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Changes to our Alternative Provider Medical Services (APMS) practices

The NHS Calderdale Clinical Commissioning Group’s (CCG) Commissioning Primary Medical Services Committee has now considered the findings of our consultation into the future of Alternative Primary Medical Services (APMS) contracts in Calderdale.

The CCG launched a consultation over a six week period from the 28th of October 2019 to 6th of December 2019 to understand the impact of allowing our current APMS contracts to expire and allocating people to alternative practices.

The consultation built upon the pre-consultation engagement that took place in July and August 2019 and previous engagement activity on primary medical services that has taken place over the past five years.

You can download and read the findings of both the pre-consultation engagement and the consultation below.

 

After careful consideration the following decisions have been made:

 

  • The Sowerby Bridge, Ovenden and Elland, sites currently operated by Virgin Care LLP (Meadow Dale Group Practice) will close and the CCG will register patients with an alternative practice.

 

  • The Park site currently operated by Locala CIC (Park & Calder Community Practice) will close and the CCG will register patients with an alternative practice.

 

  • Having considered the clear feedback from public and the Adults, Health and Social Care Scrutiny board, the Todmorden site, currently operated by Locala CIC (Park & Calder Community Practice) will remain open. The CCG will continue efforts to secure a long-term solution for Todmorden that maintains patient choice.

 

We appreciate that this may be a worrying time for some people, but please be assured that no one will be left without access to GP services.

We will write again to all affected households with more information on today’s decision and where appropriate let people know which new GP practice we have registered them with.

If anyone is unhappy with the practice we match them with, they are free to choose to register with another GP practice that serves their area.

In the meantime everyone should continue to book and attend appointments as normal with their current GP practice”

If you have any questions you may wish to look at our Frequently Asked Questions (FAQs) below.

 

Frequently Asked Questions (FAQs)

What decision has been made?

 

- The Sowerby Bridge, Ovenden and Elland, sites currently operated by Virgin Care LLP (Meadow Dale Group Practice) will close and the CCG will register patients with an alternative practice.

-The Park site currently operated by Locala CIC (Park & Calder Community Practice) will close and the CCG will register patients with an alternative practice.

 

-The Todmorden site, currently operated by Locala CIC (Park & Calder Community Practice) will remain open.

 

What happens next?

We know that this may be a worrying time for you, but we will make sure that you can go to another GP practice.

We are going to write to you soon, to let you know which new GP practice we have matched you with. We will do this based on your home postcode.

Until you get your letter, you should continue to book and attend your appointments at this practice.

If you don't like the new practice we match you with, you can ask to register with a different one that serves your area. Details are available on the NHS website at www.nhs.uk

You said you couldn’t extend the contracts, so how are you able to do this in Todmorden?

We have always been clear that there are exceptional circumstances in Todmorden, which is why we committed to going back to the market in the first place.

The strong feedback from the public consultation and the concerns expressed by councillors on the Adults, Health and Social Care Scrutiny Board further emphasised the need for a different approach in Todmorden which maintains capacity and choice for local residents.

We are pleased to have reached an agreement with the existing provider, Locala, to continue to provide services in Todmorden for the next two years whilst we work towards a more sustainable, long-term solution.

What does this mean?

There will be a change to the existing contract with Locala.  Originally Locala was contracted to deliver services in both Todmorden and in Central Halifax. It will now only deliver services in Todmorden. The boundary has also been modified to better reflect the local Primary Care Network.

What will the hours be for Calder Community Practice in Todmorden?

From 1st April 2020 the opening hours will be:

 ·         Monday – Friday 8:00am until 6:30pm.

You can also request extended access appointments on evenings, weekends and bank holidays.  These should still be booked through Calder Community Practice but are delivered downstairs at Todmorden Group Practice.

·         6:30pm – 8:00pm Monday to Friday.

·         10:00am – 2:00pm Saturday to Sunday.

·         10:00am – 11:30am on Bank Holidays.

Our walk-in service times remain the same and are open from 8am to 8pm on all weekends and bank holidays at both Todmorden and Central Halifax.

More information on accessing NHS services in Calderdale can be found at https://www.calderdaleccg.nhs.uk/services/

Will my appointment time and date be the same? Can I still book appointments?

Nothing has changed yet. You should continue to book and attend appointments as normal.

If I move practices, how will they know what medicines I’m taking/what treatment I’m on?

Don’t worry; if you have to move practice, your new doctor will have access to your medical records so that they can use them as part of your consultation. It is always handy to make a list of the medicines you are taking and bring it with you to your appointment.

