Primary Care Network Development Fund 3 December 2019 Primary Care - - PowerPoint PPT Presentation

Primary Care Network Development Fund

3 December 2019 Primary Care Committee

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Purpose

The purpose of this paper is:

• to outline the background to the development support fund and support domains
• to describe the process of engagement with PCNs to identify maturity development needs
• To highlight the support requirements identified in Kingston against the maturity matrix
• and present a recommendation to PCCC regarding the release of funding to support PCN

development.

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Matrix and Domains

Maturity Matrix

• The maturity matrix was developed by NHS England and

tailored to meet the SWL local circumstances in order to support system and network leaders

• The five areas in the maturity matrix are as follows:

1. Leadership, planning and partnerships 2. Use of data and population health management 3. Integrating care 4. Managing Resources 5. Working with people and communities These areas will then tackle the prospectus domains (pictured right).

Prospectus Support Domains

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Development & Support Funding

• New dedicated PCN support funding of £43.5 million was announced by NHS England
• South West London STP was allocated £1.134 million for PCN development across 6 CCGs in July 2019
• The CCG was allocated, and has now received, £143,120 for PCN development across five PCNs
• National funding should be used in 19/20 for two purposes:

PCN Development Support Clinical Director Development (10%)

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Process

June 2019

• New

dedicated PCN support funding of £43.5 million was released to ICS/STP for PCN development in 2019/20

• SWL was

allocated £1,134,000.

July 2019

• Draft maturity

matrix and prospectus was published by HLP

• CCGs used

these documents as guidance to engage with PCNs.

August 2019

• CCGs held

local conversations with PCNs about how they will assess their PCN maturity and support needs

• Meetings with

primary care leads/directo rs were also

• rganised

throughout August to discuss support and development needs, as well as any issues.

Sept 2019

• Final maturity

matrix template was sent out to all PCNs to reflect on needs and complete with initial thoughts

• PCNs were

asked to indicate where they are, where they want to be in a year, what support they need, and the estimated costs and

• utput

measures.

Oct – Nov 2019

• PCNs worked

with Miad Healthcare to develop a long list of initiatives that address specific development support needs

• Engagement

between the CCG and PCN took place to ensure the ask is aligned with the matrix requirements

• Prioritisation

list agreed by PCNs.

December 2019

• PCCC asked

to approved development fund spend

• Funds to be

released to Federation via a memorandu m of understandin g.

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Development Support Initiatives

Support Required Output Measures

Leadership, planning and partnerships Clinical Director Leadership Development

• To identify and implement development support for each clinical director in
• rder to become a system leader and manage the change process over

the next five years. Clinical Directors to access coaching and personal leadership development support to enhance personal development and leadership within the local system. PCN Member Leadership Development

• Work with PCN member practices to identify leadership opportunities for

member practices / nominated SRO require within the PCN The PCN to have an away day and other sessions to develop a shared vision for the network, and develop actions for getting there. Develop clinical and managerial leads within PCN and across borough to lead on development initiates. Organisational Governance

• Develop the infrastructure require for PCNs to make decisions in an open,

fair and transparent way. Terms of reference, understanding their place within the system, understanding of the Nolan principles, MOUs. Use of data and population health management PCNs to determine what their required need is around population analytics Understanding the needs of the PCN community and what to do with this

• information. Finding ways to employ population analysis into PCN business as

usual process, and considering how the PCN should be approaching Infrastructure Development Identify what existing recourses are out there, to determine what products and systems are out there, procure the expertise needed to use the data and interpret into a meaningful data in order to make decisions on behalf of their community. Integrating care PCN Interfacing and System Connectivity

• Each PCN to understand the level of clinical system connectivity in place

and develop a plan around how this can be enhanced to help support the deliver of network-wide services from April '20. The PCN is starting to build local plans for improving the integration of care for their populations, informed by the Long Term Plan, GP contract framework and locally agreed system/place priorities. Pilot health management projects that could lead to development of new pathways across PCN and borough. PCN Patient Management and Pathways

• Patient health management projects around population analysis of patient

that are high users of A&E attendances and prevention around obesity. Managing Resources Preparedness for 2020/21 DES requirements Primary care, in particular general practice, has the headroom to make and implement DES changes in a timely and planned way for 20/21. engagement with project and programmes outside DES requirements and £1.50 funding. Backfill for clinical directors to engage with wider system and transformation Working with people and communities Developing new ways to engage with the local population and stakeholders Implement a patient feedback/PPG system across PCN Agreed approach to engaging with local communities and stakeholders New ways for patient to feedback on local development via practice and PCN

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Recommendation

The PCCC is ask to approve the release of the PCN development Support Funding outlined below: CCG

• No. of practices

Number of PCN List Size PCN Development Support Funding: According to list size

Kingston 21 5 211,863 £143,120

Next steps after PCCC approval:

• CCG to release funds to Kingston GP Chambers and issue a memorandum of understanding to

formalise the transaction

• CCG and PCN Clinical Directors to monitor implementation of development support initiatives over

remainder of 2019/20.

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