care in Hampshire Our multi-specialty community provider Overview - - PowerPoint PPT Presentation
Transforming care in Hampshire Our multi-specialty community provider Overview NHS Five Year Forward View set out new models of care needed for sustainable future Initially 29 Vanguards across England to pilot them South
care needed for sustainable future
Community Provider (MCP)
‘Primary Acute Care System’ (PACS)
delivered to improve out-of-hospital care
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more straightforward access to a wider range of health and care closer to people’s homes.
community of care.
prevention
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Southern Health NHS Foundation Trust.
localities (Gosport, East Hants and South West New Forest)
local authority and third sector partners
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Your health, in your hands, with our help. East Hampshire
Gosport
New Forest
Your health, in your hands, with our help.
Your health, in your hands, with our help.
Improved access to care An extended primary care team Fewer steps to access specialist support Prevention and self-management
Your health, in your hands, with our help. Example of new model: Primary Care Access Centre
booked appointments
physiotherapists, clinical pharmacists, nurse practitioner, paramedic, paediatric nurses
shared clinical record
some areas
multiple points of access that are not integrated
Current model of care: Multiple, disjointed access points
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Bringing primary, community and adult social care together, with specialists from local hospitals and third sector organisations, to work as a single extended primary care team: the MCP
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See GP Planned Skype conversation: GP, consultant and patient. Management plan agreed. Respiratory team review investigations. Patient sees GP, investigations on site. Investigation Referral Seen in OPD to review results GP sees patient Letter to GP
Example of traditional respiratory care Example of new model
the dynamic of the relationship between health professionals and patients
local communities to the Extended Primary Care team through Surgery Signposters to support those with long- term conditions to self-manage
approach in every interaction
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frequently and carers, including ‘surgery signposters'
patients requesting home visits receive the right level of response according to need
appointment service
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primary care clinicians to further join up care
the same day appointment service
homes in Gosport over a three week period in September 2015
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Your health, in your hands, with our help.
Your health, in your hands, with our help.
your local GP practice or primary care hub
choices and manage your own health and care
Your health, in your hands, with our help.
the needs of local people
professionals supporting the same people
management
expertise
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people who use them and commissioned based on
attendance)