Grange Medicare Limited were providing GP services at the above surgeries in Leeds. The contract ended on 31 October 2018 the NHS Leeds South and East Clinical Commissioning Group (CCG) needed to procure (pay for) a new service for the registered patients.
Brief Summary of project
Grange Medicare Limited had been contracted to provide GP services from New Cross Surgery in Rothwell, Middleton Park Surgery & Swillington Health Practice since 1 November 2008. The contract with Grange Medicare Limited ended on 31 October 2018 and the NHS Leeds South and East Clinical Commissioning Group (CCG) were required to start a process to procure (pay for) a provider of GP services for the registered populations of New Cross, Middleton Park and Swillington. Grange Medicare Ltd indicated that they don’t wish to be part of this procurement process.
Who did we ask?
We spoke to 1234 people who are registered at the three practices.
Our Equality Impact Assessment (EIA) identified that the following groups are likely to be more affected by future changes:
- People with long term conditions in Swillington
- Older people in Swillington
- The BME community in Middleton
- People with mental health conditions in Middleton
- Young parents in Middleton
- Carers at all practices
- Gypsy and Traveller community at Middleton
We carried out targeted engagement with people belonging to these groups.
We also involved the Patient Participation Groups (PPGs) at each practice in the development of the engagement.
What did we ask?
We used a survey and 6 focus groups to ask the registered patients about their thoughts and experiences of using their current GP practice. At the request of Swillington residents and the local parish council we also held a question panel in the village hall that was attended by 120 local residents.
What did we find out?
People told us that:
- it is difficult to make an appointment at their practice and raised concerns that the changes to the service model could exacerbate this problem
- they value continuity of care and that they want more consistency with their clinicians
- they are concerned about the costs and time associated with travel to other GP practices
- older people and those with long term conditions are particularly concerned about the cost and physical challenges associated with travel to other GP practices
People also raised concerns that if Swillington Health Practice were to close it would have a negative impact on the elderly population, especially those with mobility issues and long term conditions.
What did we do?
We shared the report with the Primary Care Commissioning Committee (PCCC) in January 2018. The PCCC used the report and other information to make a decision about the future service model of people registered at the three practices. Feedback from local people directly affected the CCG decision to maintain Swillington as a branch practice.
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