Services/Model of Care
We are still working on the clinical model for the hub, which means the kinds of services that will be provided within the facility. These will be selected as part of extensive work into the health needs of the population, which services are most likely to benefit our patients in this area, as well as what people have told us during our engagement exercises. Once we have confirmed which services will be going into the hub, we will be sharing these details with patients and the public.
Plans are still in progress on how the hub will look, and where the practices will be housed, but we will share these are soon as we are able.
All the information has been provided within the Case for Change document we have produced for the second phase of engagement as well as within the presentation slides used during the focus groups. These can both be found here.
We're not able to answer this question in any detail right now, however we are currently working on the model of care we would like to see at the hub. Once this has been determined, the feasibility of the services will be taken into account. We will be then able to share our plans in more detail.
We appreciate feedback on our communications and engagement activity and always endeavour to do our best with the resources and information we have access to.
We have always shared as much information as we are able in all our communications to be as transparent and open as we can, but we take on board that this needs to be improved.
The Shrewsbury and Telford Hospitals Trust (SaTH) are a key stakeholder partner on the Programme Board, and we are currently working with them and other providers to determine what services they would wish to be delivered from the hub.
We're still in the early stages of plans so the number of consulting rooms is yet to be confirmed. These plans will be shared, as well as an artist’s impression of the building when we are able.
It will be like Teldoc in that there will be a number of GP practices housed in a single building. The difference will be that health, social care, voluntary and community services will also be included in the hub which will provide a number of different services to enhance both the health and wellbeing of patients and the local community.
We have heard a strong message from the focus groups and from the practices themselves that it is important to maintain their individual identity and personal feel for patients. This is being taken into consideration in the design and layout of the hub.
The proposal for a hub involves the co-location of six GP practices in Shrewsbury alongside other health, social care and voluntary and community services. It would enable individual practices to work with other services to help to improve access, promote coordinated care, and enable healthcare professionals to work more closely together. To read more please click here.
As we are still at the very early stages of our proposals, and we have a lot of work left to do, some technicalities such as which services will move from Radbrook Green and Mytton Oak are difficult to answer. However, our current thinking is around phlebotomy (blood-taking); diagnostics assessment and access to rehabilitation and treatment; community diagnostics and imaging; and pharmacy services.
The six practices which may relocate to the hub would remain as six separate practices and would retain their independence. This means that they would continue to handle the same patient lists/records and would know their patients’ history. Your GP would stay the same.
We are currently developing this provision for the hub, but we envisage the inclusion of a pharmacy within the facility.
A new model for General Practice building ownership is proposed by NHS England and NHS Improvement. The hub would be managed by the local Integrated Care System (ICS) which would enable flexibility, give better value to the taxpayer, and allow the co-location of NHS and non-NHS services to improve patient experience and population health. We are currently developing our plans with voluntary organisations on services that may be offered through the hub.
This model would also allow for rapid modernisation of General Practice buildings. It would make current complex payment processes easier and lower the annual cost of the buildings.
Another advantage would be removing building management responsibilities from GPs which would enable them to focus more on delivering medical care and promoting health and wellbeing for their patients. It would also help to improve the recruitment and retention of GPs and other clinical staff, which is a major threat to General Practice.
Any non-NHS services would be commissioned by local commissioners and will depend on local population needs. Our public engagement will help identify which services would be most beneficial.
A Health and Wellbeing Hub’s focus is on providing General Practice (GP) services, but it can also provide a wide range of other health and care services like physiotherapy, social prescribing and sexual health services, for example, as well as
possibly some diagnostic services.
The focus of a Community Diagnostic Centre is much more on services like tests and scans to diagnose illnesses and conditions including CT/MRI and ultrasound scans, X-rays, ECGs, phlebotomy and endoscopy services.
With the changes to GP practices during and following the pandemic, appointments will remain a mix of face-to-face, telephone and video consultations depending on the patients’ needs.
The Severn Fields Medical Centre was based on a different model of care and saw the amalgamation of two GP practices which were facing an insecure future. Unlike Severn Fields, the Shrewsbury Health and Wellbeing Hub would mean the co-location of GP practices alongside other health, social care and voluntary and community services.
We believe there are a number of great benefits to the way in which the hub will operate. These are outlined in the Case for Change documents that can be found here: www.shropshiretelfordandwrekin.nhs.uk/get-involved/current-conversations/shrewsbury-health-and-wellbeing-hub/
Most prescriptions are now signed, sent, and processed electronically. You will continue to be able to choose the pharmacy or dispenser where a prescription is sent. This includes being able to talk to your GP practice or pharmacist to discuss and update this.