Primary Care Strategy Action Plan 2016/ /19

Transcription

1 Primary Care Strategy Action Plan 2016/ /19 Investment Work Priority Area Outcome Milestones Monitoring RAG Lead Work Progress Implement Care & Quality Specification Roll out One Care Home One Practice model Investment of 300k Investment of 700k Equalisation of funding between practices Improved Clinical outcomes for patients Reduce Emergency Department attendances and non-elective hospital admissions Investment of 310,000 Reduce Emergency Department attendances, non-elective hospital admissions, emergency demand on GP practices and out of hours contacts. Reduce the costs and risks of prescribing. Improve safety of care e.g. by reducing falls and falls related injuries. Avoid unnecessary progression of long term conditions and the unnecessary burdens of irrelevant treatments. Access to familiar health professionals and improve the relationship between Primary Care, Community services and care homes to the benefit of patients. Full alignment across the CCG December 16 - All Practice to be signed up to the scheme and individual targets identified for each practice May 17 individual practice reviews take place to review current positions December 17 review outcomes for all practices Residents Representative service start (Nov 2016) Practice to formally sign up to enhanced service specification (Dec 2016) Service launch to care homes at Registered Managers Local Network meeting (Jan 17) Service start (from Jan 17) Practice referral activity and commissioning spend QOF Prevalence, Management exemption reporting Patient engagement data Access data Practice referral activity and commissioning spend ED attendance and admissions data EPACCS data Prescribing spend CL 15 Practices contracts initiated and reviews in place 4 Practices awaiting confirmation of Targets 1 practice not engaged due to lack of clinical support Sign up from practice still ongoing with some declining to take part, which has resulted in a number of care homes not being aligned and issues with GP registration Some practices are not in a position to sign up due to capacity issues but would consider taking it on at a later stage Local partnerships approached about alternative models for unaligned care homes but with no offers Residents Representatives for Age UK have been approaching care homes regarding the alignment and advocacy service that they offer

2 Enhanced provision through Care Navigation Investment 13k between care navigators and Correspondence management Enhanced role for Reception and Administrative rolls signposting patients Free up GP time 20 practices involved December 16 - Liaise with Practice Managers and LMC to determine training needs January 17 - Development of training programme February 17 - Proactive signup from practices March 17 - First programme arranged April 17 Programme arranged for allocation to be confirmed Monitoring of attendance Feedback from the events Patient feedback Reporting to NHS England National training providers are now in place. Discussed joint working with Nottingham City, Rushliffe Initial contact with Thornfields and CHEC on potential delivery of requirements Task & Finish Group with Practice Managers arranged for 13th January 2017 Planning for onwards will be based on the initial findings from our developmental work Not aware of NHS England reporting requirements as yet Enhanced correspondence management Investment 13k between care navigators and Correspondence management Enhanced role for Administrative staff in handling paperwork Free up GP time 20 practices involved December 16 - Liaise with Practice Managers and LMC to determine training needs January 17 - Development of training programme February 17 - Proactive signup from practices March 17 - First programme arranged April 17 Programme arranged for allocation to be confirmed Monitoring of attendance Feedback from the events Patient feedback Reporting to NHS England National training providers are now in place. Discussed joint working with Nottingham City, Rushliffe Initial contact with Thornfields and CHEC on potential delivery o`f requirements Task & Finish Group with Practice Managers arranged for 13th January 2017 Planning for onwards will be based on the initial findings from our developmental work Not aware of NHS England reporting requirements as yet

3 Where practices are vulnerable, support through the Vulnerable Practice Scheme Investment 15,000 spent by 31/3/17 Secure improvements in vulnerable GP practices to help build resilience in primary care and to support delivery of new models of care. Improved health and wellbeing of GPs and their staff, which can clearly be impacted when practices find themselves vulnerable and in difficulty December 16 submit bid to NHS England for uncommitted funds January 17 Investment of 15, confirmed January 17 discuss options with identified practices January 17 - Development of action plan to meet the practice needs March 17 Implement action plan and appoint specialist support April 17 - Share learning, tools and resources Individual practice action plan Findings from the work undertaken and shared learning 2 practices meet the criteria IVY and Peacock. NHS England approved applications for workforce to be main contributor to the practice vulnerability. Contact made with the LMC to identify support with workforce Primary Care Development Group agreed focus of the funds with a view to developing a template that will available to all practices after testing by identified practices. Template received from NHS England to allow funds to be released to CCG GP Resilience Programme rolled out across the CCG Investment of 42,000 for Deep dive diagnostic service aims to identify areas of vulnerability as well as good practice within practices with a view to building resilience working towards a more sustainable model. Practices will be able to clearly articulate their specific requirements to enable them to continue to serve their patients safely and effectively. The practices will be in a position to meet the transformation agenda set on the GPFV. Ongoing investment allocation each year of 21,000 for , January 17 - Practice sign up to the MOU February 17 - Deep Dive commences and completed by March 2017 March 17 - Specific support identified from the Deep Dive will be developed in April 2017 April 17 - Ongoing development and investment over year and will be planned based on practice needs Ongoing - Shared learning across all practices where relevant Deep Dive completed Practice Business plans created Practice specific support identified from the Deep Dive Shared learning discussed at Locality Meetings JB LMC Practice Support Services (PSS) has been commissioned to provide the Deep Dive for all practices 12 practices agreed to take part ( ) 9 practices signed MOU Agreement on data collection agreed with PSS

