CCGs deliver on STP vision for integrated care

Worcestershire CCGs use advanced GP telephony to improve efficiency and patient experience and achieve NHS sustainability and transformation ambitions

South Worcestershire, Redditch and Bromsgrove, and Wyre Forest clinical commissioning groups (CCGs) are rolling out advanced cloud-based VOIP telephone services across the region’s GP surgeries to achieve NHS plans for more-efficient and effective care.

We saw that lots of GP practices were paying too much for their phone systems, which were often antiquated and did not have the functionality required to support new ways of working

The move will provide patients with easier access to healthcare, staff with the ability to work more efficiently and remotely, and doctors with a cost-effective platform to reduce DNAs and deliver new forms of consultation.

The three CCGs will be implementing a system called Surgery Connect from X-on to replace many of the outdated and expensive phone systems that its member practices have in place.

This new technology will improve patient access and experience by making it easier for patients to get through to a GP and allow them to manage their own appointments. This will help to reduce appointment non-attendance, or DNAs, which are said to cost the NHS around £1billion every year.

Practices will also be able to provide extended hours access, match capacity to demand, and deliver new forms of consultation – all priorities for NHS England’s NHS GP Forward View.

The innovation helps achieve the region’s digital plans as described in its Local Digital Roadmap (LDR), as well as the vision for more-efficient, effective integrated health and care outlined in its Sustainability and Transformation Partnership (STP) plans.

“Joined up telephony was one of the priorities for our LDR”, said James Harley, primary care IT lead for the CCGs.

The roadmap recognised that, in order to achieve the region’s vision of more-effective care, improvements to telephony were crucial – almost nine out of ten patients use the telephone system as their first point of contact with the health service, according the latest GP patient survey.

“We saw that lots of GP practices were paying too much for their phone systems, which were often antiquated and did not have the functionality required to support new ways of working. With Surgery Connect, we saw that the system had been designed with GP input and built to meet the needs of practices.”

With Surgery Connect, the system has been designed with GP input and built to meet the needs of practices

Patients can manage their own appointments over the phone, and – as the system is cloud hosted – it has the potential to enable patients to contact any one of several surgeries in evenings and weekends to arrange appointments and speak to a GP – a key enabler for an extended-access service.

The system supports remote and mobile working so that GPs and other healthcare staff can be in contact with patients via a mobile app. They can carry out consultations over the phone and, ultimately, will be able to do the same through video.

And performance dashboards identify call volumes, helping practices and commissioners manage demand on the region’s healthcare services.

Calls can be answered in order, reducing patient frustration and complaints. Less time will be wasted on patient calls, as practice staff can see a patient’s record when they come through on the phone. And calls can be recorded and associated with the patient record, to help GPs better understand a patient’s needs.

Business continuity is also improved.

“If someone drills through the Internet connection at a practice, we can quickly switch the phone system over to mobile devices so there is no loss of service for patients or staff”, said Harley.

The CCGs will reduce infrastructure costs by removing the need for multiple contracts with providers, and cut the cost of calls by using Voice Over Internet Protocol (VOIP).

The CCGs have used Estates and Technology Transformation Funding (ETTF) to support the rollout of the services, which is being led by the Midlands and Lancashire Commissioning Support Unit.

It is looking to start initial implementation in the summer with 16 practices, expanding to a total of 64 practices and 13 branch sites as old phone contracts run their course.

Once the infrastructure is in place, the CCGs will look to extend use of the phone system to other care settings, such as community providers.

“It gives us a great opportunity for more-joined-up working,” said Harley.

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