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ILP, Cluster and Practice Programme Framework

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Appendix 3 ILP, Cluster and Practice Programme Framework Library image 1 1 Overview A full breakdown of plans and supporting evidence is attached at appendix 6 an the follow Gloucestershire section provides a summary for each ILP ICS Cheltenham Cotswolds Forest of Dean Gloucester Stroud Tewkesbury ILP* ILP* ILP* ILP* ILP* ILP* PCN PCN PCN PCN PCN PCN North Aspen Berkeley Vale St Paul's Cotswolds Stroud Forest of Dean HQR TWNS Central South Cotswold Inner City Peripheral Cotswolds Severn Health North South Gloucester (NSG) * Integrated Locality Partnerships (ILPs) are Gloucestershire’s localised version of NHS England’s ‘Place’ level; The ILPs will help to deliver ICS, Health & Wellbeing and local priorities; ILPs will also support PCNs to deliver; Each ILP will collectively develop an ILP plan for their place. 1.1 Cheltenham ILP 3 1.2i Cheltenham summary • Population projections - 175,000 patients PCN Practices by 2031 Corinthian Surgery • New Cleevelands Medical Centre Portland Practice completed and open St Paul's Royal Well Surgery St Catherine's Surgery • Stoke Road refurbished and extended St George's Surgery • Winchombe extended Berkeley Place Surgery • Delivery of Prestbury Road Primary Care Crescent Bakery Surgery Centre due to be open end of 2020 Overton Park Surgery Central Royal Crescent Surgery • Delivery and procurement approach for a Underwood Surgery surgery at North West Elms housing Yorkleigh Surgery development Cleevelands Medical • Condition of remaining estate relatively Centre The Leckhampton Surgery acceptable but some surgeries undersized Peripheral Sixways Clinic • Overton Park and Yorkleigh – 2021 to 2026 Stoke Road Surgery priority Winchcombe Medical • Reviewing options around Leckhampton Centre and Sixways 4 1.2ii Cheltenham housing by practice Cheltenham Practice District North West West of Wider Wider Total housing capacity Cheltenham cheltenham Bishops Winchombe Cleeve Berkeley Place 275 0 0 0 0 275 Cleevelands 0 0 0 314 0 314 Corinthian Surgery 263 0 0 0 0 263 Crescent Bakery 175 0 0 0 0 175 Leckhampton Surgery 418 0 0 0 0 418 Overton Park Surgery 382 0 0 0 0 382 Portland Practice 418 0 0 0 0 418 Royal Crescent Surgery 259 0 0 0 0 259 Royal Well Surgery 215 0 0 0 0 215 Sixways clinic 342 0 0 0 0 342 St Catherine’s Surgery 299 0 0 0 0 299 St George’s Surgery 319 0 0 0 0 319 Stoke Road Surgery 0 0 0 314 0 314 Underwood Surgery 338 0 0 0 0 338 West Cheltenham(proxy) 0 4,285 1,100 0 0 5,385 Winchcombe 0 0 0 0 224 224 Yorkleigh Surgery 279 0 0 0 0 279 Total 3,982 4,285 1,100 628 224 10,219 5 1.2iii Cheltenham ILP list size growth Registered list Registered list Projected list size Practice size April 2015 size Jan 2019 April 2031 Berkeley Place Surgery 7,495 8,605 9,050 Cleevelands Medical Centre 9,972 10,503 11,012 Corinthian Surgery 8,651 8,324 8,750 Crescent Bakery Surgery 6,069 5,408 5,692 Leckhampton Surgery 12,738 13,284 13,961 Overton Park Surgery 11,546 12,122 12,741 Royal Crescent Surgery 6,916 7,722 8,141 Royal Well Surgery 6,755 6,846 7,194 Sixways Clinic 10,864 10,838 11,393 St Catherine's Surgery 9,793 9,485 9,969 St