Primary Care Reference Group Meeting 1-20th January 2016
Why do we need a reference group? In response to the significant demographic and financial challenges faced by general practice, and the opportunities presented by co-commissioning, the CCG has set Primary Care as one of its strategic priorities for the next five years. The aim is to co-design with primary care colleagues, a sustainable long term solution for primary care that will future proof GP services in Tower Hamlets. A Primary Care Reference Group has been set up to provide a range of expert perspectives to these strategic plans, bringing fresh eyes to the challenges and potential solutions. What is the purpose of the Reference Group? What will the Reference Group do? The Reference Group will support the development of the strategy, by providing a range of perspectives to test, challenge and generate ideas for new models of care, payment/contract options, and delivery. This will include: - Developing outcomes and quality metrics for different segments of the population - Mapping patient journeys to meet these new outcomes - Propose the role for primary care and General Practice in this context and the payment model required to deliver it - Consider how primary care could be organised and deliver care in this context - Oversee Task and Finish workstreams to assist with the development and delivery of the New Model of Care, as required The Reference Group is not a decision making body and will not be the only place to participate in these important discussions. See the last slide for more details on how to get involved.
Who is part of the Primary Care Reference Group? Name Expert perspective Nurun Nessa Patient Leader John Gillespie Community Voluntary Sector Tim Madelin London Borough of Tower Hamlets Public Health Ian Jackson Director of BBB/ XX Place, Prime Minister s Challenge Fund: Cycle of demand Lucy Marks Psychologist, Compass Wellbeing CIC Phil Bennett -Richards GP partner Aberfeldy practice, GP Care Group, THIPP/ Vanguard and CEPN Beverley Fernando Practice Manager Wapping HC, LMC Stacey Franks Practice Manager, Island Health Phalguni Trivedi Network Manager, network 5, GP Care Group Helen Snowden Nurse Partner Chrisp St Sella Shanmugadasan GP Partner Harley Grove, GP Care group, LMC Liliana Risi Sessional GP/ locum, previous CCG quality in general practice and Last Years of Life lead Tom Margham GP Academic, Salaried GP Jubilee St Practice Anwara Ali GP Partner Spitalfields Practice, Network Chair Joe Sivadasam Pharmacist & CCG Prescribing Board Member Alison Goodlad NHS England London Supported by: Jenny Cooke CCG - Deputy Director of Primary Care Jo-Ann Sheldon CCG - Programme Manager for Primary Care Transformation Isabel Hodkinson Principal clinical lead THCCG, GP partner Tredegar Practice
Reference Group: Meeting 1 Meeting One had three aims: Get to know each other and establish ground rules for how we work together Generate ideas for a future vision for primary care ask ourselves how will we know if things are different? Understand what is already happening that directly impacts primary care or the changes and challenges that primary care needs to respond to (the following two slides describe this) Following each reference group the Primary Care Team will develop a set of slides that describe the outputs from the session, focussing on a particular area of most interest. Papers, photos, links and other material will be loaded onto the dedicated webpage on the GP website. The question was raised about the use of other communication modes, such as Twitter and the CCG will be exploring communication and engagement strategies jointly with the other transformation programmes across the borough. ALL IDEAS AND SUGGESTIONS GRATEFULLY RECEIVED
What we did- The session was interactive, breaking into smaller groups to discuss and feedback on the 3 aims. A look at a couple of the post it board photos from the session:
Primary Care Transformation cannot happen in isolation. April 2016 July 2016 Oct 2016 Jan 2017 Apr 2017 July 2017 7 day services by 2020 Oct 2017 Apr 2018 Jan 2018 Integrated care shadow capitated budgets Better Care Fund increase New CHS provider goes live Community Pharmacy contract changes Well-Being in Tower Hamlets - Pilot Estates Strategy GMS funding reprieve ends Urgent Care Re-design / NHS 111 procurement Integrated care capitated budgets Tower Hamlets Vanguard Development MCP Funding for Prime Minister s Challenge Access Fund ends Growing financial deficit in local health economy NHS E equalisation across APMS / GMS / PMS per patient Public Health and Social Care funding cuts TST Challenges (e.g. shift of outpatient activity to primary care)
The projected increases in network population over 25,000 over the next 10 years 70000 60000 50000 40000 30000 When networks were formed in 2009 they had populations between 25,500 (NW 5) to 38,500 (NW1) 2015 2020 2025 20000 10000 0 NW1 NW2 NW3 NW4 NW5 NW6 NW7 NW8
How do we think it is going? It is a wonderful exercise and we have a good mixture of expertise in the room. I am privileged and delighted to be there and thank you for offering this wonderful opportunity. the passion for the good of the people we serve and the creativity and energy in the room really gave me hope that even in these challenging times we are going to successfully support primary care to thrive, to deliver and to be the warm heart at the centre of our health and social care services
If I m not on the reference group, how do I get involved? Request a practice visit. Sam and the Primary Care Team are visiting practices who want to discuss the strategy or raise any issues or new ideas. Locality-based work shops will be held in March / April Read our newsletter we ll be providing regular updates through NewsinBrief The Primary Care Team will continue to attend regular meetings to provide updates and hear your views - E.g. Locality meetings, Health Watch, Health and Well Being Forum, LMC, GP Care Group meetings, THIPP board. Keep checking the Tower Hamlets GP website for updates We ve also set up a patient reference group to steer our wider public and patient engagement