Primary Care Networks HealthWatch PPG Forum 9 October 2019 Fergus Campbell Oxfordshire CCG
NHS Long Term Plan Headlines • A new service model for the 21st century • More NHS action on prevention and health inequalities • Further progress on care quality and outcomes • NHS staff will get the backing they needs • Digitally-enabled care will go mainstream across the NHS • Taxpayer’s investment will be used to maximum effect
NHS Long Term Plan Summary Five major practical changes to the NHS service model
Integrated working • The Long Term Plan sets out clear ambitions for greater integrated working • What makes us healthy is a broad and complex picture • Integrated across health and care, local authorities and the third sector • The LTP puts strong emphasis on integrated multidisciplinary teams – Primary Care Networks • Collaborating with all other providers in the local health and social care system • Sustainability into the longer term • Offering enhanced services to the network • National workforce fund for 20,000+ additional practice staff to support PCN delivery
Number of Registered Primary Care Network District/s Oxfordshire CCG practices Population City - East Oxford 5 Oxford City 47,535 City - OX3+ 2 43,391 Oxford City Oxford Central 5 Oxford City 39,178 Oxford City North 4 Oxford City 42,990 SE Oxfordshire Health 4 Oxford City Alliance 40,824 Banbury Town 6 66,154 Cherwell Bicester 3 49,523 Cherwell Eynsham & Witney 4 51,273 West KIWY (Kidlington, Islip, 4 35,229 Cherwell, West Woodstock, Yarnton) NORA (North Oxfordshire 5 47,666 Cherwell, West Rural Alliance) Rural West 4 31,457 West Abingdon & District 4 30,043 Vale Abingdon Central 2 33,657 Vale Didcot 3 41,902 South Henley SonNet 4 33,052 South Thame 3 30,525 South Wallingford & Surrounds 3 32,052 South Wantage 2 30,070 Vale White Horse Botley 2 31,366 Vale Total 757,887
PCNs in Oxfordshire • 19 PCNs • 100% population coverage • 69 out of 70 practices a part of a PCN • All PCNs meet the acceptance criteria in relation to set up requirements • CCG and LMC working in support of practices and now PCNs to enable them to establish and develop • Community providers across health and care engaging with the PCNs to work towards multi disciplinary integrated care teams
Benefits for the patients and the public sector • Joined up care leading to better care coordination • More care closer to home PATIENTS • Focus on prevention • Greater resilience • Free up GP time through additional workforce GENERAL PRACTICE • Peer support and better distribution of workload • Co-operation across organisational boundaries • Driving a more population-focussed approach • SYSTEM Strengthening of primary care and less need to default to hospital
Opportunities • PCNs - the building blocks for integrated care • Primary and community care service will be changing • This is the beginning of that change • There will be many opportunities for collaboration • This is about more than NHS services • Integrated multidisciplinary teams should include elements of health and care and give consideration to the wider social determinants of health • Some areas of the country have been advancing this work as Vanguards and early ICS areas – the LTP recommends good practice based on these real life experiences
Additional Workforce • A national workforce fund for 20,000+ additional practice staff has been set to support PCN delivery • This is a phased approach over the 5 year period: From 2019/20 • clinical pharmacists and social prescribers / link workers From 2020/21 • physician associates and first contact physiotherapists From 2021/22 • Community Paramedics • PCNs will have the opportunity to strengthen both the size and clinical breadth of their workforce through this fund
Involving Communities • Primary Care Networks are built on the Network Direct Enhanced Services Contract they will evolve over a 5 year period – this is year 1 • PCNs are 3 months old and they are still developing • As an extension of the GMS contract engagement with Practice Participation Groups is important • However PCNs will be about much more that General Practice and therefore • PCNs are being actively encouraged to form links with local people and communities
What will it look like for patients? • Wokingham have been working on the development and delivery of integrated care for some time • Their approach covers health and care • Patients and providers of services are now reporting real benefits to their new ways of working
So far • Practices have worked hard to come together to form PCNs – the contractual process was complex and delivered in a very tight timescale • Now the focus on integration begins • In this the first year of PCNs the focus is on better and closer ways of working • In future years this approach will become more integrated across wider health and social care
Understand their own Making 100% Part of a ‘network of journey use of their PCNs ’ funding entitlement for additional roles Formed multi- disciplinary Formed links teams with local PCN people + expectations communities by March 2020 Started Starting to thinking about function as a future estate Started work on single team Ready to needs, jointly one service deliver new with improvement national community project (linked service partners to Long Term specifications Plan goals) from April 2020
Points to consider • What learning from PPGs could support and facilitate wider community involvement? • How can local communities support the development of integrated services that respond to patient need? • What role is there for communities to support individuals in self care of both mental and physical health? • Questions
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