Please help yourself to a cup of tea or coffee

Health and Wellbeing Board

Development Session:

Housekeeping

Refreshments

Facilities

Evacuation Procedures

Health and Wellbeing Board

Development Session:

Health and Wellbeing Board Development Workshop

30th May 2019

Welcome & IntroductionsDr Darin Seiger, Vice Chair of Northamptonshire Health and Wellbeing Board

4

Place Based Integration Projects

5

NorthamptonMental Health &

Wellbeing

DaventryChildren & Young

People

CorbyAge Well

Wellingborough

Primary Care Networks

NHS Long Term Plan – 10 Years

Implementation

Financial Sustainability

Technology & Digital

Workforce

Improve Quality & Outcomes

Prevention & Health Inequalities

Joined-up care

New GP Contract

a) Primary Care Networks

b) Clinical Director Role

c) Additional Roles

d) Network Services

e) Digital Technologies

f) Access

From July 2019

8

Primary Care Networks (PCNs)

• PCN is collectively responsible for the health and

wellbeing of its population

• The PCN area should be geographically contiguous

around the population included in the Network usually

30,000 to 50,000

• General Practice takes a leading role in every PCN

• The PCN is a foundation of all Integrated Care Systems;

and every ICS will have a critical role in ensuring that

PCNs work in an integrated way with other community

staff

• Each PCN must appoint a Clinical Director as its named

accountable leader, responsible for delivery

Workforce

5 Additional roles – 20,000 people nationwide

1) Clinical Pharmacists

2) Social Prescribing Link Workers

3) Physician Associates

4) First Contact Physiotherapists

5) First Contact Paramedics

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New Network Services

Date Service Specification

Commence in 2020/21

1) Structured Medications Review and Optimisation

2) Enhanced Health in Care Homes

3) Anticipatory Care

4) Personalised Care

5) Supporting Early Cancer Diagnosis

Commence in 2021/22

6) CVD Prevention and Diagnosis

7) Tackling Neighbourhood Inequalities

Digital Technologies

Access to specific digital improvements April 2019 Electronic ordering of repeat prescriptions

July 2019 Online booking of appointments

April 2020 Online access to their full record

April 2020 Access online to correspondence

April 2021 Access to online and video consultation

Local PCN Structure

•100% population coverage

•16 Primary Care Networks across Northamptonshire. •4 in South Northants

•6 in Northampton

•6 in North Northants

•Population size from 30,000 to 77,440

•Most networks between 3 and 5 practices; least 2 practices, largest 9 practices

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South Northants (4)

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Northamptonshire Rural PCNByfield Medical CentreCrick Medical Centre

Greens Norton and WeedonLong Buckby Surgery

Saxon SpiresPopulation: 49,394

Daventry PCNAbbey House Medical Centre

Danetre Medical CentrePopulation: 33,674

Brackley and Towcester PCNBrackley Medical Centre

Towcester Medical CentreBrook Health CentreSpringfield SurgeryPopulation: 42,441

ParkWood PCNThe Parks Medical CentreWootton Medical CentreDenton Village Surgery

Population: 33,850

Northampton (6)

Blue PCNSt Lukes Health Centre

Bugbrooke SurgeryPark Avenue Medical Centre

County SurgeryBrook Medical Practice

Population: 57,657

Royal Parks PCNKingsthorpe Medical Centre

Langham Place SurgeryThe Pines Surgery

Queensview Medical CentreKings Heath Medical Centre

Population: 37,524

Grand Union PCNAbington Medical Centre

Greenview SurgeryAbington Park Surgery

King Edward Road SurgeryLeicester Terrace Health Care

Population: 66,461

MMWF PCNThe Mounts Medical CentreMaple Access Partnership

Weston Favell (Dr Dias)Weston Favell (Dr Molla)

Favell PlusPopulation: 46,720

ARC Hub PCNEleanor Cross HealthcareRillwood Medical Centre

Danes Camp SurgeryPopulation: 31,019

M-WEB PCNEarls Barton and Penvale Surgery

Moulton SurgeryWoodview Medical Centre

Population: 31,395

North Northants (6)

