South West London CCG Annual Report and Accounts 2020/21

and social distancing measures, which affect performance at the front door, ambulance offloading, A&E target and patient flow throughout the hospital have affected performance against the four hour wait standard as overall attendance figures. Over this financial year, we have developed new ways of working and changes to patient pathways to manage patient flow through A&E and into the wider clinical care settings whilst maintaining a safe environment for patients and staff. In addition, the opening of the Primary Care Hub at the Queen Mary’s site in Roehampton has provided additional capacity for urgent and routine, booked GP and other community treatment appointments to the residents in Wandsworth. Following an initial drop in both the number of attendances at the start of the first national lockdown and A&E performance against the four hour standard, the attendance figures have started to increase again at A&E departments in South West London trusts, though they remain lower than previous years with February 2021 seeing approximately 60% of the activity seen in February 2020. 100% 95% 90% 85% 80% 75% 70% Apr 20 May 20 Jun 20 Jul 20 Aug 20 Sep 20 Oct 20 Nov 20 Dec 20 Jan 21 Feb 21 A&E - All Type Performance - 2020/21 Transforming care for people with learning disabilities (LD) The impact of the pandemic and associated national lockdowns has been detrimental to services offering regular health checks for people on the learning disabilities register due to the reduction in face-to-face GP appointments. Whilst our primary care partners have made tremendous efforts to improve the delivery of learning disability health checks following the relaxing of the lockdown rules, the challenges associated with undertaking these appointments physically presented by social distancing and shielding inevitably puts meeting the performance target at risk. We continue to work with individual GP practices to ensure continuous training and support is made available to GP practice staff and we remain committed to improving the provision of learning disability health checks across the patch. Annual Report and Accounts 2020/21 | 107