Overview on Primary Care Networks PCNs Karen Large

Overview on Primary Care Networks (PCNs) Karen Large, Primary Care Networks Manager, South Tyneside Sam Hood, Portfolio Manager, Newcastle & Gateshead CCG

Context for PCNs Aims of the long-term plan • Everyone gets the best start in life • World class care for major health problems • Supporting people to age well

How will this be achieved? Primary care networks as the foundation for Integrated Care Systems • Preventing ill health and tackling health inequalities • Supporting the workforce • Maximising opportunities presented by data and technology • Continued focus on efficiency

What is a PCN? PCNs will comprise groupings of clinicians and wider staff sharing a vision for how to improve the care of their population and will serve as service delivery units and a unifying platform across the country: • Groups of Practices working together and with other local health and care providers( including primary care, community services, social care and voluntary sector), to provide co-ordinated care through integrated teams • A defined patient population in the region of 30, 000 -c 50, 000, based around natural local communities • Providing care in different ways to match different people’s needs, including flexible access to advice and support for ‘healthier’ sections of the population, and joined up care for those with complex conditions

What will PCNs do? • Focus on prevention and personalised care, supporting patients to make informed decisions about their care and look after their own health, by connecting them with the full range of statutory and voluntary services. • Use of data and technology to assess population health needs and health inequalities, to inform, design and deliver practice and population scale care models; support clinical decision making, and monitor performance and variation to inform continuous service improvement. • Making best use of collective resources across practices and other local health and care providers to allow greater resilience, more sustainable workload and access to a larger range of professional groups.

PCNs in South Tyneside Total population 157, 721 21 Practices PCNs South East West

Locality Map

PCN South - 55, 993 Network Member Practices Central Surgery Colliery Court Medical Centre Dr Thornily, Walker & Partners Imeary Street Surgery Marsden Road Health Centre Whitburn Surgery Practice’s registered list size (as at 1 January 2019) 19665 7929 6591 3, 283 13, 353 5172

PCN East - 53, 871 Network Member Practices Farnham Medical Centre St George’s Medical Centre Talbot Medical Centre Trinity Medical Centre Wawn Street Surgery Wenlock Surgery West View Surgery Practice’s registered list size (as at 1 January 2019) 17, 405 6619 7987 6447 8084 4539 2790

PCN West - 47, 103 Network Member Practices Albert Road Surgery Dr Dowsett & Overs East Wing Surgery Ellison View Surgery Mayfield Medical Centre Ravensworth Surgery The Glen Medical Group Victoria Medical Centre Practice’s registered list size (as at 1 January 2019) 3083 5139 3918 6229 9368 5590 10, 600 3176

Network Structure

Wider system alliance Clinical Directors CCG Social Care & PCN Manager PCN JCU Public Health Community Services NTW FT

Benefits for patients • More co-ordinated services where they do not have to repeat their story multiple times • Access to a wider range of professionals in the community, so they can get access to the people and services they need in a single appointment • Appointments that work around their lives, with shorter waiting times and different ways to get treatment and advice including digital, telephone-based and face-to-face • More influence when they want it, giving more power over how their health and care planned and managed • Personalisation and a focus on prevention and living healthily, recognising what matters to them and their individual strengths, needs and preferences

Benefits for the whole health care system • Co-operation across organisational boundaries and teams to allow better coordination of services • Wider range of services in a community setting, so patients don’t have to default to the acute sector • Developing a more population-focused approach to systemwide decision-making and resource allocation, drawing on primary care expertise as central partners • More resilient primary care, acting as the foundation of integrated systems

Sam Hood, Portfolio Manager, Newcastle & Gateshead CCG

Inner West 45, 192 Whickham 15, 987 Glenpark 9, 146 Teams 5, 542 Sunniside 3, 308 Oxford Terrace 15, 750 Birtley 16, 091 Chainbridge 11, 264 Clinical Director: Andrew Porter Management Lead: Alison Sample Clinical Director: Peter Young / Jeremy Watson Management Lead: Anna Knighton / Sheinaz Stansfield Outer West 31, 798 Blaydon 2, 320 Crawcrook 6, 913 IJ Healthcare 4, 699 Chopwell 2, 498 Grange Road 3, 852 East 30, 272 Oxford Terrace / Birtley 31, 841 Oldwell 5, 170 Rowlands Gill 6, 346 Clinical Director: Sameena Hassan Management Lead: Sue Jennings Crowhall 6, 262 Longrigg 10, 688 St Albans 8, 139 Pelaw 5, 183 Clinical Director: James Taylor Management Lead: Gail White / Helen Sangster Gateshead Networks – 30 practices population 209, 448 at Jan 2019 Central /South 70, 345 108 Rawling Road 1, 578 Metro Interchange 3, 504 Bridges 5, 298 Bensham 4, 216 Millennium 3, 793 Central Gateshead 10, 629 Second Street 3, 572 Wrekenton 10, 856 Bewick Road 6, 252 Beacon View 4, 752 Clinical Director: Linda Nutting / David Roberts Management Lead: Sue Harrigan / Tracey Atkinson Fell Cottage 8, 232 Fell Tower 7, 629

Gateshead Health & Care System A Place based approach to Integrated Health & Care Collective and best use of Gateshead £ Primacy of Gateshead Place Newcastle Gateshead CCG Planning as a System Gateshead Local Authority Gateshead GP Federation/CBC/PC Networks • Public Health NUTH NTW Transformation Programmes Priority areas: • • • Children’s wellbeing & mental health Multiple & complex needs Frailty Blue Stone Consortium Gateshead Health Foundation Trust • • • Community services Intermediate care Falls Deciding Together, DT (MH) Community Model - LD End of life care

Workforce Opportunities Funded Roles per PCN Clinical Director – one day a week per PCN Clinical Pharmacists Social Prescribing Link Worker Advanced Practice Physio Therapist Physician Associate Paramedics – Advanced Paramedic Practitioner From July 2019 March 2020 March 2021

Delivering New Network Services • Meeting the NHS Long Term Plan • 7 Specific national service specifications under the network contract DES • Focused on areas where Primary Care Networks can have significant impact on the ‘Triple Aim’: • Improving health and savings lives • Improving the quality of care for people with multiple morbidities • Helping to make the NHS more sustainable

Service Specifications From April 2020: • Structured Medication Reviews • Enhanced Health in Care Homes • Anticipatory Care (with community services) • Personalised care • Supporting early cancer diagnosis From April 2021: • Cardio-vascular Disease Case-finding • Locally agreed action to tackle health inequalities

Any questions

Thank you Karen Large, Primary Care Networks Manager (Interim) – South Tyneside Health Collaboration M: 07970 129 550, E: karenelarge@btinternet. com Sam Hood, Portfolio Manager – Gateshead, NGCCG Tel: 0191 2172820, E: samanthahood@nhs. net