4 Workforce Work Priority Area Outcome Milestones Monitoring RAG Lead Work Progress Developing and implementing recruitment & retention strategies Development of strategy across the South TBC once strategy developed NNE Baseline Workforce monitoring Support wellbeing initiatives targeting general practice Provide information to clinical on local services that provide Pastoral support, coaching and mentorship Identify services available September 17 - Promote services to clinicians December 17 - Review Advertising of services Feedback from services. Work not commenced Development and Education for Clinicians (GPs/Practice Nurses & Nurse Prescribers) to enable delivery of high quality care through Protected Learning Time (PLT) Development and Education for Admin and Clerical staff within general Practice to enable high delivery of care through Protected Learning Time (PLT) Encourage practices to become training practices Improved knowledge of local care delivery to support patient care Topics are driven by new pathways developments, QIPP or GP requests for enhanced of skills and knowledge Attendance from 20 Practices Improved knowledge of local care delivery to support patient care Topics are driven by new pathways developments, QIPP or GP requests for enhanced of skills and knowledge Attendance from 20 Practices Support practices to maintain their existing training placements an encourage new practices to become training practices with a view to increasing the number of placements by Support GP recruitment within the CCG area. PLT Dates confirmed:- 19th January 17 23rd February 17 11th May 17 20th July 17 14th September 17 16th November 17 Practices encouraged to have 4 In-house PLT sessions whereby the CCG will support part payments towards NEMS Cover PLT Dates confirmed:- 23rd February 17 11th May 17 Practices encouraged to have 4 In-house PLT sessions whereby the CCG will support part payments towards NEMS Cover January 17 obtain confirmation of training practices for April 17 during practice visist understand any desires to commence or for existing practices increase capacity June 17 promote the experiences of training practices within weekly bulleting July 17 - CCG to offer Monitoring of attendance Feedback from the events Appropriate use of pathways - monitored through variation and referral data Monitoring of attendance Feedback from the events Number of training practices & placements Practice bulletin January PLT to be focused on Emergency Care - Dr Panesar leading Other dates have content outline Dates published on the weekly newsletter 23rd February PLT has been arranged on Equality and Refugee Forum Other dates have content outline Dates published on the weekly newsletter Awaiting information of the training placements and providers.

5 Support practices to offer GP fellowship placements in partnership with Health Education England Support practices to offer nurse training placements Work closely with the Local Education and Training Council (LETC), the Local Education and Training Board (LETB) and the LMC to contribute, where appropriate, to the development of a comprehensive staff development plan that recognises and supports the changing environment in which people are working, the changing ways of working, and changing responsibilities Promote the services of the Hurley Clinic Partnership Support the Retained Doctors scheme within the CCG and other Support the opportunities available to practices GP Fellowship to be placed within a Practice Support opportunities available to practices Practices offering this training opportunities to trainees with the option gain greater knowledge of CCG commissioning functions. Promote the opportunities to practices and timelines for expressions of Interest to HEE August 17 - appointment of GP Fellows for 12months CCG to determine if GP Fellow opportunities within the CCG and place details on HEE register September 17 - Promote the opportunities to practices and timelines Appointment of a GP Fellow Feedback on the work and impact Practice accepted as a training practice TBC once plan developed Improve access to mental health support for general practitioners and trainee GPs who may be suffering from mental ill-health including stress, depression, addiction and burnout Increase awareness of the service to local Practices and workforce Provide alternative workforce options to support the delivery of January 17 - Promote the clinic once launched Regular updates of the services in 6 monthly intervals January 17 Which practices currently employ retainers February 17 promote the Awaiting information back from HEE regarding the time frames for intake Liaising with the Nursing training scheme to obtain further information. Torkard Hill Medical Practice commenced training December 16 Practice bulletins The provider of this service is expected to launch in January 2017 awaiting further information from NHS England Practice bulletins Increase number of retainers within NNE