George's Surgery 10,127 10,145 10,661 Stoke Road Surgery 9,718 10,692 11,201 Portland Practice 13,750 13,331 14,008 Underwood Surgery 9,866 11,395 11,943 West Cheltenham (proxy) 1,596 3,339 12,063 Winchcombe Medical Practice 6,787 7,532 7,895 Yorkleigh Surgery 8,835 8,912 9,364 151,478 158,483 175,038 6 1.2ivCheltenham ILP surgery sizes Projected Gap for Registered list size allowance 2019 Allowance Gap for list size Jan April for 2019 popn for 2031 2031 % diff Practice 2019 2031 m2 popn m2 m2 % diff popn2 popn m2 West Cheltenham (Proxy) 3,339 12,063 273 290 -17 -5.9% 919 -646 -70.3% Berkeley Place Surgery 8,605 9,050 240 717 -477 -66.5% 754 -514 -68.2% Crescent Bakery Surgery 5,408 5,692 193 450 -257 -57.1% 474 -281 -59.3% Royal Crescent Surgery 7,722 8,141 308 643 -335 -52.1% 678 -370 -54.6% Overton Park Surgery 12,122 12,741 448 921 -473 -51.4% 947 -499 -52.7% Yorkleigh Surgery 8,912 9,364 418 743 -325 -43.7% 780 -362 -46.4% Sixways Clinic 10,838 11,393 529 868 -339 -39.1% 891 -362 -40.6% St George's Surgery 10,145 10,661 538 839 -301 -35.9% 861 -323 -37.5% Leckhampton Surgery 13,284 13,961 635 970 -335 -34.5% 998 -363 -36.4% St Catherine's Surgery 9,485 9,969 542 790 -248 -31.4% 831 -289 -34.8% Underwood Surgery 11,395 11,943 663 891 -228 -25.6% 914 -251 -27.5% Corinthian Surgery 8,324 8,750 537 687 -150 -21.8% 729 -192 -26.3% Royal Well Surgery 6,846 7,194 492 571 -79 -13.8% 600 -108 -18.0% Stoke Road 10,692 11,201 729 862 -133 -15.4% 883 -154 -17.4% Portland Practice 13,331 14,008 912 972 -60 -6.2% 1000 -88 -8.8% Winchcombe Medical Practice 7,532 7,895 686 628 58 9.2% 658 28 4.3% Cleevelands 10,503 11,012 950 854 96 11.2% 875 75 8.6% 7 1.2vCentral Primary Care Network (Cheltenham) – Premises Overview to 2026 • 6 Practices in PCN • Registered population in January 2019 of 54,161 • Population projections - 56,931 patients by 2031 • Total current space equates to around 2,270 GIA m2 Berkeley Place Surgery versus expected of 4,865 GIA m2 for 2031 population Crescent Bakery Surgery • Services have been provided over 7 buildings Overton Park Surgery • Key priority to complete the Prestbury Road Primary Royal Crescent Surgery Care Centre development. Expected to be open by the Underwood Surgery Yorkleigh Surgery end of 2020 – facilitates colocation of Berkeley Place, Crescent Bakery and Royal Crescent surgeries • Remaining priority to develop business case for Overton Park and Yorkleigh surgeries, ideally a single centre for period 2021 to 2026 • Plan to reduce number of buildings from 7 to at least 5, possibly 4 8 1.2viPeripheral Primary Care Network (Cheltenham) – Premises Overview to 2026 • 5 Practices in PCN • Registered population in January 2019 of 52,849 • Population projections - 55,462 patients by 2031 Cleevelands Medical Centre • Services have been provided over 7 different buildings The Leckhampton Surgery • Number of buildings has reduced to 5 Sixways Clinic • Total current space equates to around 3,529 GIA m2 Stoke Road Surgery versus expected of 4,305 GIA m2 for 2031 population Winchcombe Medical • Winchombe surgery extension completed Centre • Stoke Road substantially refurbished and extended • New Cleevelands medical centre completed and opened • Review requirements and the needs of Leckhampton surgery