PCCC21/0005 PRIMARY CARE COMMISSIONING COMMITTEE – PART 1 Southampton City: Proposed relocation of GMS services delivered by Shirley Title of paper Health Partnership Agenda item 6 Date of meeting 19 May 2021 Director lead Stephanie Ramsey, Managing Director, Southampton Local Team Clinical lead (if applicable) Author Phil Aubrey-Harris, Associate Director - Southampton For decision ☒ To ratify ☐ Link to Purpose strategic Enabler - fit for purpose estate To discuss ☐ objective To note/receive ☐ Executive Summary The purpose of the accompanying papers is to seek the approval of the Primary Care Commissioning Committee to the relocation of the primary care services delivered by the Shirley Health Partnership, presently operating from Shirley Health Centre, Grove Road, Southampton, to substantially larger new premises to be established by a third party developer in the shell of a former Lidl supermarket a short distance away at 355, Shirley Road, Southampton. Shirley Health Centre was constructed in the mid-1970s and is currently owned and operated by NHS Property Services. Like many NHS buildings of its type and age, it has suffered from prolonged underinvestment and is now too small and ill-configured to meet the demands of contemporary primary and community care. This scheme represents a strategically important investment in the health and care infrastructure in west Southampton and on completion it will deliver a key element of the estates enabling workstream of the Southampton City Health and Care Strategy 2020-2025 – the establishment of a primary/community care hub to serve the west Southampton Primary Care Network. The attached papers include: 1. Expression of intent to move the practice site – the application 2. Annex 1 – providing a summary of patient engagement survey results 3. Annex 2 – summary of the proposals used in the patient & stakeholder engagement This item is linked to an item to be considered for decision in the Part 2 meeting which addresses the legal, commercial and financial implications of the proposed relocation. This second item, which is considered in Part 2 of the Committee agenda due to it including commercially sensitive information, seeks the Committee’s approval to the associated increase in reimbursable rent attached to the new premises. It should be noted that if this increase is not approved, the relocation will not proceed. The Primary Care Commissioning Committee is asked to consider and approve the application submitted by the Shirley Health Partnership to Recommendations relocate their General Medical Services from Shirley Health Centre to 355 Shirley Road. Publication Include on public website Please provide details on the impact of following aspects Equality and quality Equality Impact Assessment undertaken: no adverse issues identified. impact assessment The Shirley Health Partnership has undertaken an extensive patient Patient and stakeholder and stakeholder engagement exercise. Details are shown in the engagement accompanying paper. Additional annual revenue costs arising from the higher rent attaching Financial and resource to a brand new facility and a significant increase in space available for implications / impact primary and community care service. Legal implications None. If approved: affordability to the CCG Principal risk(s) relating to If not approved: insufficient capacity to deliver primary care and this paper related PCN and community services in west Southampton. Key committees / groups NHS Southampton CCG: Primary Care Commissioning Committee; where evidence 20 January 2021 supporting this paper has NHS Hampshire, Southampton and Isle of Wight CCG: Primary Care been considered. Operational Group (Southampton); 22 April 2021 Governance and Reporting – other meetings where this paper been discussed Committee Name Date discussed Outcome Page 2 of 3 PCCC21/005 SHIRLEY HEALTH PARTNERSHIP: Expression of Intent to move practice site. Summary Section 1 - Practice details Practice names Practice Opening Clinical Contract Registered and addresses codes hours system type population Shirley Health J82088 Monday to EMIS GMS 14,000 Partnership, Friday (Web) Shirley Health 0800 – 18.30 Centre, Grove hrs Road, Shirley, Southampton, SO153UA Section 2 – Impact on patients How will these changes The proposed relocation is required primarily to re-house impact on patients? e.g. services provided by Dr Ferguson and Partners of the Shirley opening and extended Health Partnership, currently located at the Shirley Health hours, transport, parking, Centre, Grove Road, Southampton SO15 3UA. This building is prescription collection, an aging facility that is believed to be over 40 years old and choice of health care has constraints in terms of space and layout required to meet professional, additional the requirements of modern integrated health and care healthcare services, services. boundary changes . The building is too small – and does not have enough rooms for the clinical services. The building no longer meets current standards for primary care premises. We want to offer our patients a wider range of expanded community-based services which is not possible in the current Health Centre building. We are a teaching and training practice and are keen to continue and expand this activity but we are constrained by lack of space. A key part of the NHS long-term plan, primary care networks (PCNs) will bring general practices together to work at scale. This will improve the ability of practices to retain and recruit staff to provide a wider range of services which will be more easily integrated with the wider health and social care systems. Primary care networks have the potential to benefit patients by offering improved access and extending the range of services available to them and these benefits can be realised with the additional estate space this proposal will create. Diagram below shows location of current and proposed site There are no boundary changes to the agreed GMS contract. What are your intentions to Most of our patients will already know the former Lidl site at mitigate the impact 355 Shirley Road having used it for their grocery shopping. It mentioned above? is a very short distance (0.2 miles) from the current Grove Road building and is within the Council’s High Accessibility Zone with frequent buses on several routes. This development proposal is for a high quality modern new heath care building. It will provide an attractive, calm clinical environment which will benefit the health and well-being of both patients and staff. The new building will provide:- . Spacious waiting areas and improved toilet facilities . More clinical and treatment rooms . On-site pharmacy (tbc) . More space to allow for training and teaching . Large health promotion room for a wide variety of groups to use . Improved facilities for staff admin and welfare Page 2 of 9 Benefits for patients – more services The new building would provide much needed space and first- class facilities to enable the Shirley Health Partnership to deliver a wider and increased range of services including;- . Antenatal services . Paediatric services . Obstetrics and Gynaecology . Minor operations . Palliative care . Ophthalmology . Dermatology . Musculoskeletal care Alongside our local Primary Care Network teams, we will also be in a position to offer additional services provide by:- . Social prescribers – embedded . Clinical pharmacists - embedded . Physicians associates . First point contact MSK - embedded . Paramedics . Care co-ordinators . Health and wellbeing coaches . Dieticians . Podiatrists . Mental Health professionals Southampton Primary Care Limited (SPCL) provides enhanced access for patients to medical help from 8am to 10pm seven days per week. These services are offered from "Hubs" from which Shirley Health Partnership are a site provider. Included in these services are appointments with GPs, Nurses, Physiotherapist, Phlebotomy and Contraception services. Page 3 of 9 Section 3 – Business case Key reasons/benefits of the proposal The proposed development of a new Primary Care Centre at 355 Shirley Road is in line with and informed by a number of key local policies and key strategies including: NHS England 5 year GP Contract Framework and development of Primary Care Networks – including promoting sustainability of Primary Care Southampton City 5-year Health and Care Strategy; Transformation Health and Care for the People of Southampton 2020 - 2025 Southampton Joint Strategic Needs Assessment Indicate any innovative/transformational working that the proposal will support This proposed new development aligns with the CCG’s strategic aim of providing a multi- disciplinary primary care service from a Primary Care Hub in a central easily accessible location. Importantly, the new larger building will enable a wide range of additional services to be delivered by the increasing Primary Care Network workforce and Community Health Providers for the benefit of the Shirley, Freemantle, Millbrook, Redbridge, and Bargate patient communities. This has the benefit of geographically and physically expanding primary care services within the locality which houses pockets of deprivation. The central location is also ideally situated to service expected residential growth in and around Shirley and the adjacent wards. Section 4 – Stakeholder Engagement Please summarise the work to be undertaken regarding stakeholder engagement. See Appendix 3 for guidance A patient engagement was carried out over the period 24 February to 19 April