Wellingborough and District PCNAbbey Medical Practice Redwell Medical Centre

Queensway SurgeryAlbany House Medical Centre

Castlefields SurgeryIrchester Health Centre

Summerlee Medical CentreWollaston SurgeryPopulation: 76,298

East Northants PCNHarborough Fields SurgeryRushden Medical Centre

Parklands SurgeryHigham FerrersSpinneybrook

The Cottons Medical PracticeMarshalls Road Surgery

The MeadowsNene Valley SurgeryPopulation: 77,440

Kettering and South West Rural PCNDrylands Surgery

Mawsley Medical CentreBurton Latimer Medical Centre

Population: 30,156

Red Kite Healthcare PCNLinden Medical Centre

Weavers Medical CentreWoodsend Medical

CentreEskdaill Surgery

Population: 58,231

Rothwell, Desborough and Great Oakley PCNRothwell and Desborough Surgery

Great Oakley Medical CentrePopulation: 33,627

Rockingham Forrest PCNLakeside Healthcare

Studfall Surgery (Dr Sumira)Studfall Surgery (Dr Kumar)

Headlands SurgeryPopulation: 67,046

Questions & Discussion

Break

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Introduction to Social PrescribingStuart Mallett

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Social Prescribing at scale across Northamptonshire – Stuart Mallett

Overview to the 30th May 2019 Health & Wellbeing Board Workshop

What really causes ill-health?

Our health is determined by our genetics, lifestyle, the healthcare we receive and our wider economic, physical and social environment. Although estimates vary, these wider determinants of health have the largest impact.

‘Non-Clinical’ causes of ill-health

- Patient Activation

- Inequalities in Healthy Life Expectancy (M/F)

- School Readiness & Attainment

- Neighbourhood Safety

- Neighbourhood Belonging

- Personal Support System

- Accommodation Satisfaction

- Volunteered 1+ Times in Year

Iatrogenesisfrom the Greek for "brought forth by the healer"

How can we help people help themselves?

Iatrogenesis

“…refers to any effect on a person, resulting from any activity of one or more persons acting as healthcare professionals or promoting products or services as

beneficial to health, that does not support a goal of the person affected”

Iatrogenesis3 main types (Ivan Illich, 1974)

Clinical Iatrogenesisthe injury done to patients by ineffective, unsafe, and erroneous treatments

Social Iatrogenesismedicalisation of life in which medical professionals, pharma cos and medical device companies have a vested interest in sponsoring sickness by creating unrealistic health demands that require more treatments, or to treat non-diseases that are part of the normal human experience, such as age-related declines

Cultural Iatrogenesisdestruction of traditional ways of dealing with, and making sense of, sickness, suffering and death

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Social Prescribing

How can we help people to help themselves and bend the trend from medicalisation to socialisation?

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What is Social Prescribing?

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Building resilience in communities and the VCSE sector

Volunteering and social action are key enablers▪ Building the volunteer base and social action

grants a key element of the programme▪ Social action using ABCD- Asset Based

Community Development▪ VCSE network as a vehicle for engagement, to

disseminate information and to support behaviour change

Care and support is person-centred: Personalised, coordinated and empowering▪ Social prescriptions for referred patients that

result from the individual’s needs identified in one-to-one consultations with skilled link workers

▪ Provision of an individualised and enabling support infrastructure

Services are created in partnership with citizens and communities▪ Network of VCSE organisations is utilised to

engage and stay engaged with local communities

▪ An evaluation framework that creates, enables and supports a network for individuals to be represented and engaged

Focus is on equality and narrowing inequality▪ Use and develop referral pathways to reach

and target specific communities ▪ Regular testing of the framework against

equality impact assessments▪ HealthWatch and equality groups are used as

critical friends during implementation

Carers are identified, supported and involved▪ Known carers are engaged through

Northamptonshire Carers and the Carers Partnership

▪ Rebuilding of community support infrastructure

VCSE and housing sectors are involved as key partners and enablers▪ Use of VCSE capability and capacity to provide

intervention schemes and help build community resilience

▪ Development of a system-based offer that fully recognises the key contribution that is available through local government and the emergency services

