Transforming care in Hampshire Our multi-specialty community provider
Overview • NHS Five Year Forward View set out new models of care needed for sustainable future • Initially 29 ‘Vanguards’ across England to pilot them • South Hampshire Vanguard is a Multi-specialty Community Provider (MCP) • Another Vanguard in North East Hants and Farnham is ‘Primary Acute Care System’ (PACS) • NOT one size fits all: Local variation • MCP is about transforming how care is organised and delivered to improve out-of-hospital care Your health, in your hands, with our help.
What is a Multi-specialty Community Provider? • An extended team of GPs and specialists offering more straightforward access to a wider range of health and care closer to people’s homes. • Centred around GP practices and primary care hubs. • Supporting a population based around a natural community of care. • Enhanced support and promotion of self-care and prevention Your health, in your hands, with our help.
Our MCP in South Hampshire • Around 30 GP practices working in partnership with Southern Health NHS Foundation Trust. • Supporting population of 220,000 in three initial localities (Gosport, East Hants and South West New Forest) • Supported by 16 local health providers, commissioners, local authority and third sector partners • Working closely with local patients and communities • Significant growth across Hampshire anticipated… Your health, in your hands, with our help.
Our MCP in South Hampshire East Hampshire 10 practices / 70k patients Semi- rural “new town” Gosport 11 practices / 80k patients Urban deprived New Forest 7 practices / 70k patients Rural – older demographic Your health, in your hands, with our help.
Transforming local care Your health, in your hands, with our help.
A new model, built around natural communities of care Improved access to care An extended primary care team Fewer steps to access specialist support Prevention and self-management Your health, in your hands, with our help.
Improved access to care Current model of care: Example of new model: Multiple, disjointed access points Primary Care Access Centre In a central, accessible location Open 8-8 for walk-in or pre- booked appointments Staffed by GPs, physiotherapists, clinical pharmacists, nurse practitioner, paramedic, paediatric nurses Able to read and write to a single shared clinical record Going live from autumn 2015 in multiple points of some areas access that are not integrated Your health, in your hands, with our help.
Extended primary care team + Bringing primary, community and adult social care together, with specialists from local hospitals and third sector organisations, to work as a single extended primary care team: the MCP Your health, in your hands, with our help.
Fewer steps to specialist support Example of traditional Example of new model respiratory care of respiratory care Patient sees GP, See GP Investigation investigations on site. Seen in OPD Respiratory team review to review Referral investigations. results Planned Skype conversation: GP sees Letter to GP GP, consultant and patient. patient Management plan agreed. Your health, in your hands, with our help.
Prevention and self-management • Putting people in control of their own health by changing the dynamic of the relationship between health professionals and patients • Engaging local people in positive health behaviours • Linking intervention and support services available in local communities to the Extended Primary Care team through Surgery Signposters to support those with long- term conditions to self-manage • Supporting practitioners to take a whole person approach in every interaction Your health, in your hands, with our help.
What are the priority areas in Gosport? (1) • Extra support for people attending GP practices frequently and carers, including ‘surgery signposters' • Effective and consistent clinical triage to make sure all patients requesting home visits receive the right level of response according to need • Single point of access, multi-disciplinary, same day appointment service Your health, in your hands, with our help.
What are the priority areas in Gosport? (2) • Building closer working relationships between acute and primary care clinicians to further join up care • Bringing more pharmacy input to general practice and the same day appointment service • Creating a specialist care home team for Gosport practices. First action will be to deliver flu jabs to care homes in Gosport over a three week period in September 2015 Your health, in your hands, with our help.
The benefits Your health, in your hands, with our help.
For people using services, families, carers and citizens • More straightforward access to a wider range of care via your local GP practice or primary care hub • Better outcomes based on what’s important to you • More advice and guidance to help you make the right choices and manage your own health and care • Better access to local voluntary and community groups • More involvement in design of care services near you In short, Better Local Care • Your health, in your hands, with our help.
For health and care professionals • Being part of developing new services that better meet the needs of local people • Working as one team with a much wider group of professionals supporting the same people • Access to team and leadership development and talent management • More time to support people who need your specific expertise Your health, in your hands, with our help.
For the health and care economy • More tailored, better value services co-produced by the people who use them and commissioned based on outcomes rather than activity • Reduced acute hospital activity (admissions and ED attendance) • More focus on primary care, education and prevention • More sustainable services (esp. general practice) Your health, in your hands, with our help.
Transforming care in Hampshire Our multi-specialty community provider
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