Updated 28 May 2021
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. Patients from all practices, can access the services including those who are registered with practices who are not members of the federation.
SHPCA provides an extended hours GP service called Integrated Primary Care Access Service (IPCAS) and also delivers phlebotomy and cardiology outpatient services. As part of its response to COVID-19 IPCAS is operating from 8am to 10.30pm to support GP practices to assess patients with known or suspected COVID-19 infection. The service also runs a virtual ward, monitoring oxygen levels at home for patients diagnosed with COVID-19 and supports the Clinical Assessment Service (CAS) for patients referred from NHS111 requiring clinical assessment. We did not review information in relation to the CAS or the virtual ward service during this desk based review.
The IPCAS service brings together traditional in hours, extended hours and out of hours (OOH) into a single seven day service open 8am to 10.30pm. As part of the COVID-19 response the service offers care and treatment from two red hub sites and two green hub sites. Patients would attend a red hub if they had COVID-19 symptoms. Patients book routine appointments or same day care appointments through their own GP practice. The service also receives referrals from the Clinical Assessment Service (CAS) where, following clinical triage, a face to face appointment is considered necessary. Consultations may be face to face or remote. Staff supporting the IPCAS service are mostly not directly employed by the alliance but are employed by member practices. They work on a sessional basis and are paid by the Alliance for shifts worked. However, the alliance does contract some shifts from locum GPs.
The phlebotomy service is provided to practices in Hayling Island and some practices in Gosport. The service is available through three local hubs and patients access the service by booking in with their own GP practice.
The cardiology outpatient service is provided to patients in Gosport and Fareham. SHPCA have a subcontract arrangement with Portsmouth Cardiac Associates who provide Consultant Cardiologist medical staff to the service. The service offers an alternative to referral into secondary care cardiology services for those patients requiring first line non-invasive investigation. 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 phlebotomy service is provided at:
Gosport Medical Centre, Bury Road, Gosport, PO12 3AQ.
Monday and Friday 8am to 2.30pm
Tuesday, Wednesday and Thursday 8am to 5pm
Solent View Medical Practice, Manor Way, Lee-on-Solent, PO13 9JG
Monday and Friday 8am to 4pm
Tuesday, Wednesday and Thursday 8am to 2.30pm
The Elms Practice and Waterside Medical Practice, Hayling Island Health Centre, Elm Grove, Hayling Island, PO11 9AP
Monday to Thursday 8am to 2pm
Friday 8am to 12pm
Rowner Health Centre, 143 Rowner Lane, Gosport, PO13 9SP
Wednesday, Thursday and Friday 8am to 6pm
The cardiology service is provided at:
Rowner Health Centre, 143 Rowner Lane, Gosport, PO13 9SP
Three times per month on a Wednesday 2.30pm to 5.30pm
The IPCAS service is provided from:
Forton Medical Centre (red hub), Whites Place, Gosport, PO12 3JP
Monday to Sunday 8am to 10.30pm
Porchester Health Centre (Green hub), West Street Porchester. PO16 9TU
Monday to Friday 6.30pm to 10.30pm
Saturday and Sunday 8am to 10.30pm
Waterlooville Health Centre (Red hub), Dryden Close, Waterlooville, PO7 6AL
Monday to Sunday 8am to 10.30pm
The Swan Surgery (Green hub), Swan Street, Petersfield, GU32 3AB
Monday to Friday 6.30pm to 10.30pm
Saturday and Sunday 8am to 10.30pm
Information about this provider can be found at www.shpca.net.
Prior to this review, 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 review of the various services. These included interviewing staff and review of documents.