midlands medical partnership looking forward to an at ... · a super partnership model. one of the...
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Midlands Medical Partnership Looking forward to an at scale future
Dr Dave Sangha - Executive Chairman
The landscape – then and now
Introduction
A super partnership model.
One of the pioneers for working at scale - established in 2009 without any support.
Largest single GMS contract code partnership with 21 partners.
71,000 patients and growing.
13 sites across Birmingham.
Largest single code primary care IT database.
Focus on care delivery & access.
Patient care = Integration = Growth of size/services
Continuing emphasis on outstanding care of our
patients.
Improving access and services for our patients.
Ensuring sustainability and resilience of general
practice.
Aiming to form multispecialty care provider /
accountable care status.
MMP Vision
MMP delivery model
Fully integrated business and clinical working model.
Single mature and established team.
MMP management board / partnership structure
Centralised MMP management team.
Centralised MMP in-house functions – HR, finance, IT, etc.
Centralised MMP performance target teams – monthly clinical performance reports.
Centralised MMP call centre.
MMP standardisation of service.
MMP benchmarking to achieve clinical excellence.
MMP delivery model
Service development
•Aspiring clinical excellence pioneers
•Diabetes care
•Respiratory care
•Dermatology
•Urogynae
•Phlebotomy
•Medicines management
The MMP team
•250+ clinical & non-clinical staff
•Fully recruited teams
•25 salaried GPs
•GPwSI
•40 nurses & HCAs
•Advanced nurse practitioners
•Specialist diabetes nurses
•Specialist respiratory nurses
Benefits of MMP model
Increased services for patients
•Increased access / extended access
•Cross site access across Birmingham
•Universal offer and standards
•Templates to optimise care
•Staff movement to optimise care
•Interactive PPG groups
The benefits
•Standardisation and quality
•Resilience
•Staff development and progression
•Clinicians and teams free to concentrate on patients
•Specialised Clinics – Dementia, Substance Misuse, Increased Access, Sexual health, Urogyneacology, Dermatology
CQC inspection over two full days in Oct 2016
Our Model - Assessment
OUTSTANDING
Benefits of MMP model
Robust and sleek management and operational structure that frees up clinicians to focus on delivering care to patients.
No duplication: skill sets used to maximise organisational strength.
MMP standardised policies and procedures.
Happier teams – CQC quoted “MMP staff feel empowered”.
Happier partners with better work-life balance.
Strong vision, purpose and leadership.
Overcoming the pitfalls of change.
Benefits of MMP model
QOF 2016-17 545/545
QOF 2015-16 544.6/545
MMP & new models of care
Partnership working with •Birmingham Cross City CCG•Birmingham Community Healthcare Trust•Birmingham Mental Health Trust•Birmingham Council•Birmingham Secondary Care Providers•Birmingham Out of Hours Providers
Board Positions•Birmingham and Solihull GP Alliance•Birmingham and Solihull STP Health and Social Care Board
Primary care influence on the design of the system. Delivery of pathways and patient care, including increased access delivering the GPFV targets.
Breaking down the barriers and more “love” across the system.
Lessons learnt and looking to the future
Corporate GP does existExecutive Board and management structures with delegated authorityCorporate GP is influencing, designing and leading the NHS landscape changes.
The journey to design and change takes time, effort and patience(there is gong to be some “pain” along the journey.....).Small steps will get you there if you keep your focus on the vision and work together
Variations and differences in set ups of new models developing.Variation of maturity of the new models and service delivery vision.No two organisations are alike!!
Lessons learned and looking to the future
The outcome can be well run, organised structures which improve, protect, coordinate and expand services and access for our patients.
MMP continues to:
• expand access and services for its patients;
•evolve newer contractual models including affiliate membership under the MMP umbrella;
•work in partnerships with other providers towards accountable care status.
Thank you for listening
Any questions?
Midlands Medical Partnership
www.mmpmedical.com