2.4 OUR SERVICES
2.4.1 CORE Improved Access (IA) & Extended Hours (EH)
IA and EH has been delivered since the inception of NNPC and we have traditionally delivered this from HUB sites in the early evening and at weekends. Over the course of the COVID-19 pandemic, IA was used to deliver a ‘Hot Site’ and extra clinical capacity to practices via V irtual Clinical Teams. When we stood down the Hot Site in March 2021, we then progressed with discussions within the PCNs to understand exactly what practices wanted from the IA service. As expected, each PCN wanted something slightly different, and more practices wanted to become HUB sites – which is now standing at 8 hub sites. We deliver a more locally bespoke service within each PCN than what was initially launched. We utilise a ‘locum’ workforce and/or local practice GPs, ANPs and NPs to staff this service. With the advent of extended hours being evolved into enhanced access though the network contract DES in October 2022, it is expected that NNPC will again provide a bespoke model to the PCN’s to support delivery of this model. This will involve working closely with the PCN’s to ensure that it meets the needs of the patients with flexible working for staff. Primary Care Network (PCN) support Team - Additional Roles Reimbursement Scheme (ARRS) The PCN support team has continued to work with the 4 North Norfolk PCNs to develop networks, shared ways of working, interpreting NHSE and local policy, general practice direction of travel and the implementation of the Additional Reimbursable Roles Scheme (ARRS) within the PCN areas. The PCN Support Team has also continued to work throughout the year to support the recruitment and employment of incoming shared staff to the networks via the Additional Roles Reimbursement Scheme (ARRS), such as Clinical Pharmacists, pharmacy technicians, and First Contact Physiotherapists. By end of March 2022, NNPC directly employed 22 members of staff in ARRS roles over the 4 PCN areas and has facilitated in the employment of many more which are directly employed by the Practices. The PCN Clinical Support Manager role was developed in 2021 to act as a facilitator between NNPC and the practices ensuring smooth induction and ongoing clinical supervision as well as dealing with day-to-day HR issues. NNPC provides quality assurance in many aspects of the management of the ARRS staff. Phlebotomy In October 2019 NNPC commenced the Phlebotomy Service located at Cromer Group Practice providing primary care-based phlebotomy for practices who were not signed up to the LCS for Phlebotomy. The service continued to support the Practices and was decommissioned by Norfolk & Waveney CCG in March 2022 due to the introduction of the new LCS for phlebotomy to being delivered at local Practice level.
NNPC Quality Account 2021/22
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