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Alternative Provider Medical Services (APMS) Consultation

Introduction

NHS Calderdale Clinical Commissioning Group (CCG) is responsible for planning and buying healthcare services for the local population.  

In July we wrote to all households with people registered at one of our Alternative Provider Medical Services (APMS) GP practices, asking what they thought about some changes we wanted to make.

We have  looked at what people told us and thought about what we can do.  We now want to consult you on our plan to change these services.

It is really important that we understand the impact our plan may have on you and your family so we can take your views into account when we make our decisions, so please take the time to complete our survey. If you have any questions you may wish to look at our Frequently Asked Questions (FAQs) section before getting in touch. But if you do need some help and / or require the survey in another format or language please get in touch

The closing date for the survey is 5pm on Friday 6th December 2019.

Background

In 2008 the Department of Health wanted to create more GP practices in areas where they were needed. In Calderdale the APMS contracts were used to create Meadow Dale Group Practice and Park & Calder Community Practice.

APMS contracts have the same clinical and quality standards as our other GP contracts but they are different because:

  • They can be run by commercial organisations
  • They are short-term solutions
  • They are more expensive

There were two contracts agreed covering five sites.  Over the years the companies who ran the services have changed, but they are now held by:

  • Locala CIC (Park & Calder Community Practice) who deliver GP services in Central Halifax and Todmorden and,
  • Virgin Care LLP (Meadow Dale Group Practice) who deliver GP services in Elland, Sowerby Bridge and Ovenden.

These practices were planned to provide GP services for 18,000 patients but they only have about 10,000 patients.

The original APMS contracts were for five years. The CCG was allowed to extend the contracts which it has done. However, the CCG is not able to extend the contracts after the end of March 2020.

The CCG has tried to find other companies to run the APMS practices but has not been successful. However, we are going to try again in Todmorden because we don’t know if there is enough capacity for new patients at the local practice.

What do we already know?

In July 2019 we wrote asking you what you thought about some changes we wanted to make to your GP services.  We also asked about your experience of using your GP services. We received 798 responses.

We have thought about what you told us.  We have also considered the things you’ve told us in the past. If you want to see the full report you can download here:

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Report of Findings on the pre-consultation engagement of APMS (Alternative Primary Medical Services) contracts in Calderdale

1.74 MB
82 downloads

The purpose of the ‘Pre-consultation Engagement’ report is to present the findings...

What you told us

You told us that the most important things to you were:

  • Good care and treatment
  • Being able to book an appointment
  • The location of the surgery

Most people told us that they travel by car (53%).  There were also a large number of people who told us they walk (30%).  People who walk were worried that any changes would cost them more.

You told us you wanted good care and treatment, to be able to book an appointment easily and services nearby. You also wanted to see the same GP regularly and have the choice to see a female GP. Other concerns that people mentioned were:

  • That surrounding practices will not be able to cope with additional patients
  • General concern that visits to A&E would increase
  • People feel the services are needed
  • Changing surgeries can be unsettling

Comments about Meadow Dale Group Practice were:

  • Patients had a good experience of the service and valued the GPs and the care and treatment they received
  • That reception areas, appointment booking and parking areas could be improved

Comments about Park & Calder Community Practice were:

  • A good appointment system
  • Not being able to get through to the practice by telephone
  • Locum cover was an issue as it does not provide continuity of care

If you want to see the full report you can download here:

Icon

Report of Findings on the pre-consultation engagement of APMS (Alternative Primary Medical Services) contracts in Calderdale

1.74 MB
82 downloads

The purpose of the ‘Pre-consultation Engagement’ report is to present the findings...

 

Our plan

The CCG cannot renew the APMS contracts again and we have not found anyone else to deliver GP services through a regular contract, however we will try again to find a solution in Todmorden.

We want to make sure patients have a long term solution for their GP services.  The APMS contracts are not good value for money. They cost up to double the amount of regular GP contracts and not enough patients have registered with them.

APMS contracts are short term and so the practices have found it difficult to employ permanent GPs.  They have had to rely on temporary GPs, which you’ve said you don’t like and cost more money.

Our APMS contracts will come to an end in March 2020 and the following practices will close:

This means registered patients will be affected by our plans. The CCG will make sure you can continue to access GP services by registering you with another practice.

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

We have looked at the areas affected by these changes. The other local GPs in the areas have good Care Quality Commission (CQC) ratings.  The CQC check to make sure that services like GPs are giving good health care to people. You can read more about the CQC online at www.cqc.org.uk

The CCG is planning something called a “locally managed dispersal”. This is when we register patients with a different GP practice based on your postcode. This means everyone will have a GP and you don’t have to do anything yourself. The CCG will register you and tell you which is your new GP practice.

If you don’t want to go to the practice we match you with, we will provide information on how to register with another GP practice that serves your area.

Tell us what you think

It is really important that we understand the impact that our plan will have on you and your family. Please tell us about how our plans will affect you and your family by completing our online survey.

Online Survey

 

You can complete the survey online by clicking on the button below:


Complete the survey now!

 

Download and print a survey

 

You can download and print a copy of the survey here:

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APMS Consultation Survey

682.92 KB
1 downloads

Alternative Provider Medical Services Consultation (APMS) Survey for Meadow Dale...

Collect a survey from your practice

 

You can collect a copy of the survey from your practice to tell us how our plan may impact you and your family. Once you have completed the survey, please hand it in to the practice, or return it to the freepost address provided.

