Future vision for Primary Care Jonathan Kerry, Senior Assistant of - - PowerPoint PPT Presentation
Future vision for Primary Care Jonathan Kerry, Senior Assistant of Primary Care 1. To give you an update on the recent changes to urgent primary care services. 2. To tell you about the CCGs vision for primary care services. 3. To tell
to urgent primary care services.
care services.
planning around primary care.
streaming in A&E (NHS England mandated service).
last year.
Treatment Centre in place by December 2019.
before the 31st March 2019, phase 1 of this is the co-location of the GP Out of Hours Service which moved on the 23rd January 2019.
priorities as set out in the Next Steps of the Five Year Forward View document.
(Urgent Treatment Centre) by December 2019.
Urgent Primary Care which requests at least one Urgent Treatment Centre in each location.
Locally the health economy in Wigan has set an ambitious target to implement an Urgent Treatment Centre before end of March 2019 (Q4 2018/19) This will build on the success of:
The rationale to implement the Urgent Treatment Centre earlier than the national requirement is to:
services clearer for patients.
Royal Albert Edward Infirmary (at Wrightington, Wigan & Leigh NHS Foundation Trust)
department which will be rebranded to the Urgent Treatment Centre (UTC) triage area
Centre at Christopher Home.
connect the patient back to the place.
(Multi-agency safeguarding hub) (Out of Hours)
Urgent Treatment Centre (UTC)
BENEFITS OF URGENT TREATMENT CENTRE
Centre
unnecessarily going to A&E
where to go when their own GP practice is closed.
– 8 to 5 potentially
Borough.
8 locations:
In January 2014, all partners in the economy signed up to a shared vison via the Wigan Health and Wellbeing Board. This is summarised below:
independent and to take control of their lives
community, or in primary care, unless there is a good reason why this should not be the case.
Wigan Borough has developed its locality plan “Further Faster Towards 2020” for the future to deliver a transformed service model for Health and Social Care and other public
Service Delivery Footprints, 30-50,000 population – GP Cluster groups Place based model – Wigan Deal principles:
The development of an Integrated Care Organisation (ICO) for Wigan is the mechanism by which we secure a transformation in the operation of out of hospital services. The Healthier Wigan Partnership (HWP) the Borough’s Integrated Care
representatives from the main NHS provider and commissioner organisations in the borough (including GP Clusters) as well as the Council.
prevention and early intervention.
GP practices working together in clusters; known as Service Delivery Footprints (SDFs).
services contributing to improving health and well-being of the population.
strengths of individuals and using community assets.
Services and Start Well
GP Practices have organised themselves into Clusters Cluster business cases implemented and starting to deliver expected outcomes Collaboration through Healthier Wigan Partnership– Alliance Agreement developed for implementation April 2018 Community link workers are engaged fully with practices. GP Clusters working with partners to address the needs of their patient population including Bridgewater Community Trust, Hospital Trust, Wigan Council, Mental Health, Voluntary & Community Providers Integrated Community Services and complex care huddles
GP Streaming introduced at Christopher Home (WWL) GP Practices continue to deliver against the Primary Care Standards
The list sizes varies between 1900 and 17,230 Approximately 220 GPs employed, equates to around 159 whole time equivalents GP services are delivered from 50 buildings in the Borough One GP provider
who runs 13 practices with a registered list size of 60,000 patients Over 45,000 patients contacts across practices every week Budget for Primary Care for 17/18 was £59,195,668 which is 11.15% of the CCG budget.
experience & quality of care
deliver extended and seven day care on our own terms
practice and duplication across the system Create better continuity of
to see our complex patients Create a sustainable
patient benefits and improve staff recruitment & retention Deliver more care closer
Create empowered patients
Robust planned care for patients with Long Term Condition– Utilising Primary Care skill mix (GP, ANP, PN, HCA)
Weekday planned care access to GPs
Front door to health care services
No Complexity High Complexity Medium Complexity Low Complexity
Practitioner
Health Trainers
a practice basis) e.g. Clinical Pharmacists
Wider community based teams
advice
care
advice where needed (Advice & Guidance) Generally GP practices provide roughly 3 types of Care to patients on their registered lists. Episodic Care – Colds, Coughs, minor ailments Preventative Care – Immunisations, health Checks, Health Education Long Term Planned Care for patients with complex problems and co morbidities These services tend to be provided by the Practice Team. Much of this care is delivered via 10 minute appointments An unsustainable model going forward.
No Complexity: Needing health improvement, straightforward care and episodic health support GP Collaborative delivery within hub settings Low Complexity: Living with two or more long-term health conditions Led by registered GP, delivered in practice by General practice Team Medium complexity: Complex needs, instability or frailty Led by registered GP, delivered in practice with enhanced support team High Complexity: Experiencing a health Crisis Delivered in the Community led by the GP with an enhanced primary care team
Proportion of population
Universal same day access to primary care for those who need it seven days a week Shared clinical record across the system – with read and write access in real time Release of funding from hospital services into prevention & of hospital care Reduced reliance on hospital care with activity delivered in communities Sustainable workforce in primary care More people living longer healthier lives independently at home Better patient outcomes and reduced inequalities
Empowered patients who effectively self manage Duplication and variation in practice significantly reduced
the last strategy was written in 2014!
with complex patients
GP practice is closed
This is the urgent primary care element. The services open when your own GP practice is
this, such as the urgent treatment centre, so we will be clear about what people can actually influence.
We will be looking for feedback on a proposed ‘new model of care’ for GP practices. This is about finding a better way for practices to manage their patients to have more time to deal with more complex patients in a more effective way. We also want to talk to people about practices co-located in the same building.
community
This part will be about how your GP practice will work with other GP practices, public and voluntary services in the local area. How we can put more focus on prevention and keeping people well. Looking for ways to deliver services together, including diagnostics. There is also an element of looking at buildings and where services are located.
We also want to talk to people about things like IT, Digital, and workforce issues.
care element.
urgent primary care element.
smaller sections of information one after the other for people to respond to.
address them?
best or one big consultation?
groups you belong to?)