Community Based Gastroenterology Service

Descriptions

North and Central Manchester and Trafford CCG commissioners are seeking responses from viable providers who can work effectively across primary, secondary and tertiary care. Assurance of competence, quality, innovation and safety standards are required. We wish to commission a high quality, comprehensive and efficient local Community Based Gastroenterology Service to commence in August 2016. The service will be consultant led, delivering the right care at the right time in the right place. Key outcomes include: • Improved patient satisfaction/ experience; all patients will be seen within a maximum of six weeks of referral • Improved access and waiting times: clinics should be accessible and to patients in both North and Central Manchester and Trafford CCG sites • Improved pathways of care; 95% of patients to be seen in a one stop clinic. • Increased threshold for referrals to secondary care; the service will effectively manage more patients resulting in few patients being referred to secondary care The service will be for patients aged over 16 (registered with a North or Central Manchester or Trafford CCG GP) that meet the referral criteria. The service is NOT for emergency cases or suspected cancers or patients with a diagnosed long term condition, apart from where specified in the referral criteria. The service model will reduce the number of steps in the care pathway for patients through the provision of a one stop service resulting in fewer referrals into secondary care. A one stop clinical model will be the default model, with diagnostic testing, clinical assessment and treatment completed in a single visit, except in exceptional circumstances where patient safety may be impacted; the provider will agree these criteria with commissioners. The service will also offer direct access to endoscopy investigations for GPs to enable them to manage patients effectively within primary care. The service will adopt an holistic approach for patients with gastrointestinal symptoms, this includes taking every opportunity to offer first line advice to patients, this includes: • Simple lifestyle advice, including healthy eating, weight reduction and smoking cessation. • Advice on the avoidance of known precipitants, associated with specific symptoms, where possible. • Access to educational materials to support the care they receive. • Referral to psychological therapies, such as cognitive behavioural therapy. • Referral to dietician services. We expect the service to be operational by 1st August 2016. We expect the service to be provided within the geographical area of the three commissioning CCGs. In terms of premises, providers should ensure that there is adequate space to include reception and waiting areas for patients, clinical assessment and examination areas, endoscopy and other diagnostic testing and decontamination.