Oxfordshire Clinical Commissioning Group Primary Care Networks an

Oxfordshire Clinical Commissioning Group Primary Care Networks an overview 3 December 2018 – paper 4 City Locality 13. 12. 18

Oxfordshire Clinical Commissioning Group This is a combination of slides from NHS E and CCG. Further information will be expected in the NHS 10 year plan Terminology neighbourhoods/clusters/Primary Care Networks

Recent National Push Oxfordshire Clinical Commissioning Group q Ten Year Plan: highly likely to place a big emphasis on primary care networking q Refreshing NHS Plans 2018 -19: every practice encouraged to be part of a primary care network q NHS England’s Review of the Quality and Outcomes framework (July 2018): may be a ‘working at scale’ version of QOF q NHS England Primary Care Network Reference Guide (Draft August 2018)

Oxfordshire Clinical Commissioning Group

A NHS E working definition Oxfordshire Clinical Commissioning Group q Enable the provision of proactive accessible, coordinated and more integrated primary and community care q Formed around natural communities based on GP registered lists q Often serve populations of around 30, 000 – 50, 000 patients. q Small enough to still provide personal care but large enough to have deeper impact by collaboration q Collaboration between practices and others in the local health (community and primary care) and social care system q Platform for providers of care being sustainable into the longer term

Oxfordshire Clinical Commissioning Group

Oxfordshire Clinical Commissioning Group

Oxfordshire Clinical Commissioning Group

Progress so far in Oxford City Oxfordshire Clinical Commissioning Group q Neighbourhoods defined within Locality plans

Primary care maturity matrix Oxfordshire Clinical Commissioning Group

NHSE Proposed PCN Benefits Oxfordshire Clinical Commissioning Group • For patients: – More joined up services – MDT/holistic care – Focus on prevention • For practices: – Greater resilience – Free up GP time • For the system: – Co-operation across organisational boundaries – Driving a more population-focussed approach – Strengthening of primary care and less need to default to hospital

Funding details Oxfordshire Clinical Commissioning Group q Non-recurrent sum available through OCA partners to develop Primary Care Networks q likely £ 600 k for Oxfordshire q Some via STP to CCG and some via local regional NHS E team q 100% practice coverage expected

Requirement for funding Oxfordshire Clinical Commissioning Group q. This may include determining: o current maturity of each neighbourhood o population needs o how to develop the integrated care teams (including CMHTs) o how care may be delivered to meet the needs of the local population o (including prevention and mental health) as well as align with system priorities.

Primary care maturity matrix Oxfordshire Clinical Commissioning Group

Oxfordshire Clinical Commissioning Group Next steps q. Firm up Primary Care Network formations q. Agree Network names q. Each network to agree current maturity (using maturity matrix)

Primary care maturity matrix Oxfordshire Clinical Commissioning Group