6 national initiatives that support recruitment, retention and development of the workforce, including the Senior GP Fellowship scheme Encourage practices to review skill mix within their workforce. Primary Care Each practice to understand current skill mix and any gaps in delivery retainer scheme with practices and offer support September 17 promote the retainer scheme with practices and provide update of existing clinicians working on the programme March 17 - Completion of the Deep Dive work with PSS May 17 Support practice to develop their plans from the Deep Dive GP Resilience Plans developed March 2017 Individual practice plans to identify and specific gaps Promotional information via the Practice Bulletin 12 Practices signing up to the GP Resilience Deep Dive Programme Proactive promotion of the existing Pharmacy pilot and the new Pharmacists in Primary Care Programme 09/01/17 Improved Access to Psychological Therapies. Medical Assistants within Primary Care Work with Health Education England (HEE). Pharmacists in General Practice Improved access do we have a target Natalie has numbers? Increased referrals and increased number of patients achieving recovery Awaiting further information from NHS England Ensure that the primary care workforce across the East Midlands is sustainable and has the right skills, values, and behaviours, at the right time and in the right place. Support local initiatives February 10 th 17 application cut off January 17 - Promote alternative ways of working to enhance skill mix and options of service delivery March 17 successful applications Quarterly application process cut off promoted Include within the Care & Quality Specification During quarter 1 of 2017/18, the CCG will engage with practices to review how practice based mental health therapists can add capacity and value to both practices and patients Provide regular updates to practices on the services provided Awareness of submitted applications Successful applications Number of referral s to services Promotional information via the Practice Bulletin Patient engagement? to discuss with Toni Aware of a number of practices who are interested in the development of this scheme and considering working together to meet the 30,000 population criteria. Interest to date:- Localtity 1 Whyburn, Torkard & Oakenhall Locality 2 Stenhouse & Highcroft Locality 3 Peacock & West Oak Calverton & Highcroft intend to do some targeted work as a result of the Care & Quality Specification Awaiting further information from NHS England on the role and how it will be developed within Primary Care Attendance at the Nottinghamshire Primary Care Staff Education and Training Board Promote new initiatives, share learning and update

7 Workload Work Priority Area Outcome Milestones Monitoring RAG Lead Work Progress Implementation of a Primary Care Quality Assurance and Improvement Framework, including a quality dashboard. Implementation of Map of Medicine Development of a clinical hub that is linked to NHS 111 Implementation of Care Delivery Groups (CDGs) within the CCG Enables assurance to be gained in relation to the quality and safety of services being provided by GP practices Enables CCG / practices to identify any quality and safety issues early Appropriate support able to be offered and provided to practices Enables practices to either prepare for CQC inspection / for those who have already been inspected, to help address actions which the CQC have identified as being required or to demonstrate ongoing quality and safety Provide a central resource on approved standardised pathways of care, referral forms and patient information Reduced variation Reduce the number of face to face contacts being requested from general practice following calls to NHS 111 Positive impact on practice workloads Reduce Emergency Department attendances, emergency hospital admissions, emergency demand on GP practices Reviewed at the Primary Care Quality Group which meets 8 times per year Quarterly refresh of the quality dashboard Review pathways January 17 Review usage and development of plan February 17 present referral forms at Practice Admin PLT sessions February 17 promote MOM and referral forms at clinical PLT February 17 CCG staff to receive additional training from MOM to maximise usage March 17 Review usage Awaiting update from Helen Jones Recruitment of additional social care workers and Living Well Coordinators (by Feb 17 Communication with practice (Jan 17) CDG Operational Group meeting (Feb 2017) Quality Dashboard Primary Care Quality Group Usage review Referral activity Reduction in prescribing costs Training at Educational events Awaiting update from Helen Jones Emergency Department attendances Emergency hospital admissions Admission to long term care CL Quarter /17 quality dashboard released 16 January 2017 Primary Care Quality Group meetings scheduled for 2017/18 Review of Quality Assurance and Improvement Framework undertaken January 2017 Quality Group Terms of Reference reviewed January 2017 and membership to be widened Annual review of pathways under review October 2016 Workplan for 2017 to be set January 2017 Educational sessions arranged for February PLT New Living Well Coordinators for Age UK in post New Community Care Officers for social care appointed but awaiting recruitment checks GP Practices written to with regards to the rollout

