Point of Care Testing within
the Community Project
Acknowledgement to the following recipients
for their collaboration & input:
• Author/Project Lead – Finlay Love
(Thames Valley Health Knowledge Team)
• Pathology Clinical Reference Group
• Oxford University Hospital NHS Trust
• Heatherwood & Wexham Park Hospitals
NHS Foundation Trust
• Plymouth Hospitals Trust
• Buckingham Healthcare NHS Trust
• St Mary’s Hospital, Isle of Wight
• University Hospital Southampton NHS
Foundation Trust
Point of Care Testing within
the community
• Proliferation of POCT technology over the
last 10 years
• The global point-of-care (POC) diagnostics
market reached $13.8 billion in 2011. It will
further grow to $16.5 billion in 2016.
• Large increase in tests available
• Devices are becoming smaller, more
portable and easier to use
• Costs are reducing as competition in the
market expands
• Existing markets such as the USA and
Australia are driving demand with new
emerging markets in Asia and China
POCT within Secondary Care
• Increased demand on laboratory
services within the acute setting
• GPs referring Patients to Hospitals for
tests resulting in them having to travel
• Follow up appointments at GP
practice (weeks?) to find out results,
despite pathology 24hr turn around
• Little or no partnership with social
services
• Ever increasing admissions for elderly
patients often from complications
resulting from LTCs
POCT within Primary Care
• Fragmented service delivered around
POCT
• Increased appointments for results
follow up
• Insufficient staff training in device
usage
• Little or no partnership with social
services
• Limited IM&T available to capture
results
• Little or no external accreditation
within Quality Assurance &
Governance
Secondary Care Business Model
Index
A. Strong
Executive Support
C. IM&T
A. Strong Executive Support
B. Clinically lead Point of Care Testing Team
D. Pharmacy
C. Strong partnership with Trust IM&T
D. Pharmacy to advise & procure consumables
I.
SLA
E. Procurement
B. Trust POCT Team
F. Although voluntary, recommend CPA/ISO
22870-2006 accreditation within POCT
F. CPA ISO 22870-2006
Trust Quality Assurance
H. Trust Governance
within Primary &
Secondary Care
E. Large potential gains in joint procurement
G. Staff training linked to CPA
H. POCT Board to oversee Governance within
both Primary & Secondary care
G. Staff & Training
I. Service Level Agreement to cover (A to H)
Primary Care Business Model
Index
A. Trust Governance for
both primary &
secondary care
A. POCT Board to oversee Governance within both
Primary & Secondary care
B. Pathology/POCT CCG
Lead
D. GP Surgery
H. SLA
C. Community
Hospital(s)
D. GP Surgery
D. GP Surgery
E. Community Nursing
B. CCG POCT lead to link with Trust POCT Board
C. Community Hospital(s) to follow POCT guidance &
quality assurance
D. Multiple GP surgeries to share Community POCT
centre via commissioning from CCG
E. Community Nursing to link in with community
POCT centre
F. CCG POCT Community centre serving the patients
within the community
F. CCG POCT
Community centre
G. Local Authority/Social
Services
G. Essential to link in with social services
H. Service Level agreement to Cover (B to G)
Patient Benefits
“Unity is strength... when there is teamwork
and collaboration, wonderful things can be
achieved”.
Mattie Stepanek
• Access to patient medical history
• Linking to third party providers such as
social services
• Reducing hospital admissions
• Treating patients within their homes
• One stop care
• Continuity of care with dedicated health
team
• Faster diagnosis & follow up
• Reduced financial costs in travel & parking
Cost benefits within Primary &
Secondary care
• Joint procurement
• Shared service across GP practices
(reduced staff & equipment)
• IM&T savings
• Reduction in Hospital admissions
• Reduced logistics costs
• Savings in patient transport
• Reduction in GP workload
• Better prevention of complications
arising with patients with LTCs
Abingdon Emergency
Multidisciplinary Unit
• Direct referral from GP Practices
• One stop Health Centre
• Heavily reliant on POCT
• Integrated with Social Services
• Provides Community Nursing
• Provides Specialist Community
Nursing
• Provides short term admission
• Has own patient transport
• Average patient age 88