Drop-in Meetings

If you have any questions, or would like to talk to us about how our plans will impact on you and your family, you can come along to one of our drop-in meetings:

 


Monday 4 November 2019 from  2pm – 7pm at New Beginnings Christian Centre (Threeways Centre), Nursery Lane, Halifax HX3 5SW


Monday 11 November 2019 from 2pm – 7pm at Todmorden Town Hall, Bridge St, Todmorden, OL14 5AQ


Wednesday 20 November 2019 from 2pm – 7pm at Elsie Whiteley Centre, Hopwood Lane, Halifax, HX1 5ER


Tuesday 26 November 2019 from 2pm - 7pm at Elland Cricket Club, Hullenedge Lane, Elland, HX5 0QY


Monday 2 December 2019 from 2pm - 7pm at St. Pauls Methodist Church, Tower Hill, Sowerby Bridge, HX6 2EQ

What happens next?

It is really important that we understand the impact our plan may have on you and your family so we can take your views into account when we make our decisions, so please take the time to complete the survey. 

After the survey closes on Friday 6th December 2019, we will write a report to describe what people have told us. This will help us make a final decision about our plan. This report will be published on our website.

We understand that this may worry you. The changes will not happen until next year so carry on using your GP practice. We will write to you again once we have made a final decision and to tell you what is happening next and when things will change.

Help

Get in touch

If you require the survey in another format or language or need some help to complete the survey please call 01422- 307408 (Monday – Friday 9am until 5pm) and someone will help you. 

This telephone number will be active until the close of the survey at 5pm on Friday 6th December 2019.

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Downloads

APMS Survey (PDF)

Easy Read APMS Survey (PDF)

Report of Findings on the pre-consultation engagement of APMS (Alternative Primary Medical Services) contracts in Calderdale (PDF)

 

Frequently Asked Questions (FAQs)

What is the process?

The CCG has a plan for our contracts with Meadow Dale Group Practice and Park & Calder Community Practice to come to an end in March 2020. This means your practice will close.

The CCG is consulting on the ‘impact’ this may have on patients and a final decision will be taken in January 2020.

When will my practice close?

Nothing has changed yet. You should continue to book and attend appointments as normal. Nothing will change until next March.

We’re still consulting people about our plans. After the survey closes we will write a report to describe what people have told us.  This will be published on our website. We will use what you have told us to help us make a final decision about our plan. We will then contact you again to let you know what happens next.  

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 am worried about my care in the future

We appreciate that this may be a worrying time for you. We’re here to answer your questions. You can call us on 01422 307408 (Monday – Friday 9am-5pm) or email us at CCG.FEEDBACK@calderdaleccg.nhs.uk

Drop in sessions are also being held and you don’t need to book an appointment, so you can come along and speak to us between 2pm and 7pm:

4th November 2019

New Beginnings Christian Centre (Threeways Centre), Nursery Lane, Halifax HX3 5SW

11th November 2019

Town Hall, Bridge Street, Todmorden OL14 5AQ

20th November 2019

Elsie Whiteley Centre, Hopwood Lane, Halifax HX1 5ER

26th November 2019

Elland Cricket Club, Hullenedge Lane, Elland HX5 0QY

2nd December 2019

St. Pauls Methodist Church, Tower Hill, Sowerby Bridge, Halifax HX6 2EQ

Why can’t you just renew the contracts again?

The CCG is unable to renew the contracts as they are time limited contracts and have been extended for the maximum allowable period already.

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

I want to make a complaint about the CCG consultation process

If you would like to make a formal complaint to Calderdale CCG please contact us on 01422307400, email ccg.feedback@calderdaleccg.nhs.uk or for more information about how we handle complaints or to submit a complaint online click here.

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.

How are you communicating information about the CCG plan?

Every household from the affected practices will receive a letter about our plan and have been asked to complete a survey which asks about the impact our plan may have on them and their families. We’re also working with the affected practices to communicate the plan and provide information within the surgery too.

I need the consultation documents in an alternative format

Please call 01422 307408 to log your request and the Equality team will help you.

Why have you decided to try again in Todmorden?

We are going to try again in Todmorden because we don’t know if there is enough capacity for patients at the local practice.

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 if the CCG allocate me to another practice?

There are a number of potential local practices where we may allocate you as a patient and these are listed below. If you do not like the practice we allocate you to and would prefer to go to another practice we will send you the information you need.

You can also 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.

We know this can be a worrying time for patients but the CCG will help patients to transfer from one surgery to another following the consultation period.

Why can’t you just renew the contracts again?

The CCG is unable to renew the contracts as they are time limited contracts and have been extended for the maximum allowable period already.

What happens next?

After the survey closes on 6th December 2019 we will write a report to describe what people have told us.  This will be published on our website. We will use what you have told us to help us make a final decision about our plan. 

We understand that this may be a worrying time for you, but please continue to use your current GP practice as normal. We will then contact you again to let you know what happens next. Nothing will change until next year.

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 will happen to Todmorden Health Centre building?

The health centre building in Todmorden has many organisations working at the site. There are two GP surgeries within the building. Our CCG plan to not extend the contract for Calder Community Practice will only affect the surgery on the second floor.

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

I feel that the current APMS services are needed

The CCG has tried to find an organisation to run the sites but has not been successful.

We want to make sure patients have a long term solution for their GP services.  The APMS contracts are not good value for money. They cost up to double the amount of regular GP contracts and not enough patients have registered with them.

We are going to try again in Todmorden because we don’t know if there is enough capacity for patients at the local practice.

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.

Click here to complete the survey now!
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