and Sixways clinic over the long term 9 1.2viiSt Pauls Primary Care Network (Cheltenham) – Premises Overview to 2026 • 5 Practices in PCN • Registered population in January 2019 of 48,131 Corinthian Surgery • Population projections - 50,582 patients by 2031 Portland Practice • Services have been provided over 3 different buildings Royal Well Surgery • Services now provided over 2 sites St Catherine's Surgery • Total current space equates to around 3,021 GIA m2 St Georges surgery versus expected of 4,021 GIA m2 for 2031 population • Key priority is the continued long term use of St Pauls medical centre which supports all 5 practices in the PCN. 10 1.3 Cotswolds ILP 11 1.3i Cotswolds summary • Population projections - 98,554 patients Chipping Campden by 2031 North Cotswold Medical Practice • Cotswolds Mann Cottage Surgery Completion of Cotswold Medical Practice Stow Surgery refurbishment White House Surgery • Completion and opening of Stow surgery Cirencester Health Group • Completion of new surgery in Tetbury; Hilary Cottage Surgery • Completion of new surgery at Chesterton, South Phoenix Health Group Cirencester; Cotswolds Rendcomb Surgery • New surgery to replace Avenue and St. Upper Thames Medical Peter’s Road buildings Group • Business case for a new Campden surgery 12 1.3ii Cotswolds housing by practice Bourton Campden, and Mickleton North and Cirence Down South Upper Total Blockley leach Willersey ster Chesterton Apney Fairford Kemble Lechlade Moreton Cerney Stow Tetbury Rissington Windfall Campden Surgery 55 370 81 451 Cotswold Medical Practice 130 27 81 238 Mann Cottage 246 80 326 Stow Surgery 181 80 261 White House 245 80 325 Cirencester Health Group 52 481 80 613 Hilary Cottage 25 131 80 236 Upper Thames Medical group 51 239 20 28 80 418 Phoenix Surgery 52 720 30 37 115 80 1034 Rendcomb 80 80 Romney Surgery 608 81 689 Unallocated 360 360 Total 55 130 370 155 1,800 75 131 37 28 491 115 181 608 27 883 5,030 13 1.3iiiCotswolds list size growth Registered list size April Registered list size Projected list Practice 2015 Jan 2019 size April 2031 Cirencester practices unallocated 0 0 583 Campden Surgery 4,810 5,080 5,811 Phoenix Surgery 12,689 13,907 15,582 Romney House, Tetbury 7,955 7,951 9,066 Hilary Cottage Surgery 7,261 7,637 8,019 Rendcomb Surgery 3,808 4,301 4,431 Cirencester Health Group 13,360 13,278 14,271 Upper Thames Medical Group 12,170 12,608 13,285 White House Surgery 4,408 4,682 5,209 Mann Cottage Surgery 3,683 4,346 4,874 Cotswolds Medical practice 10,012 11,119 11,505 Stow Surgery 5,551 5,496 5,919 85,707 90,405 98,555 14 1.3iv Cotswolds ILP surgery sizes Projected Gap for Registered list size GIA for Gap for GIA for 2031 list size April 2019 popn 2019 2031 popn Practice Jan 2019 2031 m2 m2 popn m2 % diff popn m2 m2 % diff - Cirencester practices unallocated 0 583 0 0 0 0.0% 24.2 -24.2 100.0% Campden Surgery 5,080 5,811 282 423 -141 -33.3% 484 -202 -41.7% Phoenix Surgery 13,907 15,582 671 996 -325 -32.6% 1,041 -370 -35.5% Romney House, Tetbury 7,951 9,066 501 667 -166 -24.9% 755 -254 -33.6% Hilary Cottage Surgery 7,637 8,019 510 637 -127 -19.9% 668 -158 -23.7% Rendcomb Surgery 4,301 4,431 278 358 -80 -22.3% 367 -89 -24.3% Cirencester
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