I’m pregnant / have a long-term condition / am in the middle of a course of treatment?

Nothing has changed yet. You should continue to book and attend appointments as normal.

If you do need to move practice we will work closely with your existing practice to ensure continuity of care and make sure that you are provided with all the support you need.

I’m worried that if I move practice my new GP might change my medication.

We understand that you might feel worried, but we can reassure you that as part of the GP registration process, some practices will undertake a standard health check, including a review of any medication you are currently taking.

If this is not the case with your new GP, you should arrange to have a check-up as soon as possible to discuss any medication you’re taking.

I’m worried that a new GP might not have the translation/interpreter service I use now.

You will continue to be able to access the same translation/interpreter services at all Calderdale GP practices.

Will I be left without a GP practice?

No, the CCG is responsible for ensuring that you continue to receive GP services. We will register you with a new GP practice based on your postcode. Nothing will change until next March.

This means that you will be put onto the list of a local GP and your medical records from your current practice will transfer automatically to this new practice.

If you don’t want to go to the practice we match you with, you can register with another GP practice that serves your area.

You can find information on local GP practices and the services they offer on the NHS Choices website: www.nhs.uk

I have been with this practice for some years and I’m worried about having a new doctor.

We do understand that it can be a worrying time for you.  We are committed to making sure that you get settled with a new practice.  All GP practices and their staff have to meet high standards of care and quality and the Care Quality Commission regularly inspects and monitors practices to ensure these standards are achieved.

The Care Quality Commission published all practice reports on their website http://www.cqc.org.uk/

I want to make a complaint about my GP practice

If you would like to make a formal complaint to NHS England please contact NHS England on 0300 311 22 33, email england.contactus@nhs.net or visit the website – www.england.nhs.uk/contact-us/complaint

What will happen to the staff at the practice?

The staff at the affected practices are directly employed by Locala CIC and Virgin Care LLP.  They will ensure that arrangements are in place to support staff at this time.

Will this affect the walk-in centre in Halifax / Todmorden?

Our plans do not affect walk-in services in Halifax or Todmorden.   Our walk-in services are not part of this consultation.

Can I register with a new GP practice now?

Patients can choose to register with a new GP practice at any time.  If you want to change your GP, visit the surgery you want to join and ask them to register you as a patient.  You can find details of other GP practices closest to where you live and who cover your address on the NHS Choices website at www.nhs.uk.

What will happen when the CCG allocate me to another practice?

We know that this may be a worrying time for you, but we will make sure that you can go to another GP practice.

We are going to write to you soon, to let you know which new GP practice we have matched you with.

We will do this based on your home postcode. Until you get your letter, you should continue to book and attend your appointments at this practice.

If you don't like the new practice we match you with, you can ask to register with a different one that serves your area. Details are available on the NHS website at www.nhs.uk

How will the surrounding practices cope with additional patients?

The CCG has already written to surrounding practices to ask if they can register new patients. We are confident that there is a place for everyone affected by our plan.

What other GP services are available in the evening and at weekends

The CCG has GP services covering the patch from 8am to 6.30pm weekdays as well as five extended access hubs providing services from 6.30pm to 8.00pm weekdays and 10am to 2pm on Saturdays and Sundays and from 10am to 11.30am on bank holidays.

 

The hubs are located at:

  • Todmorden Health Centre
  • Rastrick Health Centre
  • Station Road Surgery
  • Keighley Road Surgery
  • Spring Hall Medical Centre

 

Appointments are bookable at the hubs by contacting your normal GP practice and same day appointments are available.

 

You may find further information about our services here https://calderdaleccg.nhs.uk/services/

 

Will I have a choice to see a female GP

You can ask to see a male or female GP, as long as your surgery has both male and female GPs available.

If your GP surgery we match you with does have both male and female GPs, they will try their best to meet your request. However, this may not always be possible, or you may have to wait longer to see a specific GP.

Under our plans you will be allocated a new GP practice based on your postcode only. We will not be matching people with individual doctors on request.

If the gender, age or cultural background of your GP matters to you, you may wish to take steps to register yourself with another practice if the one we match you wish does not meet your expectations.

You can find information on local GP practices and the services they offer and the names of GPs on the NHS Choices website: www.nhs.uk

My family is registered at the same practice and don’t want to be split up if we are transferred to another practice.

The process for allocating patients will be based upon their postcode and so families will be kept together provided they live at the same address.

Should you family be split up because you do not live together we will help you to register at the same GP practice.

If you have a question that is not addressed in these FAQs please email CCG.FEEDBACK@calderdaleccg.nhs.uk and we will do our best to help you.

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