Kingston Clinical Commissioning Group NHS 111 Service Specification 1
Contents 1. Introduction 2. Local Overview 3. Directory of Services 4. GP Out of Hours 5. Governance 6. NHS 111 Service Specification 7. NHS 111 London Service Specification 2
1 Introduction 1.1 1.2 As part of the national roll out NHS 111 Kingston Clinical Commissioning Group is seeking to commission for a two year pilot a provider for NHS 111 services. This is in line with Department of Health policy. The CCG has yet to determine whether the contract for NHS 111 will be procured on a cost per call or block basis and reserves the right to decide between these options. Kingston Clinical Commissioning Group is using both the Department of Health and NHS London Service Specifications as mandated. These are attached to this document 2 Overview 2.1 2.2 2.3 The commissioning of high quality, integrated urgent care is central to Kingston Clinical Commissioning Group s strategy going forward. The CCG s vision of delivering right care involves providing services at times and locations which are convenient for patients. In the context of urgent care and NHS 111, this means enabling patients to be treated via one of the many out-of-hospital care pathways which are being developed locally. Urgent care in Kingston is organised around the community hubs of the GPLHC at Gosbury Hill; the new health facility on the Surbiton Hospital site opening in March 2013 and Kingston Hospital s A&E Department. These hubs are surrounded by 28 general practices and community services which allow patients to be treated in environments other than A&E. The introduction of NHS 111 provides the opportunity to signpost patients to local urgent care services as an alternative to attending the A&E 3. Directory of Services 3.1 3.2 A comprehensive Directory of Services (DOS) will be developed in advance of the NHS 111 go-live. The NHS 111 provider will work collaboratively with other local providers to ensure the smooth implementation of local care pathways. This will include the creation of protocols for the transfer of data and the transfer of responsibility for the care of the patient The following local pathways have been identified. These pathways are not exclusive and are subject to refinement during the population of the DOS: Referral to the GPLHC at Gosbury Hill. The GPLHC is open 7 days a week 8am-8pm and offers booked appointments for non-registered patients. An urgent care service will also be available on the Surbiton Hospital site once the new facility is opened. The service specification for this new urgent care service is being worked up but it is envisaged that it will be open 7 days a week 8am-8pm and will offer walk-in primary care appointments and a minor injuries service 3
Referral to the patient s GP for urgent appointments. The majority of GP practices in Kingston offer extended hours Referral to the Queen Mary s Roehampton Minor Injuries Unit Referral to the Urgent Care Centres at West Middlesex University Hospital and St George s Hospital, which are due to open in 2012 Referral to the Rapid Response Service, which is run by Kingston s provider of community services Your Healthcare, and aims to prevent avoidable hospital admissions by providing support to patients in their homes 3.3 The NHS 111 provider will also be a partner in the development of the Directory of Services as it becomes a tool not only for the 111 service, but for other healthcare professionals. 4 GP Out of Hours 4.1 4.2 4.3 Harmoni provides the GP Out of Hours service in Kingston except for 3 practices who have opted in to providing an out-of-hours service (i.e. they are the commissioners of the service, not the PCT). The GP Out of Hours provider for these two practices is Patient24 and for the other is Harmoni. Depending on the outcome of the procurement calls may have to be diverted from one or more of the providers of out of hours to the NHS 111 provider. When the NHS 111 service is soft-launched, calls will be diverted from the out of hours providers to 111 as part of the testing phase. The NHS 111 provider will therefore be required to work in partnership with out of hours providers to ensure that calls are diverted safely and effectively. The NHS 111 provider will also be required to work with the current out-ofhours provides, to manage pathways for delivering out-of-hours care. 5 Governance 5.1 5.2 The Kingston Clinical Commissioning Committee will oversee the preparation for, and implementation of, the NHS 111 programme. The provider will participate fully in local clinical governance arrangements. The local team will progress through 3 stages of a clinical governance review Stage 1 The team will submit a set of papers which describes its particular approach to the clinical governance of its service, supported by a formal endorsement of that approach by the Senior Responsible Officer. 5.3 Stage 2 The team will meet with DH clinical leads to discuss the local approach to clinical governance. At this meeting, at least one call adviser and one call centre clinical supervisor should be present, amongst other members of the 111 team. 4
5.4 Stage 3 Professor Matthew Cooke, the National Clinical Director for Urgent and Emergency Care, will review a report by the DH clinical leads. The outcome is either that some remedial action is required before the service goes live, or that he accepts that the clinical governance arrangements are appropriate and safe and that, from that point of view, there is no reason why the service should not be launched. 6. NHS 111 Service Specification 7. NHS 111 London Service Specification 5