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How can we improve access and choice?

An outstanding range of treatments

Dr. Kenyon and Partners is a six-partner General Practice with over nine thousand patients based at two surgeries in Coventry. The range of choices on offer to patients with respect to access and treatments is outstanding. They are achieving this in two ways: one is by bringing extra services into the surgery; the other is by taking services out to patients.

The practice has increased patient choice by running a wide range of specialised clinics at the surgery, including clinics for drug users, prevention of coronary heart disease and diabetes. The surgery is working in partnership with the local hospital diabetes consultant to stop inappropriate referrals going to the hospital. 'We like to bring the services to the surgery rather than send patients to hospital where they might have long waits,' says Business Manager Maureen Price. 'It's much better for patients because not everybody has cars, which makes getting to hospital difficult, and this is a much more familiar environment, which makes the whole experience less stressful'

The practice has also reacted by taking services out of the surgery to locations, which make them more accessible to patients. Up until recently, the Teen Talk clinic has been run at the surgery with the aim of providing young people aged 12-18 with confidential advice on sex education and pregnancy. But extensive consultation revealed that teenagers were reluctant to come to the surgery, where they may see a neighbour or relative.

The decision was taken to operate the clinic within a local comprehensive school where the incidence of teenage pregnancy is extremely high. Working closely with the staff and Headteacher of the school, the nurse-led clinic has since expanded with the addition of a drug counsellor, and is successfully advising young people and acting as a gateway to other services they might need.

Want to know more? Contact: Maureen Price, Business Manager
Tel. 02476 516925, Email: maureen.price@gp-m86015.wmids.nhs.uk

Post offices make passports accessible

As part of the recovery plan from the crisis of 1999, the UK Passport Service introduced an appointment-only service at their new headquarters, Globe House in Victoria. Since travelling the London office is not practical for everyone, they have increased the options for customers with a new check and send service through local post offices and by offering online applications via the website.

'To use the 'check and send service', you pay four pounds and someone at the post office counter will make sure your application is all correctly filled in and you have included everything,' explains Head of Communications Christine Nickles. 'We do offer this service at our offices, but they are far fewer in number than the local post office, which is a much easier way for people to access the service.'

The service has also altered its rules to allow people to apply much earlier before their passport runs out. Customers can now for a new passport up to nine months before it expires, without losing any validity. Not only does that allow greater choice to the customer, but also earlier applications help to make the service more predictable and thus more cost effective.

Want to know more? Contact: Christine Nickles, Head of Communication
Tel. 020 7901 2470, Email: christine.nickles@ukpa.gsi.gov.uk

Promoting access in a rural area

The Dyfed Powys Police serves mid and west Wales, operating 55 stations, including a new police station in a remote rural area opened in response to public demand. 'Our force is the largest in the whole of England and Wales,' explains Strategy and Planning Officer Paul Morris. 'We have 1,100 officers to police that area, so the thinking behind this is to have a programme to open new police stations and place officers in as many areas as possible to provide the reassurance of a visible police presence in their communities. We have also made successful bids for mobile police offices - locations for people to go and see police officers - which are part-funded by the National Assembly for Wales.'

The force provides special interview rooms for children and vulnerable witnesses at five locations remote from police stations. 'In cases of domestic violence or child abuse, you are dealing with very vulnerable victims and witnesses,' says Paul Morris. 'Instead of bringing them to the main police station which can be a very intimidating atmosphere, these are more family friendly, so for example they have rooms decorated like a home, toys for the children and so on.'

Want to know more? Contact: Paul Morris, Strategy and Planning Officer
Tel. 01267 226638, Email: paul.morris@dyfed-powys.pnn.police.uk

A comprehensive service

Preston Disablement Services Centre puts a premium on providing a comprehensive, easily accessible service for its patients. The Centre has its own full-time Consultant in Rehabilitation Medicine who leads the clinical team comprising rehabilitation engineers, occupational therapists, physiotherapists, nurses and prosthetists. The Artificial Limb Service is almost entirely provided at the Centre. The Wheelchair Service is organised from the Centre but operates through locally based contractors. Wheelchair clinics are held at nine locations throughout the catchment area.

Access to the service is made as easy and convenient as possible by providing outpatient clinics throughout Lancashire and South Cumbria. Children are also given special consideration with an attractive environment and special facilities. A recently developed information pack is available to patients and a great variety of information is displayed within the Centre. This includes information on local voluntary organisations and information for members of ethnic minorities and patients with special needs.

Want to know more? Contact: Kim Hoyles, Business Planning and Quality Manager
Tel. 01772 716921, Email: kim.hoyles@lthtr.nhs.uk