Harrow East Primary Care Network Clinical Director Dr Meena Thakur Practices in Network Honeypot Medical Centre Bacon Lane Surgery and Mollison Way Surgery Population size 28619 1st Jan 2019 29357 1st Jan 2020 32720 1st June 2021 ID: 1045547
Download Presentation The PPT/PDF document "Harrow East Primary Care Network" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
1. Harrow East Primary Care Network
2. Harrow East Primary Care NetworkClinical Director - Dr Meena ThakurPractices in Network - Honeypot Medical Centre, Bacon Lane Surgery and Mollison Way Surgery Population size: 28,619 (1st Jan 2019); 29,357 (1st Jan 2020); 32,720 (1st June 2021)…Small enough to care and large enough to scale…
3. honeypot bacon lane MollisonEligible population for cervical screening every 3 yearsWomen aged 25-49 217214471619Eligible population for cervical screening every 5 years Women aged 50-64848654426Cervical screening uptake 25-49 year old cohort (Quarter 2 2019)66%63%56%Cervical screening uptake 50-64 year old cohort (Quarter 2 2019)92%82%81%Quarter 1 2017Cervical screening uptake 25-49 year old cohort53.2%61.5%55.2%Quarter 1 2017uptake 50-64 year old cohort71%76.7%77.4%
4. Challenges COVID PANDEMIC – PRIORITISATION OF WORK - INFECTION PREVENTION & CONTROL LIMITATIONS - CEASED IN EARLY PART OF PANDEMIC - MORE REMOTE WORKING - PATIENTS FRIGHTENED TO ATTEND FOR SCREENINGLED IN COVID VACCINATION PROGRAMME IN HARROW – THE HIVE
5. Initiatives chosenNon-attenders- identify and contact all women who are at least six-months overdue screening:Audit reasons for non-attendance and develop and implement a plan to address primary care-specific barriers to screeningSchedule screening appointmentText messaging:use text messages to remind women of scheduled cervical screening appointments (at least 90%)Using data provided by NHSE, improve the completeness and accuracy of mobile phone numbers of women aged 24 to 70
6. REFRESH AND RESTART – METHODOLOGY Purchased Ardens Software for useful searchesIdentified women with mobile phone numbers as baselineArdens search helped to identify women whose mobile phone number was recorded in home number fieldProportion with no mobile phone number recorded at all – required phone call to every patient on landline or household member’s phone number to ascertain correct mobile phone number for patient
7. Sample results for one of the 3 pcn practicesTOTAL ELIGIBLE POPULATION -WOMEN AGE 24-70432387%WITH MOBILE PHONE NUMBER RECORDEDTEST MJOG UNABLE TO SEND TEXT TO58813%MOBILE PHONE NO FOUND IN INCORRECT FIELD 425NO PHONE NUMBER AT ALL163END RESULT MISSING PHONE NUMBERS AFTER INTERVENTION8198.20%
8. STUDY OF OUR PCN POPULATION - WORKED WITH PUBLIC HEALTH DEPT AND FINGERTIPS TO UNDERSTAND OUR POPULATIONHIGHEST ROMANIAN POPULATION IN OUR BOROUGH (11% IN HARROW EAST VS 7% IN REST OF HARROW)HIGH SOMALI POPULATION66% POPULATION IS ASIAN WITH MANY NOT SPEAKING ENGLISHMAIN LANGUAGES CHOSEN TO COMMUNICATE IN:ENGLISHROMANIANURDUSOMALIGUJARATI
9. ENGAGEMENT WITH ROMANIAN COMMUNITY WORKSHOP WORKSHOP WITH LOCAL AUTHORITY, PUBLIC HEALTH AND PRACTICE TEAMS FROM 3 PCN PRACTICES PCN CD LEAD IN TACKLING INEQUALITIES & PREVENTION WORKSTREAM IN OUR ICPEACH OF OUR 3 PRACTICES HAS ROMANIAN SPEAKING STAFFWORKED ON HOW BEST TO ENGAGE WITH ROMANIAN COMMUNITYFACEBOOK GROUPSLOCAL ROMANIAN CHURCHVIDEOS MADE FEATURING OUR HCAS
10. RESOURCESJO’S TRUST, LEAFLETS, VIDEOSYOUTUBE VIDEOS IN DIFFERENT LANGUAGESMESSAGING TO PATIENTS DIFFERENT NUGGET OR MYTHBUSTER SENT EVERY DAY TEXTS SIGNED OFF BY SENIOR FEMALE GP IN PRACTICEGAVE OPTION OF SELF-BOOKING ONLINE VIA NHS APP OR PATIENT ACCESSOR REPLY YES TO TEXT FOR PRACTICE TO CALL PATIENT TO BOOK APPT, SO PATIENTS DID NOT HAVE TO STRUGGLE GETTING THROUGH TO THE PRACTICE (FURTHER BARRIER)EACH OF THE PRACTICES WITHIN MINUTES OF SENDING TEXTS INITIALLY ABOUT 18 RESPONSES EACH PRACTICE
11. NON-ATTENDERS MANY, POSSIBLY 50% INITIALLY DISHEARTENINGFOLLOW UP INTERVIEWS OF NON-ATTENDERS PHONED ON THE DAY THEY DNA’D– MANY GENUINE E.G. PERIOD STARTED, SOMETHING CAME UP, WERE REBOOKED AND MANY DID ATTEND SUBSEQUENTLYPERSONALISED ATTENTIONDIFFERENT MESSAGING WITH EACH CONTACTFOLLOW UPS HAVE BEEN INDIVIDUAL PHONE CALLS – LABOUR INTENSIVEPLAN TO DEVISE SIMPLE QUESTIONNAIRE WITH TICK BOXES OF POSSIBLE REASONS WHY PTS DNA’D OPPORTUNITY TO REBOOK – THOUGH PERSONAL ENGAGEMENT WILL ACHIEVE GREATER RESULT, THAN AN IMPERSONAL TEXT
12. INCREASING ACCESS TO SMEARS New trainee nurses Nurse mentors in practicesWe trained them up in smearsOn line accessibility allowing patients to self bookAbility for patients to speak to the nurse to discuss questions and concerns and removing pressure to have smear straight away
13. RESOURCESStaff CostsRateOncostsTotalHours per weekWeeks per pilotManagement time971.7729.28.17637.376126Admin/Coordinator time8524.89.252.5911.841548Nurse time2649.6154.219.2346HCA3194.88133.6416.64448Clinical Director/Lead time1664501464126ExpensesAdvertising literature500Overheads£1,600
14. CERVICAL SCREENING UPTAKE – 24-49 YRS2017 – average between PCN practices – 61%September 2020 – PCN average – 67%JUNE 2021 PCN average - 70%Improvement, (but not as much as would have been the case, due to COVID)Restrictions in accessing general practiceIPC requirementsPatient fearsFocus on COVID vaccination programmeTrend in increased uptake over recent months is higher than previous
15. AOBQuestions?