ChiefHealthProfessionsOfficer
• ArtsTherapists(Art;Drama;Music)
• DieKKans• OccupaKonalTherapists• OrthopKsts• OrthoKsts• Paramedics• Physiotherapists
• Podiatrists• ProstheKsts• Radiographer–DiagnosKc
• Radiographer–TherapeuKc
• Speech&LanguageTherapists
• HealthCareScienKsts
TheImportanceofPrimaryCareThefoundaKonoftheNHS:
Over90%ofinteracKonswithhealthcarestartandfinishinprimarycare.
Keytoaddressing:
§ InequaliKesinhealthandcare;§ Accesstohealth(ando\ensocial)care.
PrimaryCareStrategyThelongertermvisionforprimarycareisthatby2030primaryandcommunitycarewillbeattheheartofthehealthcaresystem,withhighlyskilledmul5-disciplinaryteamsdeliveringprimarycarewithinlocalityclusters,GPsinvolvedinstrategicplanning,andpaKentsbeingmoreinformedandempoweredthanever,abletodirectlyaccesstherightprofessionalcareattheright5me,andremainingatornearhomewhereverpossible
Whyweneedtochange• theworldischanging
• Demographics• HealthandSocialCareintegraKon–thenewworld
• keepingpeopleinthecommunityisrightthingtodo• Stayingathomeorhomelyse'ngiswhatpeoplewant• InvestmentinprimarycareiscosteffecKve
• thestatusquoisnotsustainable• Thesystemisundergrowingpressure• AllprofessionsarekeentooperatetothetopoftheirprofessionalcapabiliKes• HealthinequaliKesdemandcreaKveresponses• OutofHoursreviewhasdemonstratedaclearwayforward
CreaKngtheCondiKons
§ ReliesonparKcipantsoperaKngtothetopoftheirlicence
§ ClearlydefinedrolesandexpectaKons;§ EnKretyofsystemworkingtocommonpurposethroughintegraKon
§ Removalofimpedimentstoteamworking§ Appropriateinfrastructure;premises,IT,educaKon
§ NodetrimenttopaKentsorprovidersofcare.
TheGPastheExpertGeneralist
• Complexcare;reacKveandproacKve• ReacKve;supportforotherprofessionalsworkingtothe‘topoftheirlicence’
• Pro-acKve;supportedtoidenKfyandtoworkwithotherstoaddresstheneedsofacohortof‘highgain’individuals
ExpectedBenefits
• PaKents;moreKmeforcomplexneeds;quickeraccesstorightprofessional
• AllpracKKoners;focusonqualityofcareforhighneedpaKents,greaterjobsaKsfacKon
• Widersystem;bestuseofexpensiveresource;secondarybenefitsofhighqualityACPs,acutereferralandadmissionrates
PrimaryCareKeyAcKons• GPcontracttoreduceavoidableworkload,promotecollabora/onandimprovecommunitybasedclinicalleadership;
• NewmodelsofcareincludingmentalhealthandarenewedfocusonprevenKon;
• Reviewofprimarycareoutofhoursandurgentcareservices,includingtheroleofNHS24andSAS
• Developmentofaprimarycareworkforceplan• Developinginfrastructure
Themanifestocommitments!
• BuildaCommunityHealthService.MulK-disciplinaryCommunityHubs
• NewGPcontract.MoreGPs,moretrainingplaces• Morenurses.Enhancedpharmacists• ExtendedGPopeninghours• OOHNaKonalDeliveryPlan• 1,000extraparamedics• Freeeyetests• Biggershareofthemoneyeveryyear
Our children have the best start in life and are ready to
succeed
We live longer, healthier
lives
Our people are able to maintain their
independence as they get older
Our public services are high quality, continually improving, efficient and
responsive
NATIONALOUTCOMES
Our vision is of primary and community care at the heart of the healthcare system. People who need care will be more informed and empowered,
will access the right professional at the right time and will remain at or near home wherever possible. Multidisciplinary teams will deliver care in communities and be involved in the strategic planning of our services.
PRIMARYCAREVISION
Wearemoreinformedand
empoweredwhenusingprimarycare
Ourprimarycareworkforceis
expandedandmoreintegrated
Ourprimarycareservices
beMercontributetoimprovingpopula5onhealth
Ourexperienceaspa5entsin
primarycareisenhanced
Ourprimarycareinfrastructure
–physicalanddigital–isimproved
Primaryandcommunitycare
beMeraddresseshealthinequali5es
PRIMARYCAREOUTCOMES
PeoplecanlookaOerownhealth
LiveathomeorhomelysePng
Posi5veExperienceofServices
Servicesimprovequalityoflife
Servicesmi5gateinequali5es
Carerssupportedtoimprovehealth
Peopleusingservicessafefromharm
EngagedWorkforceImprovingCare
EfficientResourceUse
IJBOUTCOMES
We start well We live well We age well
2016–ConKnuingtheChange:PrimaryCareTransformaKonFund
‘aimstobuildtowardsafuturewhereprimarycareandmentalhealthsupportwithinprimarycareisdeliveredthroughmul/-disciplinary
teamswithgeneralprac//oners,otherhealthprofessionalsandsocialcarepartnersworkingacrossclustersofprac/ces,integratedinto
healthandsocialcarepartnerships.’
PrimaryCareTransformaKonFund:KeyPrinciples
• AvisionforthefutureroleoftheGPwhichwillseethemfocusoncomplexcare;undifferenKatedpresentaKonandqualityandleadership;and
• AmulK-disciplinaryapproachtopaKentcarewhichwillinvolvetherightmixofexperKseandservicesrequiredtoensurethatpaKentsareprovidedwiththemostappropriatetreatmentinthemostappropriatese'ng,whentheyneedit
performan
ce
5menow 20202017
transi5on
“oldworld”
“newworld”
Transformingprimarycare
Fromaprescrip5vecontracttoanenablingcontract
ReadyToAct5ambiKons
• ParKcipaKonandEngagement• EarlyIntervenKon&PrevenKon• Partnership&IntegraKon• Access• LeadershipforQualityImprovement
Prescribing
• LegislaKoncameintoeffectinScotlandin2006toallowappropriatelytrainedpharmacistsandnursestoindependentlyprescribeanylicensedmedicine.
• SimilarlegislaKonforPhysiotherapistsandPodiatristscameintoforcein2014
• TherapeuKcRadiographerswillbeIndependentprescribersby2017
Online Falls Information Zone
Living it Up platform
Falls Assistant App
Invigor8 Strength & Balance Classes
Positive Steps Education Sessions Third sector
Active Case Finding
Emergency Department
Fracture Liaison Service
Allied Health Profession Services
Optometry
Social Work Services
Motiv8 Strength & Balance Classes
Community Alarm/ Telecare Response & Referral Pathway
Scottish Ambulance Service Response & Referral Pathway
Integrated Care and Enablement Team (Falls Screeners)
Multifactorial Screening
Specialist Intervention
Integrated Care and Enablement Team (PT/OT/Nursing)
Osteoporosis Service (incl DXA)
Medical Clinics
South Ayrshire H&SCP Integrated Falls and Fragility
Fracture Pathway January 2016
Scottish Fire and Rescue
Local Enablers
Strategic Falls Lead and Community Falls Lead
Reshaping Care for Older People Change Fund
Detailed Local Implementation Plan
Multiagency Falls and Bone Health Steering Group
Learning Sessions, elearning, Care Homes Falls Educator
Data for monitoring and improvement
Technology Enabled Care (incl SmartCare)
What does the Up and About Pathway look like on the ground?