8 Reduced variation between Practices and out of hours contacts. Reduce admission to long term care Improve the coordination of care for individuals and their carer(s) Reduce duplication Improve patient quality and experience of care Improved shared knowledge and understanding of roles and responsibilities GPs considering primary/community care management as the first option before onward referral to secondary care. Reduction in GP out-patient referrals, Non elective admissions and ED attendances. Improvement in care when provided in line with NICE guidance. Reduction in Prescribing costs March 17 - Variation review with all practices on two highest referring areas by March 2017 April 17 - Learning to go to Clinical Cabinet April 17 - Implementation of the Care & Quality Specification for Referral activity Reduction in prescribing costs CDG workers attended all Locality meetings to promote rollout Practice visits by the GB team have taken place Practices working to reduced referrals by 10% Practices adopting use of internal peer reviews for referrals Use of Map for guidelines where applicable Use of Optimise RX for reductions in prescribing where possible Actively discouraging patients to have OTC medicines on prescription where possible Pulling information together across all practices on shared learning Number of practices not completed audits Improving Access Improve access to patients Ensure that access meets patients needs Reduction in ED attendances Implementation of 8am - 8pm and weekend access September 17 - Understand existing capacity vs demand through the care and quality specification December 17 - Development of a model of extended access to general practice by September 2018 January August 18 Procurement process September 18 Implement enhanced access arrangements Reporting through the Care & Quality Specification Patient Survey Procurement process Impact of new service 15 practices signed up to the care and quality specification Suggested process to be discussed at PCCC 2 nd February 2017

9 Promote closer working relationships and / or integration with other primary care providers to maximise the capacity and impact of primary care, for example community pharmacists Implementation of the Time for Care programme Improved sustainability and practice efficiency Support practices to manage their workload differently Implement new innovations Development of the 10 High Impact Actions Opportunities to be identified and explored as practices start to work more closely together and as part of reviewing practice skill mix (see above) January 17 - Liaise with the NHS England local team to develop a programme package for the CCG March 17 - Identify a senior clinician to lead the local implementation of the Time for Care programme March April 17 Promote the programm TBC TBC Appointment of senior clinician to lead the programme Programme delivery against the 10 High Impact Actions Promote and share learning through weekly bulletin and locality meetings Meeting has been arranged with Karen Mellors (NHS England Programme Lead) on 14 th February 2017 to understand requirements Practice Infrastructure Work Priority Area Outcome Milestones Monitoring RAG Lead Work Progress ETTF Funds Wave 1 - Investment 180 (previous 726k) ETTF Funds Wave 2 - Investment 758k ( previous 400k) Calverton - Refurbish and reconfigure existing premises and secure building for further development. Additional 3 surgery rooms. Improved reception and waiting areas (currently undersized for the list size) which will be DDA compliant. Improved roof which will enable second story extension once planning permission gained Hucknall - Consider further options for ensuring provision for Hucknall Calverton Extend the building to provide additional clinical and training\meeting room space for the practice to enable them to meet the increased demands of the rapidly growing population December 16 - Approval from PCCC January 17 - Due Diligence with NHS England to take place February - Work commence March 17 - Spend of funds by 31st March 2017 Calverton Gain planning permission for the extension Specify and obtain quotes to build the extension Build the extension to provide additional space to meet the Delivery in line with NHS England requirements and monitoring Monitoring of spend Delivery in line with NHS England requirements and monitoring Monitoring of spend JB Calverton Plans for phase one approved by PCCC 1st December Tender documents prepared and advertised Quotes received 13 th Jan 2017 Due diligence documents completed 18 th Jan 2017 NHS E approval 24 th Jan 2017 Hucknall Hucknall practices have been asked to consider their options as individual practices and collectively Planning meeting 2 nd Feb 2017 to include CCG, Oakenhall, Whyburn and Peter Jones JB Work will commence in 2017\18

