NWL0096 Provision of Extended Access Hubs in North West London

Extended Access Hubs serve GP registered patients across all boroughs in North West London. The CCG currently has contract arrangements in place with General Practices (GPs) GP Practice Providers and GP Federations until 31st March 2022. The purpose of this PIN is to be transparent about the CCG's intentions to put a new contract in place for a 6 month period until 30th September 2022. The intention is for the service provision to transition to nationally specified Network DES Commissioning (GMS core) beyond September, which will lead to an integrated combined access offer as an integral part of the PCN Network Contract DES delivered to 100% of the population it serves. The extension is required to ensure service continuity.

The contract is currently delivered to:

-Improve patient access to high quality urgent and routine primary care;

-Improve patient experience of primary care; and

-Promoting the appropriate use of urgent and routine primary care services through the redirection of patients to the right service for their health need.

The aims of service is achieved through the provision of Extended Hours delivery points or 'hubs' by way of providing additional opening hours in Primary Care.

Service Provider Responsibilities include:

-Provide an extra 1.5 hours of consultations per week day Monday to Friday between 18:30-20:00 excluding bank holidays;

-Provide 12 additional hours of clinical consultations each weekend (provided between 08:00-20:00), which must include a minimum 20 minutes rest break for staff when the working day is in excess of six hours;

-Provide 12 extended hours during each bank holiday; provided between 08:00-20:00;

-Provider will offer a minimum of 5 appointments an hour per GP;

-Provider will offer a minimum of 4 appointments an hour per nurse;

-The service provider will provide urgent appointments and is responsible for managing capacity to ensure the prioritisation of patients with urgent care needs;

-The service provider will accept all patient redirections from the NHS 111 service and local Urgent Care providers where the patient has been triaged and deemed by the referring provider as being clinically appropriate for primary care; -A minimum of one GP appointment slot an hour per hub should be reserved for NHS 111 /UCC patient redirections.

During 2022, it is anticipated that NWL CCG will be succeeded by an Integrated Care Board (ICB). Any future contract and/or procurement opportunity may therefore be in the name of the ICB.