Primary Care Services
East Lancashire Clinical Commissioning group is responsible for planning and buying health care services in this area. We have been working with patients, GPs and others who provide health care (out of hospital in communities) for some time now to consider how we can improve access to health services in GP practices and closer to patients’ homes. These services are called Primary Care Services. We have listened to a wide range of views about the services and have worked together with patients to put together a range of key principles or values for these types of services in the future. These principles were approved by our Governing Body in January 2015. If you live or work in East Lancashire, we want you to tell us if you agree with these or if there is anything else we need to include or consider. We are particularly interested in hearing from people who may find getting access to health care more difficult, e.g. because of difficulties with English, disabilities, working patterns or for other reasons. Everyone’s views are important. The principles fall into three main areas:
- Getting access to appointments and services closer to home
- Better information about services and appropriate access for health care professionals to their patients’ medical records.
- Increasing the number of primary care health professionals and ensuring they have the right skills to meet patients’ needs into the future.
Primary Care - what services are available
Please select a service for more information
What service is the NHS expected to provide for patients through local GP surgeries?
Each member of our community has the right to be registered with a GP practice. The practice is available to provide a service to residents from 8.00am to 6.30pm Monday to Friday. This service includes the provision of advice as well as surgeries.
What does extended hours mean for patients?
Extended hours services bring two important benefits for patients. Normally these hours provide additional appointments within the surgery. The hours may be more convenient for patients who have work or other commitments which make daytime access more difficult.
What home visits can I ask my GP to provide?
If you are housebound or too ill to visit your GP practice you can request a home visit.
Out of hours
These are the services provided by a qualified doctor outside of the core opening hours of your practice which are 8.00 to 18.30 Monday to Friday. These doctors act for your own GP and mainly provide an “urgent” care response. Mainly provided from a clinical base, some home visits may also be available.
What services can I use if my surgery is closed (after 18.30pm and weekends)?
All NHS patients can access a GP service for “urgent care” 24 hours a day seven days a week. When your own surgery is closed (e.g after 18.30 and at weekends) your clinical commissioning group has made arrangements for another doctor to provide the help you need. These are called “out of hours services” They are available outside of your normal practice hours.
Primary care walk in services
Primary care walk in services can be provided by a dedicated walk in/health access centre offer the ability for patients to present on the day and wait for a doctor or other member of staff to be available to see them.
What is a walk in service?
Primary care walk in services can be provided by a dedicated walk in/ health access centre service to offer the ability for patients to present on the day and wait for a doctor or other member of staff to be available to see them.
Primary care services
Primary care services are provided by your GP, Dentist, Optician and Pharmacist. In addition a number of services previously provided from hospitals are now available in your local community. Details about these are in Extra or enhanced GP services section.
What are primary care services?
Primary care services are provided by your GP, Dentist, Optician and Pharmacist. In addition a number of services previously provided from hospitals are now available in your local community, see extra or enhanced GP services for more detail.
Extra or enhanced GP service
To improve services to patients the NHS has been looking to develop alternative services to the traditional, hospital service provision. Enhanced primary care services enable your GP practice to provide new services, or example: diagnostic tests such as blood test and ECGs, minor surgery and other specialist services normally associated with hospital led services.
Enhanced primary care services, a fancy name what does it mean?
Enhanced primary care services enable your GP practice to provide new services, for example, diagnostic tests such as blood test and heart tests, minor surgery and other specialist services normally associated with a hospital. Enhanced primary care services can be provided by your own GP surgery, community health services, opticians, pharmacists, hospital staff using community settings, or authorised NHS clinical providers. This can include physiotherapists, mental health practitioners or advice and support services from community organisations.
Wider primary care at scale
What services are included here?
This wide range of services cover everything you can do for yourself, managing your own condition, health screening, longer hours in your practice, additional access to GP services, all community health services and the contribution of pharmacists, opticians and dentists.
How can I help?
The NHS and many other organisations provide a wide range of information and support leaflets to help you understand an illness or manage that illness.
The NHS Constitution asks us all to “take responsibility for our own health and well-being”
Maintaining a well stocked medicines cabinet is recommended.
Have information about yourself, allergies, medication etc. can be helpful for you and others who look after you.
Self care management
What is self management?
We are trying to promote health services based on the needs of the patient. You are the best person to manage your condition and the NHS is here to help you do this. We can offer support through Expert Patient Programmes, personal care plans and support by community teams and services to make access to service as convenient as possible for you.
Health promotion and prevention
What services are available to help me stay healthy?
The NHS provides a wide range of screening services such as cervical smears, breast screening, and bowel screening. Access to these services may depend on your personal circumstances. Your practice can explain the services and access requirements to you.
Practices are also offering health checks, for certain ages, which can be provided by several members of the practice staff.
Which services do the NHS define as community services?
Community health services cover many professionals based in your local community. They include district nurses and health visitors, physiotherapists, occupational therapists, speech and language therapists, podiatrists, learning disability teams, mental health teams and treatment rooms.
NHS East Lancashire Clinical Commissioning Group is currently working with GP practices and community health service providers to develop Integrated Neighbourhood Teams; this will involve these teams working together to provide the care you need closer to home.
Some services previously only available in hospitals can now be provided in local communities. Please check with NHS East Lancashire Clinical Group website www.eastlancsccg.nhs.uk for information about these alternative services in your area.
How do voluntary sector services fit into the NHS?
The voluntary sector provides choice to patients and alternatives to NHS services. They can provide:
- Advice and helplines
- Advocacy and representation
- Support groups for different conditions
- Support for carers
- Foot care