Engagement Briefing 1

Development of hot clinics and pathways in primary care in response to the COVID-19 pandemic

Why this briefing This engagement briefing has been developed to share information on developments and service changes taking place during the COVID-19 pandemic and where we are unable to carry out face to face engagement.

As part of the NHS Act 2006 regulation 23(2), under section 244 it allows for temporary changes to be made because of a risk to safety or welfare of patients or staff.

This briefing will be shared with the following people and organisations to provide feedback and be asked to support the service changes being made:

• Patient and Public Advisory Committee, Manchester Health and Care Commissioning • Elected Members via Councillor Bev Craig, Executive for Health and Social Care, • Healthwatch Manchester

It is important to note that if at any stage proposals are put forward to make any of the temporary changes permanent, consultation and/or engagement with patients and the public may need to take place post the COVID-19 pandemic.

These briefings will be used to provide assurance on our statutory duties to involve and engage with patients and the public during the COVID-19 pandemic.

The briefings will be added to the Manchester Health and Care Commissioning website for public viewing and where feedback can also be gained. Stakeholders for each briefing may change depending on the service change.

Feedback on each briefing will be recorded and presented to the Manchester Health and Care Commissioning Corporate Governance Group for approval and assurance during the COVID-19 pandemic.

Developments and service changes In response to the COVID-19 pandemic Manchester Health and Care Commissioning has commissioned the three GP Federations to develop ‘hot’ clinic sites in primary care.

The three GP Federations are: • Northern Health GPPO Limited • Primary Care Manchester Limited • South Manchester GP Federation Limited

The hot clinics have been developed to advise and treat patients who have symptoms related to COVID-19 and those who are acutely ill but live in a household where someone is isolating with symptoms of COVID-19. The development of dedicated sites has been encouraged by national guidance. The hot clinics are not COVID-19 testing facilities. 1 Produced: Friday 9 April 2020 Signed Off by NHSEI: Sunday 19 April 2020 Prepared by Val Bayliss-Brideaux, Head of Engagement, Manchester Health and Care Commissioning The existing primary care 7 day access service for patients to be seen in the evening and at weekends has been reduced so resources are freed up to develop and operate the hot clinic sites.

The hot clinics are not open to the public and people will be referred to them following a telephone and video appointment (if possible) from their GP or from an established clinical pathway, such as a referral from NHS 111.

The current hot clinics are located in the following areas:

• Cheetham Hill Medical Centre, Cheetham Hill Road

• Healthcare Practice, Burnage Lane

• Hawthorn Medical Centre, Birchfields Road,

A second south Manchester hot clinic is being developed at Clinic, and will be opening shortly.

A second north Manchester hot clinic is being developed at Medical Practice in and will be opening shortly.

A second central Manchester hot clinic is being considered.

Additional hot clinic sites may be developed depending on clinical need.

For all sites, patients will be expected to be ambulatory and be able to travel by private car with a household member being able to drive them to one of the hot clinics. They will be asked to avoid public transport. Patients referred to the hot clinics will be given clear instruction to stay in their car on arrival. If on foot they will be asked to wait in a patient zoned area which will be clearly marked.

Please note that GP practices in Manchester remain open during the COVID-19 pandemic and are anticipated to open on the early May Bank Holiday, which means that local people are still able to get in contact with their GP practice if they have health concerns, although in some cases telephone and digital consultations will be offered in the first instance. Some of the sites used for the 7 day access service are now being used to see patients who do not have symptoms of COVID-19.

If a referral is needed for acute hospital care, the patient will be referred to one of the following hospitals:

• North Manchester General Hospital • Manchester Royal Hospital • Wythenshawe Hospital

Please note there are separate pathways in development and in place for patients who may be housebound or in care or residential homes.

Access to the Hot Clinic sites Cheetham Hill Medical Centre has a separate entrance and clinical rooms that will be used to provide the hot clinic on site. This is separate from the main entrance, reception and other clinical patient space that people who do not have symptoms of COVID-19 will use.

Burnage Healthcare Practice will be used as a hot clinic site only. Patients who are registered at Burnage Healthcare Practice who are do not have symptoms relating to COVID19 and need a face to face appointment with a GP or nurse will be asked to 2 Produced: Friday 9 April 2020 Signed Off by NHSEI: Sunday 19 April 2020 Prepared by Val Bayliss-Brideaux, Head of Engagement, Manchester Health and Care Commissioning attend the Ladybarn Group Practice. This will be following a clinical decision made by a GP or nurse.

Hawthorn Medical Centre will have patient waiting areas clearly marked for patients who may have symptoms related to COVID-19. A separate entrance which is clearly marked will be used by people who are normally registered with Hawthorn and are booked for having appointments face to face but have no symptoms of COVID-19.

Baguley Clinic will be used as a hot clinic site only and the main entrance will be used by patients.

Victoria Mill Medical Practice will have a separate unit in the same location that will be used as the hot clinic site. Patients with no symptoms of COVID-19 will continue to use the GP practice building on site.

Assurance and commitment from GPs at Ladybarn Group Practice Please be assured that the GPs at Ladybarn Group Practice are committed to re-opening face to face appointments at Burnage Healthcare Centre after the COVID-19 pandemic and this will be clearly stated in the patient communications we are developing for the Burnage site.

Patient information has been provided to Burnage Healthcare Practice to communicate the change in service location to Ladybarn Group Practice. This information will be used for their practice website, direct text messaging for patients and provided verbally to patients by GP practice staff.

The changes have been made to ensure that patients who have no symptoms of COVID19 are able to have a face to face appointment if needed in a safe way.

Prescriptions and collection If a patient requires a prescription following their appointment at a hot clinic site, this will be dispensed by a community pharmacy.

The hot clinic pathway states that where possible the patient will be asked to choose a friend or family member (not living in the same household or self-isolating) to collect their medicines on their behalf.

If they do not have anyone to collect their medicines, the GP will ask the patient to contact the Manchester Care Response hub to arrange a delivery.

Sharing your feedback and questions The first service change we are asking you to support is the temporary reduction of the 7 day access service in primary care. Existing funding and resources for this service are being used to support the development and operation of the hot clinic sites in Manchester. The 7 day access service will resume fully after the COVID-19 pandemic.

The second service change we are asking you to support is the temporary location of registered patients of Burnage Healthcare Centre to Ladybarn Group Practice should there be a need for a face to face appointment for a patient who is not showing symptoms of COVID-19. This change is for patient safety reasons.

Please can you respond directly to Val Bayliss-Brideaux, Head of Engagement using the contact details below and let us know if you are in support of the service changes outlined above and if you have questions or queries regarding this briefing.

Telephone: 07702 668169 Email: [email protected]

3 Produced: Friday 9 April 2020 Signed Off by NHSEI: Sunday 19 April 2020 Prepared by Val Bayliss-Brideaux, Head of Engagement, Manchester Health and Care Commissioning