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GPs buried under trusts' workload dump

GP at Hand expands to Birmingham with limited 2,600 list size

Babylon GP at Hand will expand its service to Birmingham tomorrow after the London-based provider received approval from Hammersmith and Fulham CCG in a board meeting today.

Board members from Hammersmith and Fulham Primary care commissioning committee assessed the expansion of the digital-first GP service and made recommended restrictions for the first three months, according to the latest board papers.

The restrictions initially restrict the number of patients that can register to 2,600, and there are limitations on the geographical area from which patients can register.

Yesterday, GP leaders warned as soon as the decision was made, GP at Hand could start business either ‘later tomorrow’ or on Wednesday.

Birmingham and Solihull LMC medical secretary Bob Morley said: ‘The intention is to approve it and I would’ve thought that GP at Hand would start business as soon as possible after that decision is made in the Board meeting. It could be later on tomorrow, it could be Wednesday I suppose. That is my understanding.’

The board papers also mention the restrictions for Babylon to put in place for the first three months such as limiting the patient list size to no more than 2,600 and limiting registration from patients living or working in the Birmingham City Council or Solihull Metropolitan Borough Council boundaries.

Dr Morley said it was understandable for Babylon to ‘get some structure’ at first, but that the restriction would be lifted as university students arrive to the city, which could lead to an influx of registrations.

He continued: ‘In all honesty, I think that’s something that they want in order to get some structure. My concern is that once that restriction is lifted, then we may well see a massive expansion in the number of patients registered and it looks like that restriction will be lifted around the time when lots of university students will be moving to Birmingham. One wonders the extent to which Babylon will indulge in some saturation advertising to get these patients registered with them.’

Babylon has said the limit on patient list size is so it can work with local NHS authorities to 'carefully' roll out the service. 

It said: 'This will ensure the best possible experience for our patients while de-registering from their existing GP practice. Anyone who misses out will remain with their existing GP practice and will have the option to complete their transfer from the beginning of September.'

Babylon has stated that the first clinic in Birmingham will operate at Badger Medical Centre but that it would be announcing more clinics in the area soon. Additionally, the digital provider said the service will be available to more patients across Birmingham as the catchment area expands.

The PCCC also highlighted some unresolved issues with regards to the access of community services and screening programmes and stated various objections to the proposed contract variation.

It says: ‘Management of access to locally commissioned community services such as IAPT. In London this has been a significant challenge causing delay to patients accessing care in their local area. In Birmingham this arrangement may have an even greater level of complexity to achieve access for patients.’

Dr Morley also stated his concerns of Babylon’s lack of relationships in places with secondary care providers.

He added: ‘The fact that the GP at Hand practice has got no relationships in place with secondary care providers or community providers in Birmingham, so how are they going to put in place the required pathway from referral, for example, for patients with mental health problems is anyone’s guess at the moment.

‘In terms of the patient demographic this practice will inevitably target, there are concerns about the number of patients with significant mental health issues could register and how those patients will be clinically managed.’

In response to the PCCC decision, UK Medical Director for Babylon GP at Hand Dr Matthew Noble said the practice in Birmingham is open to everyone, even patients with more complex needs.

He said: 'Many people have been used to waiting two or more weeks for a GP appointment. Babylon GP at Hand is loved by patients as they can often see a GP within 30 minutes, it’s valued by GPs who can enjoy flexible working, it helps reduce visits to A&E and it doesn’t cost the NHS a penny more, in fact it can save the NHS money.

'The practice is open to everyone - for those with more complex conditions who really struggle with everyday living, we have a care coordination team that has frequent contact to help them manage.'

Readers' comments (13)

  • Given that all community services have a geographical restriction of where the patient is registered, they wont be able to access services as their host ccg is in London.

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  • That should really sort the CCG overspend???

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  • Why does a London CCG have any say in West Midlands healthcare, it's nuts.

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  • Big is good once again. I am just waiting to see the BIG failures. Why don't they transfer all consultations to the big hospital in Birmingham rather than reinvent the wheel. Big is good? I can already see a problem with parking for beginners. I also wonder if they have any fradulant "Ghost" patients. Consult from Romania online anyone? It's "free".

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  • National Hopeless Service

    I have loads of young rude high trivia demand patients that babylon are welcome to.

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  • National Hopeless Service is onto something here. Direct "Hateful" patients to them. The ones who make vexatious complaints, the ones who complain about parking, about the appalling service they are getting from you, about your refusal to provide antibiotics etc etc. Include their details in a leaflet in all your written responses to complaints as a matter of protocol.

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  • please-delete-this-fucking-profile-i-cant-delete-it-in-my-account-settings

    I echo a previous comment, why does a London CCG have any business running GP services in Birmingham? Arrogant and patronising but typical of our London centric corrupt top down undemocratic country. Completely sick of the 'United' Kingdom with it's self serving patronising establishment. The GMC/BMA and regulatory framework is completely behind the curve, we will have to wait for the myriad of unintended consequences to work through before the idiots 'in charge' decide how to organise the mess - how many years and how many screw ups will be required before some committee in London is set up to sort it all out ?
    for Gods sake

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  • please-delete-this-fucking-profile-i-cant-delete-it-in-my-account-settings

    the future of general practice is not knowing any of your patients, continually firefighting half arsed treatment 'plans' set up by a series of unconnected health care professionals with no notes because they haven't 'merged' from the 'central spine' yet..the only coordinated care will take place in hospital out patient clinics and short hospital admissions with ridiculous and unrealistic 'follow up' requests being fired off into the electronic ether to be picked up by a fragmented and as good as non existent primary care service - who will no doubt still hold almost all the legal responsibility for coordinating care but have almost zero control and have probably never actually met the patient. want to work in this kind of system? i don't

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  • please-delete-this-fucking-profile-i-cant-delete-it-in-my-account-settings

    ..all headed up by an army of inexperienced part time portfolio GP locums expert in single consultant encounters with tip top training in make 'em feel good communication skills and little exposure to the realities of continuity of care, cause they rarely meet the same patient more than twice ..enough already

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  • Dear All,
    Given the recent Ipsos Mori report, how on earth can the CCG approve the service?
    Regards
    Paul C

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