,LLRPCLhasmanagedtheCommunityCardiorespiratory DiagnosticsSpokespilot. Serviceshavebeengraduallyintroducedacross20 PCNsthusfar,offeringarangeofdiagnostictestsincluding12-leadECGs,24-hour ECGs,24-hourbloodpressuremonitoring,SpirometryandFenotests. Thisallows patientstoreceivetreatmentclosertohome,avoidingtheneedtogotoalocal hospital.

PCLSupportingGeneralPractice

ExpansionofEnhancedAccessService

LLRPCLformedanalliancewithDerbyshireHealthcareUnitedCICandPhoenix HealthcarePartnershiptodeliverEnhancedAccessServicesforPrimaryCare Networks. Althoughthe2024/25GPcontracthasmadenochangestothecurrent EnhancedAccessprovision,wecontinuetoexplorethefeasibilityofprovidingthse servicestootherPrimaryCareNetworkswithinandalsooutsideofLLR.

TheservicecancoverMondaytoFriday,18.30-20.00andSaturday09.0017.00. WearealsoabletoprovideappointmentsonBankHolidaysandkeyholiday dates,suchasduringChristmasandEaster.

WecontinuetosupportMelton,SystonandValeandRutlandPrimaryCare Networkstodeliverthisservicetotheirpopulations.Ourclinicshavecoveredonthe-dayMinorIllness,StructuredMedicationReviews,CervicalCytologyand Pathologyappointments.

In2023/24,weprovided:

4,660bloodtests

2,442cervicalcancerscreeningstests

1,375Covid-19vaccinations

PCLSupportingGeneralPractice

NewWaysOfWorking:CovidVaccination Service

AsaresultofPCL’ssuccessfultrackrecordwithintheCovidVaccination programme,oneofourshareholdingpracticesapproachedPCLastheywishedto becometheleadvaccinationproviderfortheirPCN,buthadnoexperienceofthis rolenorhowtodeliverit.

PCLwasabletoprovideprojectmanagementtosupporttheadministrative functionsofdelivery:fromsiteassurancestogeneratingreportstoidentify patients,fromco-ordinationofcarehomestomanagingvaccinationsupply. This allowedclinicalstafftofocusonvaccinating.

WithPCL’sassistance,thepracticewasabletovaccinate8,000patients,which included5%oftheirPCN’s“atrisk”population

PCLSupportingGeneralPractice

NewWaysOfWorking:ChronicObstructive PulmonaryDiseasePilot

ChronicObstructivePulmonaryDisease(COPD)isalongtermprogressivelung diseasethatmeansthepersonsuffersfromlongtermbreathingproblems Covid19canbeextremelydangerousforthisgroupofpatients,riskingserious complications,hospitaladmissionandoccasionallydeath Theserisksincrease significantlywhenapatientisalsolivinginanareaofdeprivation.

TheCOPDpilot,conductedduringtheAutumn/Winter2022Campaign,aimedto ensurecompletepatientautonomyandincreasevaccineuptakebyallowingopen, trustedconversationaboutcovidvaccination. Theapproachwastooffera“COPD healthcheck”inthecomfortofthepatientshome,lookingatgeneralhealthaswell asofferinganyextraservicesthepatienthadoutstanding(eg.bloods). Oncea rapportwasbuilt,thepatientwasofferedtheirbooster.

Inanefforttoreachmorepatients,PCLwascommissionedfortheproject. PCL providedprojectmanagementandpatientcontactsupport. Throughcollaboration withvariousstakeholders,includingthePopulationHealthManagementteam,PCL wereabletolocatetheexactpracticeswiththehighestnumbersofpatientswith COPD.

Theprojectresultedin60%ofpatientsvisitedbeingvaccinatedwith10%ofthose beingtheirfirstdose! Thesefiguresdemonstratethesuccessoftheprojectby givingadditionalprotectionforthis“atrisk”cohortofpatients. Italsogavean amazingopportunitytoofferotheradviceandservicesinlinewithourMECC (MakingEveryContactCount)agenda,whichissomethingweaimtobuilduponin thefuture TOTAL

PCLSupportingGeneralPractice

NewWaysOfWorking:ChronicObstructive PulmonaryDiseasePilot

TotalCohort frompractices A,BandC

Appointments Booked

SubsequentDNA (nothome)

SuccessfulVisits

OfTotalcohort,Covid 19vaccsgiven

Ofthosevisited,Covid 10vaccsgiven

cohort,58%of answeredcalls)

