Primary Care Clinical Lead 1 Primary Care Development - PowerPoint PPT Presentation

Primary Care Development Programme Governing Body Meeting in Public 6 th May 2015 Dr Hasnain Abbasi Primary Care Clinical Lead 1

Primary Care Development • Introduction: • Clinical Lead: Dr Hasnain Abbasi, GP • SRO: Andrew Parker, Director Primary Care Development • Programme Lead: Therese Fletcher, AD Primary Care • Dr Justin Hayes, GP Federation Director SW Locality • Sandra Connolly, GP Federation Director North Locality • Michele Izzo, GP Federation Director SE Locality 2

AGENDA • Context – the journey, what’s worked well? • Primary Care Development London Strategy 2015/16 • Primary Care Transformation – Emerging Leaders • GP Federations • Local Care Networks • Co-Commissioning • GP Delivery Framework 2015/16 • Prime Ministers Challenge Fund • NHS Services Specifications • Primary Care Education Strategy • Workforce Development in Primary Care • GP IT – DXS – Windows 7 • Primary Care Development - looking forward 3

Context – The Journey • Primary Care Development Programme – ‘Super Enabler’ • Project Initiation Document developed April 2014 and refreshed 2015 • The specific objectives of this project are to: – Enable Primary Care to deliver an increased range of services to patients and integrate with other services on a population health basis – Reduce variation in access and quality for local populations – Deliver demonstrable benefits in terms of quality and value for money – Make primary care a more attractive place to work – Drive innovation and achieves both local and national strategic objectives – Reduce inappropriate GP Referrals – Case Manage frequent users of services 4

What’s worked well during 2014/15 (1) • Delivered on programme ambitions • Increased engagement across key stakeholders • Successful in using pump priming monies from GSTT Charity and Health Education South London • Development of the Winter Hubs • Had some success in reducing variation particularly across GP initiated first out-patient referrals through the GP Delivery Framework, top quartile work during 2014/15 . 5

What’s worked well during 2014/15 (2) • Development of the Community Education Provider Network – new nurses in Lambeth – Developed our Nurse Leadership across the borough • Opportunity to work across organisational boundaries and in particular with colleagues from the Children and Young Persons Health Partnership • Increase in the uptake of Holistic Health Assessments across our localities • Closer working with colleagues from Southwark 6

Primary Care Development Strategy 2015/16 Transforming Primary Care is a concept that is rapidly gaining momentum as a key priority area in the NHS both nationally and across London. Two important publications underpin the reforms in Primary Care: – NHS 5 Year Forward Review. Published by NHSE and PHE and launched by Simon Stevens in October 2014, The importance of the registered patient list and the need for greater investment – Better Health for London, the London Health Commission. Launched in October 2014 and contains recommendations specific for general Practice 7

Primary Care Transformation • Case for Change ‘Call to Action for General Practice’ • Emerging Leaders Programme • GSTC Funding • Phase 1 – Programme of Leadership (April to Oct 2014) • Phase 2 – Developing new ways of working (Oct to Date) • Phase 3 – Implementing new models of care (June onwards) 8

GP Federations • Each Locality in Lambeth – registered their GP Federation with companies house – agreed their legal status and governance frameworks – currently completing a robust due diligence – this process includes work to prepare each GP Federation for CQC registration • Developing Mission Statement • Developing Communications Strategy 9

South East Locality (1) • South East Lambeth Health Partnership – 15 practices serving113,000 patients. • Company Number 0943497 • www.selhp.org.uk • “ Working In Unity For A Healthy Community ” • Four Directors at present, plans to recruit patient Directors. 10

South East Locality (2) • In addition to our clinical pilots, practices keen to share back office functions. We are committed to Mayor of London’s Healthy Workplace Charter – the Federation has procured an employee wellbeing package for all practices. • Practices in Vassall & Coldharbour wards sending reps to meeting on 21 st May of Southwark & Lambeth Early Action Commission with Vassall & Coldharbour Forum to jointly find ways to improve quality of life for residents and to prevent a range of social and health problems. 11

South East Locality (3) • Good engagement with high attendance at Gen Practice Locality events. • Next event is joint General Practice / Community Pharmacy meeting on 18 th May 15. • Enjoying increasing work with patients/community groups/vol sector. 12

North Locality (1) • North Lambeth Practices Limited • 3 elected directors • Articles of Association & Shareholders Agreements being signed this week • Recruiting Managing Director in cooperation with other federations • Appointed a local manager as contractor to support due diligence and business development 13

North Locality (2) • Engagement from all 12 practices • 6 weekly locality meetings • Series of workshops to ensure collective input • Governance • Performance Management • New ways of working • Communications strategy • Reached HHA target for locality with all North practices participating and examples of cross-practice working 14

North Locality (3) • Current projects Lambeth-wide • GPDF • PMCF • CEPN • Current projects North • CYPHP outpatient clinics in all practices • Primary Care Navigators • Portuguese Community Project • Shared back office functions • Federations represented at key meetings 15

• 20 (all) practices engaged. • Leaders/Directors engaged with healthcare community. Articulate voice cf token rep. (LCN, SLIC, CYPHP) • Innovation and system transformation in our sights. • Meeting objectives PC development project. • Ready to be first choice provider. 16

Local Care Networks – Key Aims • The Local Care Networks are based on local networks focused on the health and social care needs of local communities – encompass the ‘patient voice’ • They will support our 5 year Strategy that Incorporates the six elements of our Vision (patient centred, prevention focused, integrated, consistent, innovative, deliver best value) • To act as a vehicle to develop and transform the highest quality health and social care across Lambeth • The Local Care Networks provide an opportunity for true integration with all key providers, including the voluntary sector and local patient groups. 17

Update from the Local Care Networks CLG Primary care working within LCN ’ s 18

Local Care Network Community Hubs Our Unique selling point  Strong Patient/Public engagement in Lambeth  The Patient “Voice” is captured through  Healthwatch Lambeth  Lambeth Patient and Participation Group (PPG) Network  Voluntary Sector Organisations  Charities, Faith Groups,  To build on this established relationship, Community Hubs will be at the heart of each Local Care Network in Lambeth 19

Community Hub Vision (1) • The Community Hub is a way of really understanding what local people need from services and support. There is a focus on sharing and learning, and a recognition that each of the three hubs will reflect local differences whilst having a consistent approach to positive health and wellbeing • The Community Hub is responsible for the actions it takes. It is an important mechanism to support the Local Care Networks to tackle the balance of power • The Community Hub reaches out to and is assessable to everyone. It is versatile and accommodating. People feel it is for them. 20

Community Hub Vision (2) • The Community Hub is about signposting and sharing information. It helps people connect about health and wellbeing issues that are important to them, their family and their community. It’s not just about having meetings but about creating a sense of community • The Community Hub is not just a talking shop, it creates waves and breaks down the barriers between primary, community and secondary care services and between commissioners and providers. It influences and get things done • There is work required now to provide some practical solutions as to how we co-produce achievement of this vision and ensure it is a critical friend to commissioners/providers 21

Local Care Networks • The LCN Development Groups are keen to pursue innovative pilots across their respective localities including: – Increased provision of Holistic Assessments/Integrated Care Management and Community Multidisciplinary Team review using cross-practice support – On-going work with the Children and Young People's project, which focuses on Asthma and Epilepsy pathways – Review Long Term Conditions pathway for patients with co- morbidity – Social Prescribing (use of SAIL/Age UK) – Community Asset Mapping – Complex Dressings Clinics – Locality Geriatrician 22