Right people, right place: transforming our workforce Clare Simpson, National Workforce Lead, National Association of Primary Care and Strategic Workforce Advisor, New Care Models, NHS England Dr Steven Laitner GP and advisor to the Kent and Medway STP Clinical Board Maria Howden, Head of Membership Development, Thanet CCG @KMHealthandcare #KMconf2017 ww.slido.com #KMconf2017
Right people, right place: transforming our workforce Clare Simpson, Workforce Lead Dr Steve Laitner, Regional Lead Maria Howdon, Workforce Advisor
Session will cover 1. A Population Health approach to workforce redesign 2. What have we learned about workforce redesign in new care models? 3. How it works in practice – Thanet Primary Care Home |
Core characteristics of a Primary Care Home (PCH) Whole population health 1 management An integrated, multi- 2 disciplinary workforce Financial drivers aligned with the health needs of the 3 whole population Focus on 30,000- 50,000 people 4 |
The Patient Customer One thing I have always found is that you have got to start with the customer experience and work backwards to the technology. Steve Jobs 1955-2011 |
“ |
Lots of models Disease / service focused Risk focused Holistic needs focused |
Complexity of LTC(s)/ Generally well/ Long term condition(s)/ social need and/or with good wellbeing social needs disability Children and young people Working age adults Older people |
Complexity of Long term Acute Care Generally well LTC(s) conditions and/or disability Low risk High risk Low risk High risk Low risk High risk • Neonates • Infants Children and • Toddlers Young People • Children • Adolescents • Young Acute Team Continuous Care Working Age • Middle aged Multi-Agency Nurse Practitioner Team Adults • Older Team Paramedic GP working age GP Specialist Pharmacist Case Management • 65-80 • 80-90 Dementia Older People • 90+ 8 |
So what have we learnt? From roles… Nurses Mental health Clinical Extra minimum practitioners Physician GPs pharmacists £15m investment as 3,000 new fully Net growth of 5,000 part of general associates 1,500 extra co- funded practice- by 2020 practice nurse 1,000 new funded funded, on top of based mental development 470 already existing health therapists strategy Medical Paramedic Welfare rights assistants Physiotherapists Care navigators practitioners advisers Initially piloting the roles Source: NHS England presentation |
To functions… The key link is to understand the care functions needed by that population segment e.g. • Assessment, Diagnosis and Treatment • Care and Support Planning • Medicines management • Recovery and Rehabilitation • Crisis response • Care coordination • Social Support • Housing support • Navigation • Functioning well | 10
To teams… |
3 Key Areas Designing a workforce around population health needs Workforce redesign – Leading making it Change happen in practice |
• Over 60’s (Enhanced Frailty Scheme) • Previous focus on 75+ Designing a • Risk Stratification using CLEGG / other data workforce sources (inc. caseload validation) around population • Scored as mild, moderate or severe health needs • Range of proactive interventions – reactive more intensive input • What teams / staff already existed • A need to work differently |
• Organically grown • PCH Clinical Leads, multi-agency staff and patients (ESTHER) • Staff able to lead change Leading Change • Regular meetings / events to monitor progress • Appropriate governance • Sense of we are in this together! |
• Identified population segment • What were the patients’ needs • Developed scheme Workforce • Identified current staff / teams and mapped redesign – against new scheme making it happen in • Highlighted gaps practice • Engagement of all stakeholders • Workforce plan / strategy developed • Education and training commissioned • Pushing the boundaries |
|
Recommend
More recommend
