Transforming Dermatology Services in Somerset
Discover the transformation of dermatology services in Somerset, focusing on addressing capacity issues, enhancing community dermatology provision, and empowering primary care practitioners. Learn about the challenges faced and the plan for a more efficient and equitable service model.
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Presentation Transcript
Dermatology in Somerset Carmen Chadwick-Cox Deputy Director of Commissioning Planned Care 6th November 2019
Background Secondary Care Historically 2 acute providers in Somerset YDH & TST 2017 TST stopped providing a service for new patients Activity redistributed between Yeovil, Bristol and Exeter 2WW - UHB provide 40 slots per week Routine mainly to RD&E, with some to YDH & RUH Community Dermatology (GPwSI) Historically service available across Somerset Now only provided by 4 GPwSI in 2 Practices in Taunton Service in Tiverton that can be accessed by Somerset patients (run by RD&E Consultants)
Current Service Issues 2WW Capacity Extra capacity provided by UHB & RD&E No extra capacity available this year Created a backlog of referrals held back
Current Service Issues Inequitable service provision Patients having to travel to Bristol, from Taunton area, for 1st appointment Secondary Care Only available in Yeovil Community Dermatology Service Only available in Taunton (2 x Practices 4 x GPwSI)
Plan Dermatology agreed as a workstream for the Planned Care Transformation Programme Identify gaps in current model and develop future model Stakeholder Workshop18th Oct New Dermatology Model to STPB for Agreement at the beginning of Q4
Plan Key deliverables: Reduction in 2WW demand Increase in Telederm referrals/number of GP s using Telederm GP confidence to manage patients within Primary Care Equitable provision of Community Dermatology across the county Robust provision in place for training, accrediting and supporting GPwER Rolling Programme of Primary Care education on recognition of skin lesions and pathway management Patient feedback on confidence to self manage
