CCG pathfinder case studies – London

Pathfinder Topic
Barnet GP Commissioning Consortium Community gynaecology
City & Hackney ELIC Primary and secondary care partnership working
Harrow GP Commissioning Consortium Urgent care; Walk-in services

Name: Barnet GP Commissioning Consortium
Date:
April 2011
Topic:
Community gynaecology

In Barnet the NHS worked together to set up a very successful local gynaecology service which is currently seeing 400 patients every month in a community setting.  It has high levels of patient satisfaction, has led to a reduction in hospital visits and led to reduced costs.  This service is being developed further to provide day surgery procedures.

Name: City & Hackney ELIC
Date:
April 2011
Topic:
Primary and secondary care partnership working

In City & Hackney, through partnership working between ELIC GPs and Homerton University Hospital consultants, we have reduced new outpatient department referrals by 2.5% over the last year – one of only five areas in London to deliver a reduction in new referrals

Name: Harrow GP Commissioning Consortium
Date:
April 2011
Topic:
Urgent care; Walk-in services

In Harrow the GP community noticed that the use by the local population of Walk In Services (both through the three walk in centres within the borough and the Urgent Care Centre) was higher than other areas across the cluster and also correlated with a reduction in GP out of hours consultations.

This ongoing piece of work has identified a range of changes that the clinical commissioners will be taking forward to improve primary care urgent care. The changes include improving primary care access, streamlining the urgent care pathway and changing the contractual arrangements for local walk in centre providers.

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