GP out-of-hours in South Buckinghamshire

UPDATE – 28 February 2019:

GP out-of-hours in South Buckinghamshire – engagement results

The GP out-of-hours service runs from 6.30pm until 8am on weekdays and from 6.30pm on Friday evening until 8am on Monday morning.

For patients of Southmead Surgery, Burnham Health Centre and Threeways Surgery who need an appointment with a GP, after phoning 111, they go to Royal Berkshire Bracknell Clinic in Bracknell or the Herschel Medical Centre in Slough.  Patients registered with the other practices on this list are seen at either Amersham Health Centre or Wycombe Hospital.

We are proposing that from 1 March 2019 patients who phone 111 and need to see a doctor out-of-hours will be able to book an appointment at a local base in south Buckinghamshire, as well as Amersham, from:

  • 30pm until 10pm Monday to Friday
  • 9am until 10pm Saturday
  • 9am until 7pm Sunday

On the very rare occasion when patients urgently need to see a GP overnight (from 10pm until 8am on weekdays; from 10pm until 9am on Saturdays; and from 7pm on Sundays until 8am on Mondays), they can book an appointment by phoning NHS 111 and will need to travel to Amersham or Wycombe.

As part of any formal change in service, it is the commissioner’s responsibility to carry out a ‘measured engagement and/or formal consultation’ (subject to the impact of the service change). To satisfy this requirement, the following activities have been undertaken:

  • The CCG hosted a workshop, in collaboration with FedBucks for stakeholders (southern practices in the first instance) on the 10  September 2018 to develop a more responsive model of GP out-of-hours services for patients of this locality;
  • Representatives of the Patient Participation Group took part in a workshop on 12 September 2018;
  • A patient and public survey, based on the outcomes of the two workshops, and focusing on where the public would prefer out of hours appointments to be based and the hours of operation was undertaken between 26th November 2018 and 25th January 2019.

 

Results:

116 members of the public took part in the consultation. 90 female, 24 male and 1 ‘prefer not to say’ completed the questionnaire and 1 person did not fill this question in.

There was a mixture in age of the respondents from aged 21 and under to over 80 years old. The majority were aged between 45 and 64.

The responses can be broken down as follows:

  • White – 106
  • Mixed – 1
  • Asian or Asian British – 5
  • Black or Black British – 0
  • Other – 1
  • Prefer not to say – 3

The numbers below indicate where participants were registered (where this question was completed).

  • Burnham Health Centre – 41
  • Denham Medical Centre – 1
  • Southmead Surgery, Farnham Common – 17
  • The Allan Practice, Chalfont St Peter – 12
  • The Hall Practice, Chalfont St Peter – 8
  • The Ivers Practice, Iver Heath – 14
  • Threeways Surgery, Stoke Poges – 10

Every effort was made to reach diverse groups of people by promoting the survey online and through targeting social media posts to community groups. Despite wide promotion and the survey reaching many people, the numbers of those who took part is comparatively low.

The preferred option from the survey was Option 1: Threeways Practice, Stoke Poges.  The majority (76 people) responded stating that opening hours were important to them but did not comment on, or propose any changes to, those suggested in the survey.

Now that a preferred base and service model has been proposed, more detailed evaluation will need to be undertaken before a final decision about adopting the proposal can be made. A Mobilisation Plan will be developed to indicate actions required for successful delivery of the new OOH service operating from Threeways. This will identify any issues that might need to be addressed.

Once the decision has been made, a detailed communications plan will be developed taking account of feedback in the survey about the general lack of awareness of such services being available.

Please click here to read the report in full.

 

 

UPDATE: November 27, 2018:

Do you live in south Buckinghamshire? We need your views on the GP out-of-hours service

The out-of-hours service for patients in south Buckinghamshire is changing and we need your views on where you would prefer to go to for these appointments.

An out-of-hours service offers access to a general practitioner from 6.30pm to 8am Monday to Friday, throughout the weekend and on bank holidays.

These appointments are for people who need to see a doctor urgently. They are not for routine appointments. These could be via a telephone call or a face-to-face appointment, usually at the out-of-hours base or, in certain circumstances, at your own home. The service is accessed by calling NHS 111.

Dr Rebecca Mallard-Smith, Clinical Director of Community Urgent Care, said: “We want to provide a local service for our local communities and are working with patients and practices in the area to make sure that the out-of-hours service we provide can meet their needs.

“We would like to know views on the current out-of-hours service and also where people in south Buckinghamshire would prefer the out-of-hours GP appointment to be held.

“Members of the patient participation groups from the practices in the area have been involved in helping to shape our proposed options. We have tried to provide patients with a solution that is easy to find and where parking is available.”

Currently the GP out-of-hours service runs from 6.30pm until 8am on weekdays and from 6.30pm on Friday evening until 8am on Monday morning. People who need an urgent appointment with a GP, after phoning 111, can go to Royal Berkshire Bracknell Clinic in Bracknell or the Herschel Medical Centre in Slough.

We are proposing that patients who phone 111 and need to see a doctor out-of-hours will be able to book an appointment at a local base in south Buckinghamshire, as well as Amersham, from:

  • 6.30pm until 10pm Monday to Friday
  • 9am until 10pm Saturday
  • 9am until 7pm Sunday

On the very rare occasion when patients urgently need to see a GP overnight (from 10pm until 8am on weekdays; from 10pm until 9am on Saturdays; and from 7pm on Sundays until 8am on Mondays), they can book an appointment by phoning NHS 111 and will need to travel to Amersham or Wycombe.

To help us shape the future of your local out-of-hours service a short survey is available here.