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SEH Wins Tender for Roving GP Pilot
SEH is now running a pioneering Roving GP service to help GPs care for more elderly people in their own homes and reduce unnecessary hospital admissions. We have been commissioned to run an initial six-month pilot by NHS Brighton & Hove, following a successful tender bid. The service, which will be provided by highly trained GPs with acute primary care experience, started in the Autumn.
It will be run from our Brighton office, with the GPs supported by a driver and call coordinator. The objectives are to provide high quality and safe care in patients' own homes, improve patient experience and reduce hospital admissions. “This is one of the first such pilots in the country so it's really exciting for us to win the tender,” says Jess Yaxley, Assistant Director of Operations for the Locality.
Dr Keith Grimes, who has been working on the Pilot, said:
• Participating GP practices (at this point mainly from the West Locality)
The only mandatory criterion for referral is that the patient must be registered with a Brighton & Hove City PCT practice (or participating practice, for GP referrals). The RGP assists in assessment and treatment of patients that present with urgent healthcare needs that cannot be met by their own GP at that time due to conflicting demands, such as a pre-booked surgery or other visits; or patients who require more complex, higher intensity home support to help avoid admission or prevent a protracted hospital stay. For Ambulance, MASU and RACOP referrals, the referrer must first contact the GP (or attempt to contact the GP) to agree RGP involvement.
Once the referral is made by telephone, and a fax/email summary of the patient?s history is sent to the RGP service, the RGP will attend and provide all necessary treatment, as well as liaising with the patient?s GP to plan any necessary on-going care. For all GP referrals we aim to attend within 1 hour of receipt of the referral documents.
When the acute situation has been resolved, the RGP will hand care back to the registered GP along with a fully documented record of the intervention, as well as detail of any urgent diagnostics that have been arranged. In most cases, this entire cycle will be completed the same day as the referral.
With thorough clinical, operational and financial evaluation built in from the start, the RGP service has already demonstrated impressive admission avoidance and high levels of patient satisfaction. Subject to a favourable review by our commissioners, SEHL hopes to develop this service into 2010.”