Uncontactable/No answerafter 3attempts

Refused Appointment

Ofthosevisited,Flu vaccsgiven Phlebotomy performedduringvisit

OfthosegivenaCovid vacchowmanywere 1stdoses

69(21%oftotal cohort,42%of answeredcalls) 27(30%)

PCLSupportingGeneralPractice

EquipmentRentalFund

PCLlauncheda£400,000equipmentrentalfundtoassistshareholdingpractices developpatientservices,whichwouldhelptoenhanceprimarycareresilience. Maximisingtheservicesofferedgeneratesadditionalincomeforthepracticewhilst alsosupportingtheexpansionofgeneralpracticewithinthecommunity.

Thefundallowspracticestoapplyforfundingtwiceayearinordertobuycapital equipment,forexample:

Phlebotomychair

Dermascope

Examinationcouch

Hyfreactor

Suctionmachine

Diathermymachine

Mobileexaminationlihgt

Thefundcanalsobeusedforequipmentwhichrequiresupdating Allshareholdingpracticesareabletoapplyforthisfund.

EquipmentRentalFund:CaseStudy

InAugust2023,ashareholdinggeneralpracticeappliedtothePCL EquipmentFundtopurchaseanENTendoscopeandcamerastackanda videootoscope Theapplicationwasapprovedandtheequipmentwas deliveredtothepracticeafewmonthslater. Thisprovidedareplacement superiorcameraandenabledphotographsandvideos,wherenecessary,to beaddedtotheclinicalrecord. Thisnewequipmentprovidestheuserwith animprovedview,improvedrecordkeepingandenablesthepracticeto continuetoprovidethePCLENTPrimaryCare+servicetothoseLLR patientswhochoosetobereferredtothepractice.

PCLSupportingGeneralPractice

Health&SafetyCompliance

PCL’ssupportofGeneralPracticegoesbeyondcontractsforclinicalservices. Our teammembershavearangeofexpertiseandcanprovideindividualisedsupportto shareholdingpractices.

Health&SafetyCompliance:CaseStudy

Wewerecontactedbyashareholdingpracticewhoneededtoimprove theirHealthandSafetycompliancelevels. Anumberofstaffhadleftand thepracticehadfallenbehindontheircomplianceaudits

ThePCLComplianceTeamdidaninitialassessmentandfoundthat unfortunatelythefacilityonlyachieved20%compliance. Theteam workedwiththepracticeanddevelopedadetailedactionplanwhich prioritisedtheareasofgreatestneed.

Overafewmonthstheteamkeptincontactwiththepractiveviaemailand phonecall,whilstthepracticeworkedthroughtheplan. Thepracticehas justbeenre-auditedandtheteamwasdelightedthattheircompliancerate hadincreasedto84%.

Theshareholdingpracticeidentifiedtheproblemandwereeagertoseek PCL’ssupporttofindaresolutioviadetailedassessmentaudits, customisedactionplansandassistancewithriskassessments. PCL’s approachistoworkincollaborationwithpractices,offeringsupportand settingattainableobjectiveswhichresultinexcellentandsustainable outcomes.

LLRPCLStakeholderEvent PCLSupportingGeneralPractice

InOctober2023,LLRPCLheldourfirstLLRStakeholderEventatLeicestershire CountyCricketGround Theeventwasattendedbyover90delegatesfromLLR GeneralPractices,PrimaryCareNetworksandIntegratedCareBoards.

Thethemesoftheeventwasexploringthe“ArtofCollaboration”betweenGeneral Practiceorganisations WewantedtoconsiderhowGeneralPracticecancome togethertodeliverefficienciesandservicesatscaleinordertodeliverbetter outcomesforpatients Collaborationisaregularoccurrencebetweensecondary careorganisations. Howeverthereisverylittlecollaborationsinexistencebetween GeneralPracticeorganisations

Thedelegatesweretreatedtoavarietyofpresentationsexploringthisconcept, whichweredeliveredbyProfessorJamesKingslandMBE,ProfessorArunaGarcia, ChairoftheNHSConfederation,DrNilSanganee,MedicalDirectorofLeicester, LeicestershireandRutlandIntegratedCareBoardandMrTimSacks,Headof PrimaryCareatCoventry&WarwickshireIntegratedCareBoard.

Theeventalsoconsistedofamarketstallevent,whichenablesthedelegatesto learnmoreabouttheproductsandservicesofferedbyLLRPCLandthe stakeholderswhichtheorganisationsworkwithclosely.

