Proposed changes to Old School Surgery, Alfriston and East Dean

Background: As you may be aware Dr Van Wyk (GP Partner) left the practice in Nov 2019 and Dr Singh (Salaried GP) will be leaving the practice in April. We have been fortunate to have recruited Dr Ljevar (Salaried GP) soon after Dr Van Wyk left. Many GPs now also choose to work less than full time due to the clinical and administrative pressures. The overall effect is that we have less GPs than we did one year ago. This is a national trend and we have been lucky to date with the number of GPs we have recruited and retained at our practice.

In addition to this the complexity and management required to run 3 sites has increased significantly over the past few years. Having an administrative team spread over three sites can be inefficient. All of these reasons have made the GP Partners look at the options we have to try and maintain the good standards of care we hope to provide to all of our patients.

Old School Surgery has approx. 7,500 patients, Alfriston 1,600 patients and East Dean 850 patients.

Proposal: Our suggestion is to look at centralising our services to our main hub – Old School Surgery and the Alfriston branch. This potentially could mean withdrawing our medical services from our East Dean Branch site.

Our Hopeful Outcomes: By supporting our proposal we hope to be able to maintain the standards of care by centralising our care, not spreading our clinical and administrative staff too thinly and ensuring we can maintain a safe service for our patients.

Our Concerns: If we do not make the proposed changes at this time, we may find ourselves in a position where we do not have the clinical and administrative staff to continue to provide safe care. This has the potential to impact on both the level and Quality of care which we do not want to see. This could also impact of the pressures and workload of both clinical and administrative staff, which may cause an issue with retaining staff.

Options: All patients (Not just East Dean) continue to have access to the Extended Access Services where you can see a GP who has access to your medical records. All patients also have access to LIVI – which is a digital GP (via an app) who also have access to patient’s medical records. You can find out more about these services from our reception team.

Reassurances: We do not plan to remove any patients from our list. We would be happy to see East Dean patients at Old School Surgery or Alfriston. No clinical or administrative jobs are at risk. We are in discussions with our Clinical Commissioning Group (CCG) and GP Practices in Eastbourne about the changes being considered. We will continue to provide Dispensing services from our Alfriston Surgery and will look at how this may impact our patients.

Next Steps: We will be providing access to a survey for all our patients to feedback. We hope that this will be done electronically as much as possible in order to try and be environmentally friendly.  Following this, we will have a formal process with our CCG to consider our proposal and ensure it is in the interest of all parties. We will continue to engage and update our patients as we go through this process.

THE SURVEY IS NOW CLOSED - Thank you very much to all that have responded.

Dr Raj Chandarana

GP Partner

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