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Jessica Williams

Head of Transformation, Primary Care

NHSE Lancashire & Greater Manchester

The Greater Manchester

Primary Care Revolution

20th April 2015

Priority Work Areas – Workstream Summary Strategic Initiatives Programme Board Sponsor: Dr Hamish Stedman, NHS Salford,

CCG

• Clinical & Financial Sustainability Plan (including CSR submissions) • Early Implementation Priorities • Mental Health Strategy • Research, Innovation & Economic Growth Strategy • Capital & Estates • Workforce Transformation • Support Services Strategy (overall efficiency and joint working developments)

Devolving & Integrating Responsibilities and Resource

Programme Board Sponsor: Paul Baumann, NHSE

• Resources & Finance • Primary Care • Specialised Services • Prevention & Public Health • Workforce Training and Development & Support to Challenged Trusts

Establishing the Leadership, Governance & Accountability

Programme Board Sponsor: Liz Treacy, GMCA

• Programme Board & Infrastructure • GM Health & Care Strategic Partnership Board • GM Joint Commissioning Board • GM Provider Forum • Establishing the Relationship with Regulators*

Enablers Programme Board Sponsor: Su Long, NHS Bolton CCG

• OD & Leadership Development • Communications, Patient/Public Engagement • Information, data sharing and digital integration

2 • *workstream to be developed in discussion with relevant bodies

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Primary Care Strategy

Multidisciplinary Care

Identification of Long Term

Conditions

Best Care Pathways

Medicines Optimisation

Integrated Care Teams

GP as co-ordinator of Care

Involvement in Care

Access to care records

Promotion of self-care

Primary prevention

Patients die in place of their

choosing

Access and Responsiveness

Digital Technology; range of

access mediums

Continuity of Care

Increased access to primary care

services

Increased Out of Hospital

Services

Locally based enhanced services

Smooth primary/secondary care

interface

Inter-practice referrals

Quality & Safety

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“For most people in Greater Manchester, contact with health and

social-care services begins with a visit to the GP.

In Greater Manchester, we are committed to improving and

expanding primary care. We have developed challenging

standards and we are committed to working to deliver them

over the next two years. We are making good progress, with

a number of areas in Greater Manchester already benefitting

from some of the new and extended services.”

Healthier Together Consultation, July - September 2014

Primary Care in Healthier Together

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• by the end of 2015, everyone living in Greater Manchester who

needs medical help, will have same-day access to primary care

services, supported by diagnostics tests, seven days a week;

• by the end of 2015, people with long-term, complex or multiple

conditions such as diabetes and heart disease will be cared for in

the community where possible, supported by a care plan which

they own;

• community-based care will focus on joining up care with social

care and hospitals, including sharing electronic records which

residents will also have access to;

• by the end of 2016, residents will be able to see how well GP

practices perform against local and national measurements.

Primary Care Standards

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“Do you agree or disagree with the

primary care standards?”

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• Primary Care Strategy January 2014

• All 4 Contractor groups

• Primary Care Transformation team and programme

management structure

• 5 “Commitment” areas all with clinical leads

• Working across system to develop clear way forward in

light of Devolution Greater Manchester

So what are we doing?

8

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• Demonstrators testing methods to improve access (2013

– 2015)

• Best Practice guide for maximising in hours access

• Improving access via technology GM wide workshops

• PMCF Wave 1 Bury 200k population (January 2015)

• PMCF Wave 2 Manchester 560k and Wigan 300k

population (July 2015)

• Development of GM General Practice Standards

• Identifying resource and delivery mechanism to bring

remaining GM population by year end

Access

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• Provider Development (Federations)

• General Practice Transformational Quality Standards

• Creation of a GM Digital Strategy

• GM wide IT governance structure

• Primary Care Infrastructure funds

• Pharmacy ‘Think Tank’

• “Visioning” day for Health and Social Care Workforce

2015/16 Enablers

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Thank you.