Cambridgeshire & Peterborough STP Board: Provider Alliance - - PowerPoint PPT Presentation

Cambridgeshire & Peterborough

Confidential Draft: work in progress

Cambridgeshire and Peterborough

Sustainability and Transformation Partnership

STP Board: Provider Alliance Update

January 2020

Confidential Draft: work in progress

Cambridgeshire and Peterborough

Sustainability and Transformation Partnership

Our Provider Alliances

• In 2018, two Provider Alliances were

established in the ‘Places’ within our STP: in Greater Peterborough, Huntingdonshire and Fenland (North); and Cambridge City, East and South Cambridgeshire (South).

• A population of 416k citizens are served in

the South. The footprint aligns with the flow

• f patients who use CUH as their local

hospital.

• The 21 Primary Care Networks across our

system (12 in North and 9 in South) are key partners in our Alliances. Our PCNs offer

• pportunities to develop new clinical

pathways spanning primary and secondary care.

• Alliances aim to improve quality of care for

patients and service users; outcomes for the local population; and value for the taxpayer.

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Cambridgeshire and Peterborough

Sustainability and Transformation Partnership

Our emerging Integrated Care System

Function Principles

• Delivering joined-up, integrated and

proactive care to local populations

• Use data to risk stratify and segment

the population to keep people well

• Design interventions and care

pathways

• Devolved decision making to

neighbourhoods where possible and practical

• Primary accountability to local

population and Integrated Neighbourhood partners

• Enable the delivery of:

a) Integrated Neighbourhoods b) Urgent and Emergency Care c) Planned care

• Address unwanted variation
• Pathway redesign and sharing best

practice

• Accountable for operational delivery,

longer term transformation and maximising value

• Decision making;

a) On issues that cannot be resolved at Neighbourhood b) At scale c) That enables the sharing of best practice

• Setting long term population
• utcomes, including wider

determinants of health and health inequalities.

• Managing system financial balance,

strategy and resources

• Design and delivery enablers
• Set Alliance resource and

deliverables

• Decision making;

a) On issues that cannot be resolved at Alliance level b) At scale c) That enables the sharing of best practice

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Cambridgeshire and Peterborough

Sustainability and Transformation Partnership

Integrated Neighbourhood Implementation

Wave 1 January 2019 Wave 3 2020/21 Wave 2 2019/20

• South:
• Cantab
• North Villages
• Ely South
• North:
• Thistlemoor/Central
• Wisbech
• BMC Paston
• South Peterborough
• South:
• Granta
• To be confirmed.

Remaining Primary Care Networks:

• South – 5
• North - 7

Innovation Fund Projects being developed with all PCNs

Cambridgeshire and Peterborough

Sustainability and Transformation Partnership

North Alliance - Central Thistlemoor Primary Care Network

Population 37,680 and high levels of deprivation, smoking and poverty Integrated Neighbourhood launch follow up event held 15th January 2020:

• Great attendance from across all partners
• The projects that came from the event include:
• MSK, CVD, cancer screening, frequent flyers and working with

large employers

Central Thistlemoor Dr Neil Modha Dr Toseef Sethi Nicola Harris CCG Susan Waller STP

Cambridgeshire and Peterborough

Sustainability and Transformation Partnership

Diabetes Pilot Primary Care Networks

6

Diabetes Pilot PCNs - BMC Paston; Octagon/Wisbech; Octagon North; Ely North; Ely South

Cambridgeshire and Peterborough

Sustainability and Transformation Partnership

Looking ahead for the North Alliance 20/21 – January Away Day

7

Key themes –

• Continued engagement and enthusiasm while learning from experiences to date
• North Alliance is focussing on delivery in 20/21
• Further developing the North Alliance accountability and capabilities
• North Alliance objectives are aligned to delivery of the STP Plan covering:
• Integrated Neighbourhoods – specifically managing COPD
• Outpatients – innovative project for cardiology
• Clinical Redesign – focussing on diabetes
• Making Best Use of Our Resources – joint working with councils
• But the North Alliance also felt prevention should be a high priority in its own right

Cambridgeshire and Peterborough

Sustainability and Transformation Partnership

Case study: Ely South

Integrated Neighbourhood launch event held 15th January 2020:

• Attendance from c.100 community partners including residents,

councillors, volunteers, clinicians and social care

• Emerging priorities including respiratory; migrant workers; Princess of

Wales development and learning from Neighbourhood Cares pilot Ely South PCN Staploe Medical Centre (Soham), Burwell Surgery, Haddenham Surgery One of two PCNs working closely together in East Cambridgeshire

Cambridgeshire and Peterborough

Sustainability and Transformation Partnership

Case study: Ely South Anwar's story

Our aim is to connect people to the right support at the right time and place Anwar popped into the Soham library after the death of his wife to see if there were any volunteering opportunities in the community. This is Anwar's Story

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Cambridgeshire and Peterborough

Sustainability and Transformation Partnership

Next steps

• 1. Continue implementation of Integrated Neighbourhoods across

Cambridgeshire and Peterborough, including Innovation Fund Projects. Aim to have full coverage by April 2022.

• 2. Continue programme of clinical engagement and enable clinicians from

primary, secondary and community care to work together to design and implement new pathways and interventions (e.g. Diabetes pathway).

• 3. Develop Alliance ‘place-based’ model, taking on more accountability as a

group of providers for the health and care outcomes for the local population.