Pop up university:

Transition to a new care model

Dudley Multispecialty Community ProviderPaul MaubachChief Executive OfficerDudley Clinical Commissioning Group

@ATBDudley@DudleyCCG

Current position

Analysis of findings

Future position

Capitated budgets

Outcomes framework

MCP organisationCommunity, Specialist, Mental Health, Seconded Social Care, Primary

Care Enhanced Services

Retain independence but with aligned outcome objectives

Merge to form at scale with aligned outcome objectives

Option to suspend GMS and become salaried or part of new MCP partnership

Considerations on organisational form include:- relationship with general practice- public accountability and governance- connections to the community and voluntary sector- technical, legal and tax implications

GP practices under GMS contract

South Somerset Symphony ProgrammeDr. Berge Balian

Jeremy MartinChair, Symphony Programme Board

Programme Director

@SymphonyProj

78%~90k

18%~20k

4%~5k

~15%~£20m

~35%~£55m

~50%~£75m

% of population % of cost

Complex patients with many conditions

Less complex patientswith fewer conditions

Mainly healthy patients

Population segmentationand new care models

Complex care hubs

Enhanced primary care

Proactive health and wellbeing support

Complex Care: Extensivist care modelThe patient is assigned a care coordinator and offered more care, support and attention through a number of services

Enhanced primary care modelThe patient and key worker are supported by the wider care team and a number of care programmes and services

Investment in primary care to facilitate delivery of higher quality and proactive care

Shift focus to population-based health (preventative care)

Enlarging the primary care team to allow GPs to focus on what they do best (“working at the top of your licence”) and increase the capacity of primary care to deliver services

Using the greater resources of the JV to support practices to implement the new models

Improving quality of care by linking elements of income to quality over time

Ensuring sustainable and financially secure general practice

Attracting new GPs and retaining existing GPs by providing an acceptable work-life balance and varied, fulfilling career choices

Ensuring reversibility of any new contractual arrangements

Primary care principles

Distribution of spending across South Somerset for a typical practice

Integrated Practices

Somerset CCG Adult Social Care

NHS South West

Symphony IACO

Yeovil Hospital

Participating Practices Symphony Healthcare Services

Complex Care

Yeovil Hospital

Adult Social Care

Community & Mental Health

South Somerset Primary

Healthcare

GMS/PMS

JV principles: balance, alignment and choice