10 Hucknall Develop premises in Hucknall that will be fit for purpose and meet the demands of the growing population needs of the growing population. Hucknall Specify and tender for project management and support Production of options appraisal including financial options, outline business case and full business case Specify and tender for the premises development Complete the development of the premises Enabling patients to consult with their GP using online consultation systems without necessarily having to visit the surgery CCG waiting on national guidance as to what this is defined as. Exploring options of systems available on market and what other CCGs in Notts are doing TBC once national guidance is released TBC once national guidance is released CCG attended demo of My GP 24/7 CCG attended demo of EMIS e- Consult CCG visiting Birmingham with GP colleagues to look at e-consult system in live use Ensuring IT systems are in place that support communication between practices and between practices and other providers. MIG fully enabled in all practices EDSM shares GPRCC All practices fully enabled for MIG sharing out to other providers including EPaCCS data. All practices to ensure EDSM share out for MIG is enabled for 95% of their practice population (not over-riding any dissents) All practices to be enabled for GPRCC Report from MIG Project Board 100% compliant Report from MIG Project Board CCG to run quarterly report from TPP reporting unit CCG is currently at 93% overall. 3 practices are currently just slightly lower than 95% but not by much and 1 practice is at 75% but they have a high number of dissents Training provided for practices Updates put into CCG newsletter Support offered to practices where required Report from GPRCC Project Board 100% compliant Training provided for practices Updates put into CCG newsletter Support offered to practices where required Community Portal All practices to be aware of Dependent on the main project Information about the project in

11 community portal and what benefits it will bring Sharing of as many patient records via EDSM as possible from NUH for this Report from Project Steering Group newsletters Presentations at practice managers meetings Mobile Working April 17 - All practices to have completed the business change process for mobile working project by May 17 - All practices to have received mobile working devices and training by September 17 - All practices to be using the mobile working devices within day to day working by Report from Mobile Working Project Board Report from Mobile Working Project Board Self-return on usage including benefits and problems/issues to locality meetings in October 2017 Information about the project in newsletters Presentations at practice managers meetings NHIS to provide the devices NHIS to provide the user training GP Wi-Fi April 17 - All practices to have completed the survey for GP Wi-Fi by May 17 - All practices to have completed the installation process by September 17 - All practices to be using GP Wi-Fi in normal working processes by March 17-10% of practice population to be registered for POL services by (national target) March 17 - All practices to have generic information about POL on their websites by March 18-40% of practice population to be registered for POL services by (aspirational as don t know what the national target will be yet) April 17 - Practices to develop and put on their website Report from GP Wi-Fi Project Board Report from GP Wi-Fi Project Board Self-return on usage including benefits and problems/issues to locality meetings in October 2017 Information about the project in newsletters Presentations at practice managers meetings Practices to maximise the use of IT to enable patients to view their own health care records, make and change appointments, and order repeat medications Improve the number of patients who have access to Patient OnLine services CCG to run reports via the TPP reporting unit for TPP practices quarterly EMIS practices to self-declare quarterly Practices to self-declare baseline by Practices to self-declare information held on practice website re POL CCG has 15 practices over 10%target and 5 practices working towards 10% target Information provided at locality meetings Information provided at practice manager meetings Information and links to resources sent to practices Information put in CCG newsletter Practices to provide guidance to patients on Practices to self-declare baseline CCG to check in reporting unit

12 Practices to maximise the use of assistive technologies their website/pol regarding who and see what conditions/ailments Maximise the use of booking on line appointments where appropriate Maximise the use of patients requesting their repeat prescriptions on line where appropriate FLO increase use of FLO to empower patients (and their carers) to take more control of their care through self-management CCG supporting the Gedling Borough Council AT project for providing technology into residents guidance as to who sees what for electronic booking of appointments by April 17 - Practices to baseline online appointment booking availability how many appointments available per week by March 18 - Practices to increase the number of on-line bookable appointments Baseline + 20% by Once 20% target met set an aspirational target of 40% Practices to baseline the number of patients with access to book appointments online. March 18 - Practices to increase the number of patients who have access to make on line appointments by 20% by Practices to baseline the number of patients with access to request prescriptions online. March 18 - Practices to increase the number of patients who have access to make on line appointments by 20% by April 17 - Practices to be provided with case study and baseline of their usage over the past year by May 17 - Practices to discuss using Flo at practice clinical meeting by Practices can refer patients to this scheme if they live in the Gedling Borough Council boundary. The GBC team will Practices to self-declare baseline by Practices to self-report number of online bookable appointments available on a designated week each quarter. Practices to self-declare number of online bookable appointments available on average week once a quarter Practices to self-declare number of online booked appointments made on designated week once a quarter CCG to run reports via the TPP reporting unit for TPP practices quarterly EMIS practices to self-report quarterly Practices to self-declare baseline CCG to check in reporting unit Practices to self-declare baseline CCG to check in reporting unit Practices to feedback to locality meetings by Increased usage of FLO Improved patient outcomes Feedback on the uptake of patients using the system BH BH Information provided at locality meetings Information provided at practice manager meetings Information and links to resources sent to practices Information put in CCG newsletter Information provided at locality meetings Information provided at practice manager meetings Information and links to resources sent to practices Information put in CCG newsletter Case Study for Plains View Shared Information provided at locality and Practice manager meetings Information and links to resources sent to practices Information put in CCG newsletter GBC are waiting to hear if the funding has been approved by the health and wellbeing board. Put information into the CCG

