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Forton Medical Centre Whites Place, Gosport, Hampshire, PO12 3JP Tel: 023 9258 3333 Fax: 023 9260 1107

Transforming Primary Care in Gosport – what have local people told us


Thank you to everyone who took the time to complete our recent survey. Almost 1,400 local people completed the survey which sought your views on local GP services. These are being used to help us ensure GP services meet your needs.

The survey results, independently analysed by Hampshire Healthwatch, and further independent feedback sought by Healthwatch are available in a detailed report on their website at www.healthwatchhampshire.co.uk/our-work-gp-services. Highlights include:

Who replied to our survey?

The survey was completed by almost 1,400 people. Of these:

  • 78% of respondents are female
  • 3% of respondents are 24 years old or younger, 52% are 25 to 54 years old, 38% are 55 to 74 years old and 7% are over 75 years old
  • 34% have a long term condition
  • 19% care for dependent children and 8% are responsible for caring for a parent/friend/relative
  • Every Gosport practice had responses from patients registered with them.

What did they say about when they feel they need to be seen on the same day?

Most of those who responded said they would feel confident seeing a GP other than their own (83%) or an experienced nurse (68%) but less than half would feel confident seeing a pharmacist (40%). The key themes for lack of confidence were people perceiving pharmacists as not as qualified as their GP or nurse and some only wanting to see their GP.

The majority (82%) said they would be happy to be seen somewhere other than their own practice if they needed a same-day appointment.

What did they say about when they need routine advice or care?

43% said it is reasonable to wait four to seven days for a routine appointment with 36% saying one to three days. This was reflected in the responses from those with a long term condition.

35% feel they should be able to book a routine appointment three or more weeks in advance with 33% saying one to two weeks. This was also reflected in the responses from those with a long term condition.

Most feel confident seeing a GP other than their own (86%) or an experienced nurse (77%) with 46% saying they would feel confident seeing a pharmacist. The responses from those with a long term condition were slightly different but with most saying they would feel confident in seeing a GP other than their own (82%) or experienced nurse (73%) with 42% saying they would feel confident seeing a pharmacist.

The majority (80%) would be happy to be seen somewhere other than their own practice if they needed a routine appointment. The response from those with a long term condition was lower at 75%.

What did they say about when a loved one they care for needs care or advice?

There were differences in responses from those with a caring responsibility with 68% caring for an adult saying that person would be happy to see a GP other than their own and 59% an experience nurse. However, 87% of those caring for children said they would be happy to see a GP other than their own and 77% an experienced nurse.

82% of those caring for a child said they would be happy to be seen somewhere other than their own GP surgery. This was different to the responses from those with a long term condition (78%) or caring for an adult (66%) which showed less would be happy to be seen somewhere else.

What did they say about how they are seen?

93% would be happy to be seen by another healthcare professional if advised to. 55% would be happy to do so if advised by their GP with 38% happy to do so if advised to by their GP or practice receptionist. The majority of those who would not be happy to be advised by a receptionist said this was because receptionists are not qualified to give this advice.

76% would be happy to talk to a healthcare professional over the phone and about 34% said they would be happy to used Skype, email or a web-based consultation.

71% would like GP practices to provide services earlier in the day and 93% said they would like them provided later.

95% would like any GP services provided at the weekends to be on Saturdays and 80% on Sundays.

67% would like all of the GP practices across Gosport to manage their appointments in the same way with 30% saying they don’t mind/know.

Transforming primary care in Gosport

Gosport practices have been under increasing strain with a growing demand for services in primary care, the inability to recruit GPs to work here and a number of GPs retiring in the next five years.

In October 2014, NHS Fareham and Gosport Clinical Commissioning Group (the CCG) facilitated a workshop for all eleven practices, community providers and voluntary organisations to discuss common issues and challenges and agree a way forward.

All eleven Gosport practices have agreed for a central service pilot to manage same day appointment requests to be implemented this winter to manage increasing demand, provide better patient care and make better use of the existing workforce in Gosport.

Current Arrangements for same-day appointments

Patients telephone their registered practice to request a same day appointment and staff working at that practice would deal with the request accordingly.

Proposed change to same-day appointments

Four practices have agreed to pilot this central service which started December 2015. They are Brune Medical Centre, Forton Medical Centre, Stoke Road Medical Centre and Waterside Medical Centre.

The service will provide both same day telephone triage and face-to-face appointments and will be located at a hub at the Gosport War Memorial Hospital. GWMH was chosen for its central location for both patients and staff, and to co locate the service with other community providers/services.

Process:

  • Patients requesting a same day appointment will call their practice as usual
  • The receptionist will take some basic details from you to facilitate the triage process and agree for a health professional to call you back
  • Patients will be called back in order of clinical priority following initial review by the triaging clinician
  • This will result in a telephone consultation and potentially the offer of an appointment either in the hub (or the practice) to be seen by a relevant health professional.

 

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