Integrated Care Model

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4

3

2

1

PCN

Integrated Care Model

3 2

1

PCN

4 3

21

PCN

Integrated Care Model

How the Integrated Care Model fits with

the new PCNs

5

e.g. Community NursingMental Health

Social CarePhysiotherapy

Occupational TherapyPharmacists

Workshop Session

31

•How can you and your organisation contribute to population health and wellbeing at a PCN level?

•What are the opportunities and what are the challenges?

•How can health and wellbeing fora evolve and work with PCNs?

Workshop Session

32

Feedback & Summary

ClosingDr Darin Seiger, Vice Chair of Northamptonshire Health and Wellbeing Board

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The next Development Workshop is on:

Thursday August 29th 2019 at Newton Grand Hall, Newton Building, Avenue Campus, St

Georges Avenue, Northampton, NN2 6JD.

AppendicesPCN Maps

36

Wellingborough and District PCN

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Abbey Medical Practice

Redwell Medical Centre

Queensway Surgery

Albany House Medical Centre

Castlefields Surgery

Irchester Health Centre

Summerlee Medical Centre

Wollaston Surgery

Population: 76,298

East Northants PCN

38

Harborough Fields SurgeryRushden Medical Centre

Parklands SurgeryHigham FerrersSpinneybrook

The Cottons Medical PracticeMarshalls Road Surgery

The MeadowsNene Valley Surgery

Population: 77,440

Kettering and South West Rural PCN

39

Drylands Surgery

Mawsley Medical Centre

Burton Latimer Medical Centre

Population: 29,916 (1.01.19)30,156 (01.04.19)

Red Kite Healthcare PCN

40

Linden Medical Centre

Weavers Medical Centre

Woodsend Medical Centre

Eskdaill Surgery

Population: 58,231

Rockingham Forrest PCN

41

Lakeside Healthcare

Studfall Surgery (Dr Sumira)

Studfall Surgery (Dr Kumar)

Headlands Surgery

Population: 67,046

Rothwell, Desborough and Great Oakley PCN

42

Rothwell and Desborough Surgery

Great Oakley Medical Centre

Population: 33,627

Northamptonshire Rural PCN

43

Byfield Medical Centre

Crick Medical Centre

Greens Norton and Weedon

Long Buckby Surgery

Saxon Spires

Population: 49,394

44

Daventry PCN

Abbey House Medical Centre

Danetre Medical Centre

Population: 33,674

Brackley and Towcester PCN

Brackley Medical Centre

Towcester Medical Centre

Brook Health Centre

Springfield Surgery

Population: 42,441

ParkWood PCN

46

The Parks Medical Centre

Wootton Medical Centre

Denton Village Surgery

Population: 33,850

Blue PCN

47

St Lukes Health Centre

Bugbrooke Surgery

Park Avenue Medical Centre

County Surgery

Brook Medical Practice

Population: 57,657

Royal Parks PCN

48

Kingsthorpe Medical Centre

Langham Place Surgery

The Pines Surgery

Queensview Medical Centre

Kings Heath Medical Centre

Population: 37,524

Grand Union PCN

49

Abington Medical Centre

Greenview Surgery

Abington Park Surgery

King Edward Road Surgery

Leicester Terrace Health Care

Population: 66,461

MMWF PCN

50

The Mounts Medical Centre

Maple Access Partnership

Weston Favell (Dr Dias)

Weston Favell (Dr Molla)

Favell Plus

Population: 46,720

ARC Hub PCN

51

Eleanor Cross Healthcare

Rillwood Medical Centre

Danes Camp Surgery

Population: 31,019

M-WEB PCN

52

Earls Barton and Penvale Surgery

Moulton Surgery

Woodview Medical Centre

Population: 31,395