Welcome Message Ian Porter Director of Corporate Services
Programme 1: Setting the scene 2: Patient Participation Group success stories 3: General Practice Neighbourhoods 4: Improving local care for people with mental health problems and/or learning disabilities 5: Closing remarks – next steps
Setting the scene Saloni Thakrar Co-chair CPPEG
Setting the scene The last forum meeting was rated between good to excellent (N=15) Based on the feedback received by PPGs members (November PPG forum meeting and CPPEG open meetings) - todays agenda reflects what people want More PPG success stories More information and discussion about GP neighbourhoods Camden local care strategy (with a focus on mental health and learning disabilities at todays meeting – there will be opportunity for more discussion in relation to Adults and Children & Families at future PPG forum and CPPEG open meetings). More time for group work and discussion
PPG Success Stories
Adelaide Medical Centre PPG Carers Project Hilary Lance PPG Chair: How the project came about David Williams Practice Manager: The project Abbie Sherwin Camden Carers: Where next?
Background to the project: the PPG • Adelaide PPG is a proactive bridge between the patients and the practice • Our aim is to improve the patient experience of the practice and improve patient outcomes • 16 patients plus the Senior Managing Partner , the Practice Manager and a senior member of the admin team • Meet 5/6 times a year plus two open meetings
Background: how it happened • Many years of agonising over lack of a truly representative PPG • Agreed new approach: one project a year aimed at a “hard to reach” group • This year a result of learning more about Camden Carers we met with them to discuss an ongoing project
The project We have established a monthly clinic at the practice for Camden Carers: o Allows Carers to be seen in a familiar environment o Carers invited by Drs and staff o Empowers all practice staff to offer something extra Presentation Discussion: Camden Carer’s perspective and a practice perspective
Where next? Involving patient volunteers Ideas Going forward: Training Adelaide patient volunteers Camden Carers will have the infrastructure (ie training, DBS checks etc) to do this
Cholmley Gardens PPG success story Saloni Thakrar and Karen McCormack
About Cholmley Gardens Medical Centre Our practice: Our PPG: • Relatively small (~7000 • Supported by Karen patients) McCormack, Practice Manager • Friendly and informal ethos • Reflects the ethos of the practice • Maintains traditional values of a family general practice, with • Open to all continuity of care for people of • 8 members all ages • Meets quarterly • Embraces innovation, e.g. online and phone consultations
Where did we start? Survey of PPG formed an Focused on 4 patient priorities Action Plan top priorities
1. Improving the waiting room What did the PPG do? • Declutter and paint the room • Relevant, up to date health information for patients • Comfy chairs • Created more seating space for patients • Wheelchair accessible What difference did it make? “The old waiting room was dark and cramped. The renovated space is very pleasant now and I don't mind waiting. The chairs are comfy and the room is lighter and spacious ” – a patient
2.Early morning appointments What did the PPG do? • Made the case for early morning and extended evening appointments 2 nd most popular priority in • patient survey What difference did it make? • Additional 62 appointments per week • Meets the needs of busy professionals – mostly young working people and families with children • Booked almost 2 weeks in advance
3. Making booking accessible to everyone What did the PPG do? Are you likely to use online booking? • Based on feedback, made the case for online booking, with 21% leaflets to explain • And ‘Patient Partner’ – for people who prefer offline 45% What difference did it make? Yes Perhaps • Allows people to book quickly, No 34% without waiting in a long phone queue
Top tips for other PPGs • Ask patients what they’d like to change and respond to feedback • Focus on what you can change; start small • Develop and agree on a realistic achievable action plan
Camden GP Neighbourhoods Dr Neel Gupta & Vanessa Cooke, Senior Commissioning Manager – Primary Care
National challenges Health and Care and Funding gap wellbeing gap quality gap
Where we want to be • • • • • • • Enablers: Quality & Safety – Workforce - Estates - Technology & Systems – Leadership - Commissioning & Contracts - Engaging Residents Camden Local Care Strategy
Health & Care Closer to Home Includes all these things: • Neighbourhood Development and Integrated care teams (CHINS) • Improving quality and reducing unwarranted variation (QIST) • Alternative means of booking • Extended access • Patient education and support services • Primary Care at the front door • Care Navigation and social prescribing • Outcomes based LCS • Specialist elective care within primary settings
Why develop neighbourhoods in Camden? • Builds on what practices had started. Practices were starting to form neighbourhoods and the CCG wanted to build on this development rather than develop a separate response to the STP • Ensure patients have equal access to all services. Practices working more closely in neighbourhoods can support a reduction in variation and ensure patients have equal access to services. No patient should be disadvantaged by which practice they are registered with • Encourage practices to support eachother . Working more closely together will help sustain general practice and enable practices to learn from each other • Support the development of integrated care . Local services, in particular community health services, need to have a defined population (and practices) to build services around • Enable patients to be cared for closer to home. Strengthening links between practices and expanding the teams working in the community will support patients to be cared for locally
Camden GP neighbourhoods Neighbourhoods will: • comprise a number of GP practices • have a reasonable level of geographical cohesion to support delivery • have general practice at the centre • work with other providers, the Council, the voluntary sector and local people • build on integrated working and person centred care already happening in Camden • potentially change the way existing services are provided and lead to an expansion of the integrated teams working in the community
4 neighbourhoods in Camden Camden neighbourhoods NW5 NW3 South Camden Camden Health Evolution (CHE) Caversham Hampstead Group Museum Abbey Medical Centre Parliament Hill Park End Surgery Holborn Belsize Priory James Wigg Daleham Gardens St Philips Bloomsbury Surgery Regents Park Rosslyn Hill Gray’s Inn Brondesbury Ampthill Keats Brunswick Cholmley Gardens Prince of Wales Group Adelaide Medical Centre Fortune Green Surgery Queens Crescent Brookfield Park Gower Street Practice Kings Cross Practice Primrose Hill Surgery Ridgmount Practice Somers Town Swiss Cottage Surgery West Hampstead
What could neighbourhoods mean in practice? • Agreeing patient outcomes that all health and social care providers work towards. • A specific group of professionals (for example, a therapist, psychologist, independent prescriber) working with a small group of practices to provide care and improve outcomes for patients. • More focus on prevention with stronger voluntary sector links • Aligning a wider range of community and specialist services to support patients. • Developing hubs to offer particular services to a wider range of patients. • Specific services for those at risk of deterioration in health and or hospital admission
What will Camden neighbourhoods do in 2017/18? In 2017/18 Camden neighbourhoods will: 1. Develop and deliver services together for their local population (from September) 2. Work to improve the quality and reduce the variation in local primary care services (from September) 3. Work with commissioners to ensure other service developments are aligned to neighbourhoods 4. Develop as organisations, involving stakeholders in service delivery plans 5. Put together plans for neighbourhood services, priorities and outcomes in 2018/19
General Practice Neighbourhoods David Williams Practice Manager Adelaide Medical Centre
Frailty Neighbourhood Project Who is in our neighbourhood (7 practices, 52k pts) • Adelaide, Keats, Hampstead Group Practice, Park End, Rosslyn Hill, Daleham Gdns, Brookfield Park This is wider than just practices • Aim to integrate a lot of the care at a neighbourhood level (eg community team, hospital specialist teams, palliative care team, social care). First substantive neighbourhood work has explored the service of a “Frailty Duty Dr.” across our practices. • To co-ordinate all the necessary inputs (to act as an integrated team) to reduce the number of A&E attendances, Emergency admissions, and reduce hospital stay for our Frail patients • The Pilot ran through May 2017, we are now seeking to relaunch the service later in the year.
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