transforming primary care
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© 2014 Primary Care Commissioning CIC
Development and support programme
Transforming primary care
© 2014 Primary Care Commissioning CIC
One of our key aims is to enable general practice, community pharmacy and other primary care services to play a much stronger role, at the heart of a more integrated system of community-based services.
This will mean access to a broader range of services in primary care, in their own homes and in their communities, centred on a much more pivotal and expanded role for general practice to co-ordinate and deliver comprehensive care in collaboration with community services and expert clinicians.
Everyone Counts: Planning for Patients 2014/15 to 2018/19
General practice and primary care at the heart of transforming the NHS
For those patients with a moderate mental or physical long-term condition (about 20 percent of the population) we need to secure access to all the support and care they need from wider primary care, provided at scale.
General practice – the hub of care
Integrated general practice
Integrated community based healthcare
Integrated community based health and social care
Transforming primary care
New models of general practice
Outcomes based commissioning
Developing change through better engagement
Transforming primary care Area teamsPractices CCGs
© 2014 Primary Care Commissioning CIC
Developing primary and community based services
Everyone Counts: Planning for Patients 2014/15 to 2018/19 sets out the need to transform service models. Commissioners need the vision and delivery plans to enable this transformation. PCC works with area teams, CCGs and practices to deliver this change.
Developing the vision for community based care
Vision for general practice
Potential for community nursing
Community based care plans
Role of primary care in commissioning for outcomes
Developing new models of general practice
Facilitated networking
Facilitated development programmes
Project management
Access to national leaders and experts
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© 2014 Primary Care Commissioning CIC
Developing general practice programme design
CCGs and members are looking at new business models to:
• Ensure sustainability• Support primary care to develop• Protect what is great about general practice• Safeguard recruitment and retention• Create the platform for community based health care • Make the most of opportunities • Develop generalist led, patient centred integrated services
How PCC can help
• Share our experience of supporting other groups of practices• Independent insight and advice• Understanding of general practice issues and ambitions• Knowledge of regulation, policy, funding and contracts• Expert facilitators to help create consensus• Programme design, planning and management• Project support to make it happen• Partnerships with trusted general practice experts
PCC develops programmes and interventions with CCGs and practices across the country. We design and deliver tailored support to enable practices to understand the bigger picture and agree development plans.
“The workshop really lit the blue touch paper”Dr Richard Bull, Clinical Lead North
Derbyshire CCG,
‘I cannot believe how much we got agreed’Jacqui Tonge, practice manager
© 2014 Primary Care Commissioning CIC
Developing general practice programme
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Create awareness, start conversation
Develop vision and priorities
Develop business model
Create awareness, start conversation
Develop vision and priorities
Develop business model
Develop legal framework
Get commitment from practices
PCC is working with CCGs and practices across the county in the development of new models for general practice. In doing so we have developed a clear programme to facilitate and develop a solution that meets the local requirements.
Establish governance frameworks
© 2014 Primary Care Commissioning CIC
Practical support for local solutions
Facilitated developmentTo develop new models of working practices need to come together to explore common vision and values. PCC uses its expert facilitators to support development and facilitate agreement.
InsightOur support for you is informed by experience working with practices in other parts of the country. It starts with raising of awareness of the opportunities for collaborative working and leads to practical considerations of form and function. We help you to clarify the vision and mission and plan the necessary governance arrangements.
ExpertsWe provide expert advice, including access to business planning and legal specialists, to assure your plans and put them on the path to implementation.
WHAT DO PRACTICES NEED
TO DO TO COMMIT?
© 2014 Primary Care Commissioning CIC
Procurement and responding to tenders
• The changing face of community based services• Procurement• How to win tenders
Example workshops
Key considerations
• Existing models for collaborative working• Making form follow function• The potential for general practice• Mission vision and values
Legal considerations
• Legal requirements for collaborative working• Mergers• Legal entities to enable collaborative working
Governance
• The corporate governance for legal entities• Developing the operational governance frameworks
• Clinical • Information• Financial
Commercial success• Establishing the vision• Setting up an entity• Understanding the procurement opportunities
“Very helpful, clearly presented, practical
information. Honest and clear answers to difficult questions”
Dr Andy John, GP
“Well worth the money”
Dr Anita Patel, North Barnet locality lead
© 2014 Primary Care Commissioning CIC
Case studies: our experience
North Derbyshire CCG
What we were asked to do As part of the development of its primary care strategy the CCG requested our support to raise awareness of the need for change within general practice and identify the steps to achieve it
Outcome PCC delivered an awareness raising session for practices to understand the drivers and opportunities for change. The session used scenarios to enable practices to discuss options objectively. In a separate session practices scoped an approach. PCC ran a workshop with representatives from all practices to discuss the plan and developed a roadmap for the practices. The practices agreed a clear set of priority areas to develop and confirmed next steps and actions.
Isle of Wight practices
What we were asked to do Isle of Wight CCG requested support for their member practices to understand how they could work together more effectively.
Outcome PCC ran a session with practice managers to gauge the potential of and desire for collaborative working. Managers were able to consolidate their positions, develop proposals and form a working group. A second event allowed GPs to consider a range of potential options and agree the plan. As a result there was CCG-wide agreement to invest in jointly provided services including minor injuries and acute home visiting, phlebotomy and anti-coagulation, and a notes summarising service.
© 2014 Primary Care Commissioning CIC
Case studies: our experience
Lewisham practices
What we were asked to do Practices in Lewisham wanted to measure the appetite for collaborative working among all the practices in the borough. The research discovered a range of views and issues that were used to shape an options appraisal. Practices were given the opportunity to debate the options and understand their implications at a workshop.
Outcome PCC delivered a tailored programme included an online survey, a support network, webinars and face-to-face interviews to engage practices and discover their views. The workshop helped practices agree to work together, articulate a vision and identify workstreams for development. It resulted in a working group with a clear remit and timescales.
Wyre Forest GP Association
What we were asked to do PCC provided workshops for Worcestershire CCGs on the legal considerations for collaborative working. Subsequently Wyre Forest GPs requested further support to develop their approach.
Outcome PCC designed and delivered a workshop that enabled the practices to explore their fears and understand the opportunities of formal collaboration. Working through the issues enabled the practices to agree a collaborative approach and develop an action plan to make it happen.
© 2014 Primary Care Commissioning CIC
“Very helpful in allowing us to express our ideas and helping
organise our thoughts and actions.”Julie Mackenzie, practice manager,
Isle of Wight
“The workshop really helped us understand how we can work
together and develop a plan to make it happen”
Dr Roy Williams, chair, Wyre Forest GP Association
“Great day, brilliant insight and opportunity to develop thoughts”Dr Andy Havercroft, GP South
Worcestershire
Get in touch: [email protected]