Video Group Clinics


Introduction to Video Group Clinics


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VGCs are a transformative way of delivering planned care and supporting people to take control and manage their health issues. They work especially well for people who live with long term conditions like diabetes, COPD, asthma and Long COVID; conditions that account for the bulk of primary care’s chronic disease management workload and where QOF reviews and a DES are in place.  VGCs offer:

          • Significant clinician time-savings. Clinicians report that clinical reviews in VGCs take around 5 minutes per patient compared to 15-25 minutes when delivered one to one. Well practiced clinicians can review 6-8 patients in 30 minutes, representing a 60-80% time efficiency gain compared to one to one.
          • Quality and QOF improvement. A GP practice that adopted group clinics as their fist point of contact for people living with diabetes saw a 18% uplift in QOF in its first year, with a further 10% uplift in year two.
          • Improved experience of care: clinicians report that group clinics restore joy to both remote and face to face consultations. They energise them because they are less transactional and more relationship based. Patients report extremely high levels of satisfaction with their group clinic experience
          • Sustainable delivery of personalised care: the group clinic process mirrors care and support planning because patients see their results and decide their questions before the clinician joins. Then after their consultation with the clinician, they are supported to set goals. VGCs will help you deliver the Year of Care in a more time-efficient way
          • Better outcomes in diabetes: there is Level One (randomised controlled trial) evidence that group clinics improve HbA1c and blood pressure in diabetes compared to one to one appointments.

For more information about video group clinics and illustrative case studies of best practice, go to: www.redmoorelc.co.uk/resources

Group clinics are embedded in BOB’s primary care strategy and are seen as an essential element of PCN development and the integration of additional roles within the workforce. For this reason, this programme is now available to help your practice to explore the benefits of video group clinics (VGCs). This programme is in conjuction with Redmoor Health ELC Partnership. Click on the below image to view their website:

Elc Redmoor Logo

To understand how VGCs work, please watch this short video. it explains how VGCs flow; how to manage risk and sets out the three key roles within VGCs. It will answer your questions about the VGC process and how it works:

This short video walks you through choosing your VGC delivery team:

Best practice in VGC spread shows that a minimum of 6 people must be trained to build a successful VGC team. The people who need to be trained include:

        • Your leadership team: GP champion, practice manager and your VGC lead (likely to be a personalised care practitioner may also be a GPN or GP)
        • Administrators who will be supporting VGC scheduling, patient recruitment
        • Clinicians who will be consulting in VGC e.g. practice nurses, GOPs, clinical pharmacists
        • People who will act as VGC facilitatorsg. health care assistants, general practice assistants, care co-ordinators, social prescribing link workers, health and wellbeing coaches, experienced receptionists or administrator keen to take on this new role as part of their personal and professional development

 

Like any change, in the early days it takes more time. Introducing new processes is a one off task. Preparation time for each group clinic speeds up as you gain experience. If you make this change a regular part of your care delivery from the start, you will realise the benefits described above within 3 months.

Once you realise the clinician time-savings and see the positive impact on QOF, making this change will be saving time and improving quality and QOF payments.

Group clinics offer the following benefits:

  • 60-80% clinician time-savings. Clinicians can review 6-8 patients in 30 minutes, compared to one to one.
  • Quality and QOF improvement. practices that adopt group see a significant (18%) uplift in QOF because group clinics systematise the QOF process.
  • Improved experience of care: clinicians and patients alike report that group clinics restore joy to both remote and face to face consultations. They energise clinicians because they are less transactional and more relationship based. Patients report extremely high levels of satisfaction with their group clinic experience.
  • Sustainable delivery of personalised care: the group clinic process mirrors care and support planning and deliver the Year of Care principles in a much more time-efficient way.
  • Better outcomes in diabetes: there is Level One (randomised controlled trial) evidence that group clinics improve HbA1c and blood pressure in diabetes compared to one to one appointments.


Offer available to the BOB region


BOB Training Hub is providing 37 primary care networks (PCNs) with support for one practice and the social prescribing team to pioneer the use of video group clinics (VGCs). Ideally we would like this programme to be led by additional roles team members, supported by a senior GP and practice manager, and PCNs are free to decide the focus of their VGC work and who they want to lead it. If PCNs prefer, a general practice nurse, GP, or new to practice fellow might take on this leadership role.

Setting up and running group clinics will support recovery in many ways. Here are a few ideas:

          • Many people with chronic conditions are feeling isolated after long periods of shielding and self-isolation. You and your social prescribing team can harness group clinics to connect them and reduce loneliness
          • Many people with LTC have let their healthy lifestyle slip during Lockdown. Running group clinics helps you catch up with QOF reviews and build on the positive group dynamic to facilitate motivation and commitment to lifestyle change and improvement
          • NHSEI has recently launched a LONG COVID DES. This can be delivered as a group clinic model and we have access to best practice to help you make this happen
          • Many children and young people as well as adults are suffering from low mood and anxiety, which is generating a lot of work for primary care. You can support people in a group setting and help them to regain a sense of control
          • Video group clinics in particular work especially well with: working people, men, carers, those with mobility issues (including housebound people) and children and young people. This means that you can improve connection and  access to groups who often don’t engage easily with face to face care and support
          • You can make your precious additional role workforce go further by adopting group clinic models led by clinical pharmacists, first contact physiotherapists, social prescribers and health coaches. Care co-ordinators can lead this way of working and support group clinics to embed.

 


Resources available


Link to free e-learning:

There are 2 free modules of e-learning available via e-learning for health. You teams can access them once they are logged into the platform by following this link:

https://www.e-lfh.org.uk/programmes/video-group-clinics/


Link to VGC Hub

This is designed to provide a workspace for collaboration as we move forward with spreading group consultations and there are useful resources posted here. Combined with training, it will provide a powerful platform for collaborative improvement. It will get moved to the PCN part of NHS Futures shortly.

This will be an importance source of peer support for people, once they are trained and will support ongoing development of best practice.

You need to be on Future NHS:

https://future.nhs.uk/

Once you are, follow this link to the VGC Hub:

https://bit.ly/nhsvgchub

 


Call to action


Your programme support package – please click below to download:

Programme Support Package

To register your PCN on the programme your next step is to complete the below application form.

The Deadline for the first cohort to register is 1st September 2021. Places are limited and are fully funded.

If you have any further questions about the programme support, please contact: info@elcworks.co.uk

Video Group Clinics Registration

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