13 homes to enable them to stay at home longer and be safe eg smoke detectors, falls alarms, lifeline assistance CCG to explore other assistive technologies available and what other CCGs in Notts are doing undertake all the assessments and installation of equipment Shared working and joint approached wherever possible to maximise on the impact of AT CCG scoping provision and viewing systems Feedback on the uptake of patients using the system newsletter Attend Notts wide AT workshop which will explore this further Provide information when available Care Redesign Work Priority Area Outcome Milestones Monitoring RAG Lead Work Progress Practice Transformation Allocation of funding 1.50 per patient in its financial plans for both 2017/18 and 2018/19 which will be used to support implementation o 10 high impact actions identified in the planning guidance o Stimulate the development of at scale providers to improve access o Secure the sustainability of general practice. February 17 agreement from PCCC to agree to the approach and outline plans March 17 development of a full proposal and agreement with the Financial team on the funding availability April 17 onwards subject to proposal TBC Subject to proposal yet to be developed SN PCCC to discuss outline approach for use of funding

14 Primary Care Quality Work Priority Area Outcome Milestones Monitoring RAG Lead Work Progress Revision and re-launch of the quality assurance framework Dissemination of learning from CQC inspections Strengthening recruitment practices Ensuring consistent and comprehensive processes for responding to alerts (e.g. MHRA/ CAS) Cervical screening uptake Review of the monitoring of patients on high risk medicines (particularly where shared care arrangements are in place) Improving prescribing practice in relation to quinolones Framework will be simplified and reflect how the dashboard has developed since implementation Practices will have better understanding of the framework, including the quality dashboard and will be able to use it as a tool to monitor ongoing quality and safety Practices will have an overview of good and outstanding areas and also any areas where there were concerns / improvements required Practices will have safer recruitment practices Practices will have robust mechanism in place to ensure patient safety Increased cervical screening uptake through targeted campaigns with collaborative working between CCG, practices and local organisations Assurance of robust monitoring in place to ensure patient safety Completion quarter 1 of 2017/2018 Completion quarter 1 of 2017/2018 Completion quarter 2-4 of Completion quarter 2-4 of Completion quarter 2-4 of Completion quarter 2-4 of Completion quarter 2-4 of Primary Care Quality Group to agree and present to PCCC Primary care Quality Group to review and share with practices Primary Care Quality Group to monitor any reported recruitment issues / incidents Review of practice s policies and processes via quality group Primary Care Quality Group to review screening uptake via quality dashboard Review of practice s policies and processes via quality group Annual review of the Ongoing development and Completion quarter 1 of Primary Care Quality Group to Framework reviewed January 2017 and Quality Group to agree at January meeting Once agreed at Quality Group will go to PCCC for approval Dissemination / communication with practices LC Work started, but to be completed once Peacock surgery CQC report is published Currently establishing whether HPAN alerts reviewed as part of recruitment process Policies to be collected from each practice as part of quarterly selfreturn, date to be confirmed First campaign being progressed Roll out to other areas following completion and review of first Policies to be collected from each practice as part of quarterly selfreturn, date to be confirmed

15 quality assurance framework Identification of quality improvement priorities based on 2017/18 dashboard results Campaign to increase the rates of incident reporting within primary care Implementation of strategies to address the quality improvement priorities identified in quarter 1 improvement in the quality assurance framework to facilitate safe, quality services Ongoing improvement in quality and safety across primary care One streamlined process across primary care to enable clarity around incident reporting Improved culture around incident reporting and increased number of incidents reported Ongoing improvement in quality and safety across primary care 2019 review, agree and present to PCCC Completion quarter 1 of Completion quarter 2-4 of Completion quarter 2-4 of Primary Care Quality Group to review, agree and present priorities to PCCC for approval Primary Care Quality Group to monitor incident reporting, themes, trends and dissemination of lessons learnt Primary Care Quality Group to review, agree and present priorities to PCCC for approval Version 1 Updated 26 th January 2017 File Location:- G:\NNE CCG\Primary Care Operations\Unrestricted\Primary Care Strategy \GPFV