BNSSG Primary Care Strategy Update July 2019 Primary
BNSSG Primary Care Strategy Update July 2019
Primary Care Strategy: Background In 2016 the three former CCGs, in conjunction with BNSSG stakeholders created the BNSSG Primary Care Strategy (PCS). Why do we need to update it? § The vision in the current strategy needs to be reviewed and refreshed § The strategy needs to reflect the new National and Local context: GPFV, NHS Long Term Plan, new GP contract, BNSSG community services procurement, Healthy Weston, wider system working and Healthier Together system strategies § The strategy needs to set out how we will ensure sustainability and transformation of primary care and general practice as part of the overarching strategy to improve population health 2
What is Primary Care? GP SURGERIES COMMUNITY PHARMACY DENTAL OPTOMETRY • Our patients are at the core of a proactive community system • General Practice has a leadership role to create a system of care in the community equitable and accessible to all • Primary Care is the alliance of all providers in the community, including community services, community pharmacy, dentistry and the voluntary sector 3
Primary Care Networks form the building block for integrated care STP Long term plan Function Integrated Care System (ICS) Strategic Integrated Care Partnerships (ICP) Provider Alliance Planning and coordination across providers Primary Care Networks Practices working together Resilience Local Delivery Shared Resource Locality Primary Care Network 4
Primary Care Network Development Plan National PCN Development Support Prospectus to be available from July 8 modules : Module 1: PCN set-up Module 2: Organisational Development Support Module 3: Change Management Quality and Culture Module 4: Leadership Development Module 5: Collaborative Working (MDTs) Module 6: Social Prescribing and Asset Based Community Development Module 7: Population Health Management Module 8: PCN Clinical Director Development Support Primary Care strategy will include a PCN development plan and engagement is asking about the roles PCNs can play. Primary Care Strategy will integrate with locality development and other system wide strategies 15
Our Vision for a Model of Care in the Community • • GP Provider Localities Collaboration across practices/PCNs Leading and directing community services Leading locality hubs Leading locality Provider Alliance Acute and Reactive Care • Integrated across hubs & localities • 24/7 rapid response • In-hospital liaison and pro-active discharge support • Specialised in catheter care & complexity • Access to community beds and IV therapies Specialist advice and support Practices Inner City & East Bristol Integrated Locality Team Practices South Bristol Integrated Locality Team Weston & Worle Integrated Locality Team Practices PEOPLE & FAMILY Woodspring Integrated Locality Team Practices Integrated Locality Teams • Working across primary care, community and hubs through regular multidisciplinary team meetings • Includes district nursing, community therapies, dietetics, podiatry and orthotics, voluntary sector, speech and language, domiciliary phlebotomy, urinalysis and blood pressure Practices North & West Bristol Integrated Locality Team S. Glos Integrated Locality Team Practices • Small number of highly trained specialists • Educational input to core community services and primary care • Advice and care for complex cases • Linked to acute speciality teams Locality Hubs • Frailty management • Focus on proactive care • 7 day primary care • Ambulatory Care • Treatment rooms • Access to diagnostics 5
Project Structures and reporting 6
Project Governance and Reporting ICSG role • Set strategy and BNSSG approach • Oversee specific strategies and/or pathway work as required at BNSSG level • Set system level outcomes for integration • Mandate locality working and create conditions for success • Support development of locality provider alliances • Support and unblock issues including “asks” from other programme areas e. g. workforce, digital • Manage and support strategic interdependencies across Healthier Together Programme Local Medical Committee (LMC) Board Integrated Care Steering Group (Oversight of PCS and link to other strategies) BNSSG Governing Body (GB) Primary Care Commissioning Committee (PCCC) General Practice Resilience and Transformation (GPRT) Steering Group Primary Care Operational Group (PCOG) Primary Care Strategy Steering Group Community Pharmacy Dental Optometry Primary Care Networks Localities x 6 Community Services 7
The Approach Part 1: • Monthly system-wide Primary Care Strategy Working Group • Ongoing stakeholder communication and engagement June - September • Primary Care refresh launch event – June 18 th • Further define and test the high level priority work areas • Develop implementation plan • Drive delivery of the vision with an integrated approach • June Regular reports to Primary Care Commissioning Committee and Integrated Care Steering Group, and September October ongoing patient and public involvement August - October December • Approval at October Governing Body Part 2: Detailed delivery plan and implementation begins October – December June - September Patient and stakeholder engagement September -October Approval of the strategy October - December Detailed delivery plan and implementation begins 8
