NEPTS Baseline Assessment A baseline assessment pro-forma was sent to all on the 19 th of April 2016 with a request for return by the 13 th of May. A reminder email was sent on the 1 st of June 2016 for outstanding baseline returns. A further reminder email was sent on the 21 st of August. To date, Aneurin Bevan health board baseline remains outstanding. An outline of the depth of responses received is provided below. (to note, each response has been formatted differently and so numbers of pages submitted may not reflect the depth of the response). An evaluation and audit of the responses received is required. Organisation Baseline Received Response WAST Yes 23 Pages baseline feedback 20 Additional attachments WHSCC Yes 6 Pages baseline feedback Aneurin Bevan Not Received Cardiff and Vale Yes 4 Pages baseline feedback Cwm Taf Yes 9 Pages baseline feedback 5 Additional attachments ABM Yes 10 Pages baseline feedback 17 Additional attachments Betsi Cadwalader Yes 5 Pages baseline feedback Powys Yes Feedback in excel spreadsheet 1 Additional attachment Hywel Dda Yes 5 Pages baseline feedback 5 Additional attachments Velindre Yes 4 Pages baseline feedback 6 Additional Attachments Page 1 of 6
Current Operating Models The following tables have been populated from information provided in the baseline returns and aim to give a broad picture of the variation and breadth of NEPTS Services that will need to be considered by EASC as the commissioning of NEPTS progresses. O3 Schedule - Aneurin Bevan Current Model Nil Return Management Booking Providers O4 Schedule - Cardiff and Vale Current Model Management Transport Manager Booking No dedicated health board resource for booking Providers WAST Main provider St John Discharge Services Other On spot purchase for ECR when WAST or St John unable to support. O5 Schedule - Cwm Taf Current Model Management Transport Lead Booking Regional Call Centre(South East) Call Centre based at Ty Elai in the Rhondda. Covers first time NEPTS Appointments for the population of Cwm Taf, Cardiff and Gwent Health Boards. Providers WAST Main NEPTS Provider St John Ambulance Cardiff. Dedicated Rapid Response Mental Health Transfer Service Hafal Dedicated Mental Health Visitor Transport All Wales Ambulance Journeys Winter Pressures British Red Cross Moving With Care Med Service Page 2 of 6
O6 Schedule -Abertawe Bro Morgannwg Current Model Management WAST Contract Finance Team Other Providers - Head of Support Services Booking No dedicated health board resource for booking Providers WAST The main NEPT provider for the Health Board. Accommodates all mobility categories Dansa 1) Provide basic transport service CCOS NPTH volunteer service AAW Red Cross St Johns NCT Taxi so that WAST can deal with higher acuity patients. 2) Won tenders as the most cost effective provider 3) Part of the move to a mixed economy Griffiths report. 4) Pick up activity that WAST is unable to deal with Medical Services Hold ABM Renal contract O7 Schedule - Hywel Dda Current Model Management Non Emergency Patient Transport (NEPT) Manager based within the HDUHB Central Transport Unit (CTU). Booking The CTU based in Glangwili General Hospital includes a team dedicated to the monitoring, administration and spot purchase of NEPT provision. This team provides a call centre function for NEPT requests generated by wards, patients in the community, local ambulance liaisons and the WAST contact centres when unable to facilitate transport requests. The team assesses patient transport need and undertakes a value for money assessment when determining the most suitable NEPT provider for each journey. This team is also responsible for the facilitation of patient repatriations both into and out of HDUHB. Providers WAST The main NEPT provider for the Health Board. Accommodates all mobility categories All Wales Ambulance Service St John Cymru Provides Dedicated Discharge Vehicles (DDVs) for Carmarthenshire and Pembrokeshire. Facilitates extra contractual transport requests as required on a spot purchase basis. Suitable for all mobility categories. Provides DDVs for Ceredigion. Page 3 of 6
Suitable for all mobility categories. Also provides spot purchase transport when WAST is unable to accommodate transport requests. Carmarthenshire & Pembrokshire County Councils Royal Voluntary Service* British Red Cross* Supports the discharge of patients on the basis of social need when not meeting NEPT eligibility criteria. Provide transport for patients to and from clinic appointments. T1 mobility category patients only. Also provides a routine contractual twilight service for renal patients in Bronglais General Hospital Spot purchase only. Provide transport for patients when demand is too high to be accommodated by WAST or when journeys are cancelled. Provide transport for all mobility categories. M4 Services* Spot purchse only. T1 spot hire only service Taxi/Volunteer Drivers* Spot purchse only. Utilised only for low dependency T1 patients on a spot hire basis * Providers listed are utilised when WAST capacity is unable to meet transport demand. O8 Schedule - Powys Current Model Management Head of Facilities and Management Accountant Booking A PTHB call centre for both transport and appointment bookings is situated in Newtown with a total of 9.38 WTE. In addition PTHB has a contract with PAVO to coordinate its community car requirements. Providers WAST All Wales Ambulance British Red Cross Community Transport Private Taxi St John Ambulance West Midlands Ambulance Page 4 of 6
Other WAST ECR s NSL WVT Gloucester SATH Robert Jones & Agnes Hunt O9 Schedule -Betsi Cadwaladr Current Model Management Transport Manager and Contract Manager Booking Transport team that deals with NEPTS queries and a Central Contracts team which deals with out of area requests In the process of agreeing a contract with 365. Providers WAST The main NEPT provider for the Health Board. Accommodates all mobility categories Arriva transport solutions Event Medical Services North West Ambulance NSL Ltd South Central Ambulance service West Midlands Ambulance service Yorkshire Ambulance service British Red Cross St Johns Ambulance Taxi English NEPTS AD Hoc Mental Health NEPTS O10 Schedule Velindre NHS Trust Current Model Management No formal management Performance information received by Director of Operations Booking No dedicated health board resource for booking Providers WAST Main provider SLA in place St John Ad Hoc Basis Private Taxi Ad Hoc provided by WAST and DTS O11 Schedule - WHSCC Current Model Management Welsh Renal Clinical Network Manager Booking Renal Transport Hub Team (Hosted by WAST) Providers WAST Page 5 of 6
O12 Schedule - WAST Current Model Management 16 WTE (currently being review as per ministerial expectations) Booking 70.51 WTE Within Ambulance (3 booking centres) and Renal control Hubs. 31WTE Hospital Liaisons Providers WAST Participation by Organisations A collaborative commissioning workbook has been developed and was shared at the first meeting of NEPTS Commissioning and Delivery Group on the 26 th of July 2016. A Feedback pro-forma was circulated and feedback was requested on the workbook by the 7 th of September. The second meeting of the NEPTS CDAG was due to take place on the 16 th of September. This meeting was cancelled due to a number of apologies. Organisation 26 th July CDAG 16 th Sept CDAG Workbook feedback WAST WHSCC Apologies Apologies AB CT Apologies C&V Apologies ABM Apologies Apologies HD No Response Apologies Powys No Response BCU (VC) Apologies Velindre No Response Welsh Gov Apologies No Response Page 6 of 6