Primary Care Home Mr. Nick Sutton Programme Manager Wakefield - - PowerPoint PPT Presentation

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Primary Care Home Mr. Nick Sutton Programme Manager Wakefield - - PowerPoint PPT Presentation

Mar 03, 2023 191 likes •293 views

Primary Care Home Mr. Nick Sutton Programme Manager Wakefield Integrated Care Partnership & Primary Care Home Summary Explain the language What is the Wakefield Way? Relevance to population health Vehicle for partnership

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SLIDE 1

Primary Care Home

  • Mr. Nick Sutton

Programme Manager Wakefield Integrated Care Partnership & Primary Care Home

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SLIDE 2

Summary

  • Explain the language…
  • What is the Wakefield Way?
  • Relevance to population health
  • Vehicle for partnership working
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SLIDE 3

Practice Networks

A group of GP practices that have decided to work together to jointly commission and provide services.

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Primary Care Networks

  • General practice networks working together with

community, mental health, social care, pharmacy, hospital and third sector

  • Enable proactive, personalised and integrated care
  • Responsible for population health management
  • Small enough to provide the personalised care, but large

enough to deliver economies of scale

  • Defined population of between 30 – 50k

https://www.youtube.com/watch?v=W19DtEsc8Ys

Primary Care networks animation:

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Primary Care Home

Primary Care Home is a specific form of Primary Care

  • Network. Developed by the National Association of Primary

Care with key characteristics:

  • 1. Defined set of priorities focusing on population health
  • 2. Higher level of integration on service delivery
  • 3. Greater collaboration across health and social care
  • 4. Common outcome framework
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The Wakefield Way

  • Practices have been divided into 7 Primary Care Homes
  • All registered with the National Association of Primary Care
  • Network contracts have been agreed
  • Leadership teams have been appointed
  • Provisional priorities have been identified
  • Partners and patients actively engaging
  • Social prescribing service established
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Impact on Population Health

  • Shift from condition management to prevention
  • Emerging priorities focus on population health
  • Broad range of partners delivering common set of outcomes
  • PCH is a vehicle for delivery of population health outcomes
  • Leadership development programme includes population

health management

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SLIDE 8

Emerging Priorities

  • Obesity

WHA North

  • COPD

WHA Central

  • Improving mental health

WHA South

  • Improving mental health

Brigantes

  • Support for people pre-diabetes

Five Towns

  • Smoking

Trinity Health

  • Self care

West Wakefield

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SLIDE 9

Public Health Themes

  • Partnerships between schools and care homes
  • Corporate parenting initiatives
  • Raising awareness of public health issues in schools

Education

  • Assisted living schemes
  • Mental health support for vulnerable tenants
  • Local homeless initiatives

Housing

  • Mapping community assets
  • Community organisation around public health
  • Community integration / social isolation

Family, Friends and Communities

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Joint Working

  • Joint working across practice and community nursing
  • Aligning Connecting Care Hubs with PCHs
  • Aligning Early Health Hubs with PCHs

Partnerships

  • Addressing social isolation
  • Better access to voluntary and community services
  • Enabling GPs to focus on people with medical needs

Social prescribing

  • Coordinated approach to supporting care home residents
  • Reducing avoidable hospital admissions
  • Better Advanced Care planning

Care Homes