Our Priorities • Value based healthcare • General Practice resilience • Focus on improving quality for all general practice • Quality outcomes • Patient experience • Patient safety • Clinical effectiveness • Improving access • Leadership of out of hospital care model • Locality Transformation Scheme: Frailty, Mental Health. • Integrated Care System • System Wide Strategies Quality and Resilience Developing the Workforce Access/ Models of Care Infrastructure • Training Hubs • Practice resilience/ skill mix • Recruitment and Retention • GP Nursing 10 point plan • Time for care • Developing the pipeline • Population Health • Primary Care Networks and Integrated Localities • Digital Transformation • GP IT • Estates • Primary Care at Scale 9
Key Engagement Questions • What are our priorities for developing Primary Care in BNSSG? • What does good look like? • How will Primary Care Networks support the needs of our population? • How will we deliver our priorities? 10
Current vision ‘A resilient and thriving primary care service of which is at the heart of an integrated health and social care system centred around the patient and carer; A responsive system that delivers needs-based high quality, equitable and safe care. ’ 11
Launch Event Workshop Outputs: The Vision 12
Vote on the Vision Statement § Better conversations about me and my care § Delivering excellent, high quality, accessible care for you in a sustainable, joined up way § A strong, accessible, responsive, sustainable, high quality primary care system that improves health outcomes for all § We are proud to deliver personalised, seamless, consistent, high quality primary care that is accessible and sustainable for all 13
What we have heard so far from engagement • We need to do further testing of the priorities with clinical teams • We need to articulate how we will take this strategy forward into a delivery plan, including how it interfaces with the system and other strategies • Develop both a personalisation and population health approach to quality improvement • Recognise the need to inspire transformation and support leadership and innovation • Maximise opportunities for integration across wider primary care sector and with community services • Develop accessible 24/7 primary care • Shared governance to support provider networks/alliances to lead care in primary & community care • New roles to follow understanding of competencies needed 14
What Next: High Level Timeline Action LMC Board Action Completed Clinical Membership Meetings: BNSSG CCG Executive Team 20 th March 2019 LPC Board PCS Working Group Planning Meeting 28 th March 2019 LPC Roadshows Deadline 9 th July 2019 9 th July (Pan-Bristol); 10 th July 2019 (NS and SG) 10 th July 2019 July - Sept 2019 PCOG 11 th April 2019 Practice Manager Forum (North Somerset) PCS leads meeting with Julia Ross 18 th April 2019 PCCC PCS 30 th April 2019 PCS Working Group Meeting 2 nd May 2019 Locality Provider Group (LPG) Meetings: North Somerset; N&W Bristol; South Gloucestershire; South Bristol BNSSG PPIF 23 rd May 2019 One. Care Pan BNSSG Patient Reference Group 16 th July 2019 PCCC Workshop 28 th May 2019 Community Paediatric Meeting 17 th July 2019 Governing Body + Commissioning Exec Seminar 4 th June 2019 One. Care Board Meeting 25 th July 2019 PCS Working Group Meeting 6 th June 2019 Integrated Care Steering Group 13 th June 2019 Shaping the BNSSG Primary Care Strategy Launch Event – Ashton Gate BNSSG Clinical Cabinet 18 th June 2019 PCS Working Group Meeting – Planned Care Strategy presentation 27 th June 2019 June - September Patient and stakeholder engagement September October Approval of the strategy 19 th June 2019 October - December Detailed delivery plan and implementation begins Healthier Together Groups: Prevention, Mental Health, ACC, Urgent Care (30 th) Executive Team Area Leadership Group (ALG) meetings (August): South Gloucestershire; North Somerset; Bristol 11 th July 2019 10 th July; 15 th July; 16 th July ; 23 rd July 2019 August 2019 21 st August 2019 20 th August; 22 nd August; 27 th August 2019 LMC Committee 9 th Sept 2019 BNSSG Membership 10 th Sept 2019 PCOG 12 th Sept 2019 PCS Working Group Meeting 17 th Sept 2019 LPC Training Event Engineers House 18 th Sept 2019 PCCC 24 th Sept 2019 LPC Training Event Keynsham 25 th Sept 2019 Governing Body for final sign off 1 st Oct 2019 Commissioning Exec for information 10 th Oct 2019 Integrated Care Steering Group Oct 2019 STP Sponsoring Board Oct 2019 LPC Annual Conference 9 th Oct 2019 16
How can you get in touch? § “Get Involved” section of CCG website § Contact me geeta. iyer@nhs. net § Further practice managers, GPs, nurse, patients and public involvement Surveys and consultations | NHS Bristol, North Somerset and South Gloucestershire CCG https: //bnssgccg. nhs. uk/get-involved/surveys-and-consultations/ 17
Get Involved https: //bnssgccg. nhs. uk 19
@HTBNSSG
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