Michelle Tilling City Locality Director Nottingham & Nottinghamshire CCGs
Overview System Reorientation CCG Merger - Strategic Commissioner Integrated Care Partnerships (ICPs) Primary Care Networks (PCNs) Nottingham City PCNs Clinical Directors/Deputy Clinical Directors PCN Additional Roles PCN New Service Specifications PCN Maturity Matrix ICP Launch to Workforce Opportunities
System Reorientation Level Population Purpose • Strengthen primary care • Network practices and other out-of- Primary Care Networks Neighbourhood ~30-50k hospital services (PCN) • Proactive & integrated models for defined population • Typically borough/council level • Integrate hospital, council & primary Integrated Care Partnership Place ~150-500k care teams/services • Develop new provider models for (ICP) ‘anticipatory’ care • System strategy & planning • Strategic Commissioner Develop accountability arrangements across system System 1+m /Integrated Care System • Implement strategic change and transformation at scale (ICS) • Manage performance and £ • Agree system ‘mandate’ • Hold systems to account Region 5-10m • System development • Intervention and improvement
Nottingham and Nottinghamshire CCG Merger
3 Integrated Care Partnerships
Nottingham City Integrated Care Partnership City Care (Community Health) Clinical Commissioning Group Framework Nottingham City Council Nottingham City GP Alliance Nottingham Community Voluntary Sector Nottingham City Homes Nottingham Healthcare Foundation Trust (Mental Health) Nottingham University Hospitals NHS Trust Public Health Primary Care Network Clinical Directors 6
Nottingham City as a ‘place’ Integrated Care Partnership (ICP) - Places Primary Care Networks (PCNs) - Neighbourhoods This is about much wider collaboration than ever before across health, social care, community groups and other agencies.
Nottingham City PCNs 8 PCNs in Nottingham City Established 1 st July 2019 Broadly based on Nottingham City Council Ward boundaries Similar to previous Care Delivery Groups A few differences Previous CDG 2 too small University Student PCN Few movements of practices PCNs start as GP Practices collaborating together (delivered through the new GP contract 2019) Will mature to include community health care, mental health, social care, voluntary sector
New PCN Map Original CDG Map
Nottingham City PCNs & Clinical Directors PCN Population Practices Clinical Practice Deputy Clinical Director Directors [1] Bulwell & Top Dr Mark 44,571 8 Dr Andrew Parkside Medical Valley Salisbury Foster Practice [3] BACHS Dr Subeer 59,168 10 Dr Jonathan Aspley Medical Satyam Harte Centre [4] Radford & Mary Dr Musarat Ali 49,503 6 Dr Jo Guha Forest Practice Potter [5] Bestwood & Dr Tolulope 49,390 8 Dr Mike Hucknall Road Sherwood Atiomo Crowe Medical Centre [6] Nott’m City East Robana Hussain- 66,474 7 Dr Hussein The Wellspring Mills Gandhi Surgery [7] City South Dr Gregory Rose 36,390 4 Dr Katherine Wollaton Park O’Connor Medical Centre [8] Clifton & Meadows Dr Manik Arora 31,662 5 Dr Heetan Clifton Medical Patel Practice [u] Unity Dr Rashbal 51,548 2 Dr Matthew Cripps Health Ghattaora Litchfield Centre Totals 388,706 50
PCNs New Roles (Funding & additional roles) Additional funding into Primary Care to support establishment of PCNs Practice based funding to support participation in PCN - £1.76 per head of population PCN based funding to support administration of PCNs - £1.50 per head of population New funding to support Accountable Clinical Director for each PCN Must be a practising clinician within the particular PCN Additional role reimbursement scheme Additional Role % Additional Eligible for Funding funding from Social Prescribing Link Workers 100% 1 July 2019 Clinical Pharmacists 70% 1 July 2019 Physiotherapists 70% 1 April 2020 Physicians Associates 70% 1 April 2020 Paramedics 70% 1 April 2021
PCNs New Service Specifications (7 Network Services) 7 National Network Services Evolve over time Support delivery of specific primary care goals set out in the NHS Long Term Plan. Focussed on areas where primary care can have significant impact against the ‘triple aim’ of: improving health and saving lives; improving the quality of care for people with multiple morbidities; and helping to make the NHS more sustainable. National Service Specification Start Date Structured Medications Reviews and Optimisation Enhanced Health in Care Homes April 2020 Anticipatory Care Supporting Early Cancer Diagnosis Personalised Care (as part of the NHS Comprehensive Model) Cardio Vascular Disease Prevention and Diagnosis April 2021 Tackling Neighbourhood Inequalities
PCN Maturity Matrix Outlines components that underpin the successful development of The Primary Care Network (PCN) Progression model that evolves from initial Begin establishment of Networks Delivery of integrated care and population health Progression Steps: Foundation; Step 1, Step 2 and Step 3 Sections : Leadership, planning and partnerships Use of data and population health management Integrating care Managing resources Working in partnership with people and communities
ICP Launch (workforce) 7 th November, 13:30 – 19:00 ‘Drop in’ format 3 zones – Wellbeing, ICP, Market Place 39 Stalls Around 500 staff attended 67 organisations Great energy
Opportunities This is about working at neighbourhood level to deliver care to populations Continue to work closely with City Council officers Local Area Committee links Community Protection and Development alignment Mental Health Trust alignment City Care Alignment Voluntary Sector Links Link to Area Policing Complex persons panel – multi agency approach – escalation point on pathway Public Health links Clinical Directors induction programme
Appendicies Full detail of PCN Maturity Matrix PCN Posters depicting PCN, Clinical Leadership, Population and Emerging Priorities
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