WiFi Login Details Network: Hospitality Password: ovaltine89 Transforming Primary Care Provider Development 4 th November 2015
01 Welcome and Introduction Transforming London’s health and care together 2
Welcome and introduction Liz Wise, Programme Director, Transforming Primary Care, Healthy London Partnership Dr Robert Varnam - Head of General Practice Development, NHS England 3
Welcome and introduction #HealthyLDN @HealthyLDN 4
Using your App You can download the app by searching for ‘ Transforming Primary Care ’ in either app or google store Features to enhance your time at the event, such as: Programme and general information Speaker biographies Access to presentations, including the ability to save, email and make notes alongside them Voting and question submitting Networking functionality Note taking functionality Through each session you can Make Notes Vote Raise a question WiFi Login Details Network: Hospitality Password: ovaltine89 5
How many Primary C are ‘at scale’ organisations are there in London at this present time? Register your vote in the Welcome and Introductions session tab A. 102 B. 17 C. 57 D. 5 http://www.im- cms.co.uk/application/assets/81/KeypadVotingTimeFilter/KeypadVotingChart.php?Title=12:30:%20Welcome%20and%20introd 6 uctions&ID=14797
Agenda for today Time Session Speakers Liz Wise 12:30 WELCOME AND INTRODUCTIONS Dr Robert Varnam Dr Michelle Drage 12.45 WHY ARE WE COMMITTED TO PROVIDER DEVELOPMENT? Dr Marc Rowland Dr Robert Varnam Chris Adams 13:25 THE EMERGING PICTURE SO FAR Jeremy Fenwick Dr Judy Roberts 13:55 Q&A 14.15 PROVIDER DEVELOPMENT - TAILORING YOUR LOCAL NEEDS Dr Robert Varnam 14:30 Break THE INTELLIGENCE HUB • Leadership • System wide support 14:45 ALL • Organisational Development • Developing Partnerships • Regulatory & legal advice 16:10 Break Greg Cairns 16.20 WHAT ARE THE NEXT STEPS? Liz Wise 16:50 CLOSING SUMMARY Robert Varnam 17:00 CLOSE Networking (30 mins)
02 WHY AR WHY ARE E WE C WE COMMITTE OMMITTED T D TO O PR PROVIDER VIDER DEVEL DEVELOPMENT? OPMENT? Transforming London’s health and care together 8
PR PROVID VIDER ER DEVEL DEVELOPMENT OPMENT Dr Michelle Drage - Chief Executive, London-wide Local Medical Committees Dr Marc Rowland , Chair of the Healthy London Partnership Innovation Group, Co- Chair of the Transforming Primary Care Strategic Oversight Group Dr Robert Varnam - Head of General Practice Development, NHS England Don’t forget to tweet us at @HealthyLDN 9 #HealthyLDN
Transforming Primary Care Pan – London Support Strategic Commissioning Framework System wide collaboration Provider Development
General practice development Dr Robert Varnam Head of General Practice Development @robertvarnam www.england.nhs.uk
What are people working towards? New models of Improved access Quality & safety LTC care Collaborative working Release capacity www.england.nhs.uk
How? Learning so far… We’re going to need every component Some of this is very new for us bit.ly/pmcflessonsvid1 bit.ly/PMCFlessons1 www.england.nhs.uk
General practice development framework Leadership Improvement Business These are interdependent Creating shared Patients as Governance purpose partners Strategic planning Processes and Operations & partnerships systems management Leading through Using data for Workforce change improvement Rapid cycle Business Being a leader change intelligence bit.ly/pmcflessonsvid1 bit.ly/PMCFlessons1 www.england.nhs.uk
03 EMERGING PICTURE SO FAR Transforming London’s health and care together 15
EMERGING PICTURE SO FAR Chis Adams, Chief Executive , H&F GP Federation Don’t forget to tweet us at @HealthyLDN 16 #HealthyLDN
Hammersmith & Fulham GP Federation Part 1: What we told practices at the start
Primary care faces a range of challenges Context a nd opportunities….. Offering A Federation allows us to address these LES a wider issues together: contracts range of finishing Provide more complex services services closer to patients Services Act at scale for a whole CCGs need shifting population population out of coverage Improve care coordination hospital across settings Integrating Ensuring Enhance access and primary care convenience with financial intermediate stability care and Capture growth opportunities urgent care to provide financial stability
Governance How it will work 1. The Federation will be registered as a limited company so that it can contract with CCGs 2. Practices will subscribe and pay for shares 3. Five Board Directors will be elected: three local GP partners, one PM, and one other 4. Other key positions appointed by Board through an election process
Patient and Public Engagement How it will work We will use multiple channels to engage patients and the local public in different ways, on different topics, at different frequencies, so that engagement is dynamic and relevant Patient Complaints & Local Clinical Social Media Surveys Conditions Organisational Satisfaction Feedback Networks Audience Patients Patients at Patients and Specific with specific Patients and Patients Patients specific public groups long term public practices conditions Responding Pathway and Feedback Focus Engage & Specific Measuring Lay member to specific continuity of about local Inform topics performance on Board feedback care services
How it will work All local practices encouraged to become Founder Members Founder Member Associate Member Qualifying Located within Borough and subscribe for Join at a future date through application to criteria shares at formation of Federation the Federation membership committee (member and shareholder) (member only) Rights Voting rights in proportion to shareholding Stand for election as a statutory director First refusal to deliver clinical services Participate in delivery of clinical services subject to quality, specified requirements, subject to quality, specified requirements, pricing, and any maximum number of pricing and any maximum number of required locations required locations Participate in clinical education and training Participate in clinical education and training Participate in any future distribution Obligations Support Federation bids, and must not hold Support Federation bids and declare any shares in a directly competing organisation conflicts of interest No membership fees for Founder members An annual membership fee may be levied See separate Prospectus document for details of the fundraising
Management How it will work 1. Management reports to the Board and is responsible for all day to day operations 2. Initially 1FTE (Chief Executive), further resourcing subject to Board approval 3. Directly employed resource will be minimal (e.g. specialised shared clinical resource) 4. Some activities may be externally shareable to reduce cost (e.g. with other Federations)
Contracting How it will work 1. Federation will contract up to the CCG and contract down to practices for clinical services 2. Federation may contract with third parties for specific support on specific pathways 3. Federation may contract with individual clinicians for specialised support 4. Contracts will include service specifications, usual NHS terms, prices and clinical indicators
Federation Charter How it will work Members of the Federation will act according to the following principles: 1. Always ensure that patients are the primary concern for all action and decision making 2. Collaborate with other Federation members and the central team: • Sharing resources where this is economic or enhances coverage • Work with other members to ensure pathways are delivered effectively and access is maximised 3. Actively contribute to continuous improvement through service delivery, supporting central management, knowledge sharing or by any other means 4. Support bids by the Federation to extend the services offered to patients and the number of patients reached
Medium term milestones Oct-14 Apr-15 Oct-15 Apr-16 Oct-16 Establish Federation. Deliver OOHS portfolio Clinical benchmarking, continuous improvement and performance monitoring Wider integration with intermediate care and urgent care
Hammersmith & Fulham GP Federation Part 2: Where we are
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