Updated 10 September 2019
Southern Hampshire Primary Care Alliance (SHPCA) is a federation of GP Practices reaching from Bordon in Hampshire, down the A3 corridor to Fareham and Gosport, and across to Hayling Island. All but three practices in the Fareham and Gosport Clinical Commissioning Groups and South East Hampshire Clinical Commissioning Group (CCG) areas are members. Patients from all practices in these localities, whether members or not, can access the services.
SHPCA provides an extended hours and out of hours GP service and also delivers phlebotomy and cardiology outpatient services. The community specialist services part of the alliance employs health care assistants, a phlebotomy supervisor and a service manager to deliver a phlebotomy service across the Gosport and Hayling Island areas. There is also a clinical lead who is a Director and GP from one of the member practices. The service is available is available through six local hubs and patients access the service by booking in with their own practice. Fareham Community Hospital is one of the six separately registered hubs.
Portsmouth Cardiac Consultants provide consultant cardiologists and cardiac technician staff to the alliance to deliver the cardiology outpatients service. The alliance employs a service manager and healthcare assistant to administer and oversee the service. The cardiology service is intended as a non-urgent service. It can investigate palpitations, dizzy spells, suspected heart murmurs, breathlessness with unidentified cause, atrial fibrillation and pre-existing known cardiac conditions which are deteriorating. Access to the service is via GP referral.
The Integrated Primary Care Access Service (IPCAS) is delivered through five separately registered hubs. The service provides an extended hours service up until 8.30pm which can be accessed by patients via appointments booked in advance with their own GP practice. Between 8.30pm and 10.30pm the service operates an out of hours service which is accessed via NHS 111. Overall SHPCA serves a population of 421,000 patients. SHPCA started a new contract on 1 June 2019 to provide extended hours, out of hours and home visiting services to its population. The home visits and overnight out of hours parts of the contract are subcontracted to another provider. Each hub location has its own service level agreement supported by its own standard operating procedures (SOP).
Staff supporting the IPCAS service are not directly employed by the alliance but are employed by member practices. They are paid by their own practice for shifts worked delivering the service.
The IPCAS service is provided from:
Forton Medical Centre, Whites Place, Gosport, PO12 3JP
Saturday and Sunday 8am to 10.30pm
Fareham Community Hospital, 233A Brook Lane, Sarisbury Green, SO31 7DQ
Monday to Friday 6.30pm to 10.30pm,
Waterlooville Health Centre, Dryden Close, Waterlooville, PO7 6AL
Monday Wednesday and Friday 6.30pm to 10.30pm
Saturday and Sunday 8am to 10.30pm
Portchester Health Centre, West Street, Fareham, PO16 9TU
Saturday and Sunday 8am to 10.30pm
The Swan Surgery, Swan Street, Petersfield, GU32 3AB
Tuesday and Thursday 6.30pm to 10.30pm
Saturday and Sunday 8am to 10.30pm
During the inspection we visited Waterlooville Health Centre and Fareham Community Hospital, which are registered locations.
Information about this provider can be found at www.shpca.net.
The inspection took place on 16 and 17 July.
Prior to the inspection we reviewed information we held about the service, publicly available information and information provided as part of the pre-inspection request. This helped us plan the inspection.
We used various methods to carry out our inspection of the various services. These included talking to people using the service, interviewing staff, observations and review of documents. We also reviewed patient records pertinent to the inspection and collected patient comment cards.
To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:
- Is it safe?
- Is it effective?
- Is it caring?
- Is it responsive to people’s needs?
- Is it well-led?
These questions therefore formed the framework for the areas we looked at during the inspection.