SupportingTheTeam

PCLSupportingTheTeam

PCLStaffSurvey

In2023/24,weintroducedastaffsurveytoformallyandanonymouslyhearback fromtheteamabouttheirexperienceofworkingforPCL.

Wewerepleasedthat64%ofourteamrespondedtothesurvey. Webasedour questionsontheNHSstaffsurvey,whichreceiveda48%responseratein2023.

Weweredelightedwiththeresults,whichdemonstratethat:

PCLisagreatcompanytoworkfor

Theteamenjoytheirrolesandworkingwiththeircolleagues

Thecompanyandteamiswellled

TheteamwouldrecommendPCLservicestotheirfriendsandfamily becausepatientcareisPCL’stoppriority

Work/LifeBalance

Themajorityofpeoplefeelthey haveagoodwork/lifebalanceand PCLhashelpedthemtoachieve this.

Themajorityofpeoplefeelthat PCLiscommittedtotheir wellbeingandbecauseofthis,they arenotfrustratedorexhaustedby work

Teamwork

Themajorityofpeoplefeelthey arevaluedintheirteam.

Ifeelsupported, happyand valuedinmyroleandifIeverhave anissue,Ifeelcomfortable takingittomylinemanager

PCLSupportingTheTeam

ManagementTeam

Themanagementteamtake effectiveactiontohelpwithany problems

Harrassment,Bullying andAbuse

EVERYONEthinksthatPCL respectsindividualdifferences, cultures,workingstyles, backgrounds.

PCLasawhole

Themajorityagreethatcareofthe patientsisPCL’stoppriority,that PCLactsonconcernsraisedby patientsandwewouldALL recommendPCLservicestoa friendorrelative

MostpeopleagreethatPCLoffers challengingwork,with opportunitiesforcareer progression,knowledgeandskills progressionandsupportto developpotential

I’mproudtowork forPCL!

ThisisthehappiestIhaveeverbeenat work. Mylinemanagerisfantastically supportiveoftheirteamandIlove workingandbeingpartof PCL

PCLSupportingTheTeam

FreedomToSpeakUp

2023wasthefirstyearthatPCLfullyembeddedtheFreedomToSpeakUp Guardianswithinthecompany PCLhasaNationalGuardianandtwolocal Guardians. FreedomToSpeakUptraininghasbeenintroducedtostaffandthe Guardiansarepartoftheinductionprocessfornewstaff

PCLembracedthepromotionoftheFreedomToSpeakUpagenda,withallstaff participatinginthenational“OnWednesdayWeWearGreen”campaign,heldin October TheFreedomToSpeakUpagendaisincludedinthestaffsurveywiththe teamreportingthattheyareawareofwhotospeaktoiftheywouldliketoraisea concern

In2023,PCLreceivedoneFreedomToSpeakUpreport-whichwaslistenedto andactedupon.

WeSaid,WeDid

Inthe2022/23AnnualReview,wesetoutourplanfor2023/24. Thetable belowshowswhatwehaveachieved

Whatwesaid

DevelopRSStoincludevirtualclinics

Whatwedid

Havedeliveredaproofofconceptwith 2WWbrainpathwaywhichdemonstrates thatthevirtualclinicconceptissafe

IntroduceCommunityCardiorespiratory DiagnosticSpokes

ExpandtheRHUbeyondvaccinations

EstablishHealth&WellbeingHubsin WigstonandOakham

EstablishaGPProviderCollaborative

AllPCNshavesigneduptodeliverthis serviceandtherollouthasbegun

TheRHUhavebeenusedbyanumberof differentorganisationstosupportarange ofservices,including: AAAScreening InclusionHealth LocalAuthorities AdultLearningDisabilities

Havebeenunabletodeliverthesedueto escalatingbuildingcosts. Thirdsector colleaguesarecontinuingtopursuethe Wigstonprojectanddiscussionscontinue withRutlandCountyCouncil

LLRTogetherhasbeenestablished, representing18ofthe26LLRPCNs

Continuetosupportshareholding practices

TheEquipmentRentalFundcontinues

Plansfor2024/25

Overthecomingyear,thefocusofPCLwillbe:

Developingcloserworkingrelationshipswithsecondarycare.

WorkingtoenhanceandexpandtheRSSoffer.

Investindigitalinnovationtodriveefficienciesandimprovedpatient experience

LookforopportunitiesforservicedevelopmentoutsideofLLR

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