Welcome PPG Network Meeting 1 NHS Long Term

Welcome PPG Network Meeting 1

NHS Long Term Plan Nicola Lester, Director of Transformation April 2019 2

Aims: • Everyone gets the best start in life • World class care for major health problems • Supporting people to age well How: • 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 3

Long Term Plan in summary… 1 Do things differently, through a new service model Take more action on prevention and health inequalities 2 5 6 3 Improve care quality and outcomes for major conditions 4 Ensure that NHS staff get the backing that they need Make better use of data and digital technology Ensure we get the most out of taxpayers’ investment in the NHS Your community, Your care : Developing Buckinghamshire together 4

Questions? ? Your community, Your care : Developing Buckinghamshire together 5

PPGs and Primary Care Networks Dr Raj Bajwa, Clinical Chair (Weds 3 rd April) Dr Rebecca Mallard-Smith, Clinical Director, (Fri 5 th April) April 2019 6

And PCNs are key to the future • • Primary Care Networks (PCNs) are small enough to give a sense of local ownership, but big enough to have impact across a 3050 K population. They 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. Practices as teams of teams Personalisation and improved outcomes Aligned incentives Informed and enabled patients Integrated primary care service Growing motivated and enabled staff Your community, Your care : Developing Buckinghamshire together Digitally enabled working 7

Example Primary Care Network (PCN) Today: 3 practices working independently Practice A 17, 500 patients Practice B 20, 000 patients Practice C 12, 500 patients Key Features: • • • Populations of 30 – 50, 000 registered patients Neighbouring practices Practices decide who belongs to PCN Each network will be led by a clinical director Funding increases over next 5 years – indicative increase £ 1. 47 m per annum Future (by 2023/24): • • 3 practices working together (50, 000 patients) Existing teams of doctors and nurses to be complemented in a typical PCN with: - Social prescribing link workers x 4 - Clinical pharmacists x 6 - Physiotherapists x 4 - Physicians Associates x 3 - Community Paramedics x 2 As well as support from: • Community Healthcare Teams • Mental Health Community Teams • Adult Social Care • Voluntary Sector • Community geriatricians • Hospital services outreach • Additional funding for Digital Technology Your community, Your care : Developing Buckinghamshire together 8

What will PCNs do? Seven National specifications: Structured Medication Reviews (2020) New Roles Enhanced Health in Care Homes (2020) Anticipatory Care (2020) Personalised Care (2020) Supporting Early Cancer Diagnosis (2020) Cardiovascular Disease case finding (2021) Integrated Care Tackle Health Inequalities (2021) Your community, Your care : Developing Buckinghamshire Together 9

What difference does this make for Practices? The best bed is your own bed! Your community, Your care : Developing Buckinghamshire Together 10

Questions? ? Your community, Your care : Developing Buckinghamshire together 11

What difference will PCNs make for patients? Your community, Your care : Developing Buckinghamshire Together 12

Your community, Your care : Developing Buckinghamshire together 13

Patient Involvement in PCNs Foundation • Engagement: GPs, local primary care leaders, patients’ representatives, and other stakeholders believe in the vision and the plan to get there Step 1 • PCNs are engaging directly with population groups, and with the wider community Step 2 • Networks are developing an extensive culture of authentic patient partnerships Step 3 • The PCN has built on existing community assets to connect with the whole community Your community, Your care : Developing Buckinghamshire together 14

Questions? ? Your community, Your care : Developing Buckinghamshire together 15

Timescales Date Jan-Apr 2019 Action PCNs prepare to meet the Network Contract registration requirements By 29 Mar 2019 NHS England issues the Network Agreement and 2019/20 Network Contract All Primary Care Networks submit registration information to their CCGs confirm network coverage and approve variation to contracts By 15 May 2019 By 31 May 2019 Early Jun 30/6 1 Jul 2019 -Mar 2020 NHS England works with CCGs and Local Medical Committees to resolve any issues Sign up by practice Network Contract goes live across 100% of the country National entitlements under the 2019/20 Network Contract start, i. e. : Year 1 of the additional workforce reimbursement scheme; funding for the Clinical Director; £ 1. 50/head from CCG allocations Your community, Your care : Developing Buckinghamshire together 16

Other Recent Changes in Bucks… • • • Improved Access Out of Hours GP Services NHS 111 Online Ask NHS App Your community, Your care : Developing Buckinghamshire together 17

Improved Access Appointments with a GP, nurse or other healthcare professional are now available in the evenings and weekends. Contact your GP practice for more information. Your community, Your care : Developing Buckinghamshire Together 18

Out of Hours GP Services When your GP practice is closed, call NHS 111 for an urgent GP appointment Services across Bucks are now provided mostly by our local GPs Your community, Your care : Developing Buckinghamshire Together 19

NHS 111 Online is • free and easy to use • available 24/7 • more than twice as quick as the phone service • helping to manage increasing demand on 111 telephone services Your community, Your care : Developing Buckinghamshire Together 20

Ask NHS - Online self Triage - LIVE Ask NHS provides: • An online symptom checker (IOS & Android app) • Self-Care advice (nhs. uk) • Fully integrated into the GP Clinical System • Appointment booking (following triage) • Call backs, GP appointment • Access via Windows PC coming soon • Service Finder (National DOS) • Admin requests to GP Practice • 17 Practices offering this to patients NOW! Your community, Your care : Developing Buckinghamshire Together 21

NHS App The NHS App will be activated in local practices to allow patients to use it if they wish by July but the main comms campaign will be in the Autumn to allow us to focus on Ask NHS prior to then. Use the NHS App to: • check your symptoms • find out what to do when you need help urgently • book and manage appointments at your GP surgery • order repeat prescriptions • securely view your GP medical record • register to be an organ donor • choose how the NHS uses your data Your community, Your care : Developing Buckinghamshire together 22

The Long Term Plan Survey

How can you help? Complete and share the survey Go to www. healthwatch. co. uk/what-would-you-do From there, scroll down, and choose between the general survey, and the on long-term conditions • cancer, mental health conditions, heart and lung diseases, long-term conditions, such as diabetes and arthritis, learning disabilities, autism, and for people as they get older and experience conditions such as dementia • General - www. healthwatch. co. uk/what-would-you-do-general • Long term conditions - www. healthwatch. co. uk/tell-us-whatwould-you-do More information • Go to www. healthwatch. co. uk • Email info@healthwatchbucks. co. uk Easy Read and BSL surveys available on the website

Contact Details • Buckinghamshire CCG Website address https: //www. buckinghamshireccg. nhs. uk • Bucks PPG Mailbox address bucks. ppg@nhs. net Your community, Your care : Developing Buckinghamshire Together 25