Primary Care Networks

HealthWatch PPG Forum9 October 2019

Fergus CampbellOxfordshire CCG

NHS Long Term Plan Headlines

• A new service model for the 21st

century

• More NHS action on prevention and

health inequalities

• Further progress on care quality and

outcomes

• NHS staff will get the backing they

needs

• Digitally-enabled care will go

mainstream across the NHS

• Taxpayer’s investment will be used to

maximum effect

Five major practical changes to the NHS service model

NHS Long Term Plan Summary

Integrated working

• The Long Term Plan sets out clear ambitions for

greater integrated working

• What makes us healthy is a broad and complex

picture

• Integrated across health and care, local

authorities and the third sector

• The LTP puts strong emphasis on integrated

multidisciplinary teams – Primary Care Networks

• Collaborating with all other providers in the

local health and social care system

• Sustainability into the longer term

• Offering enhanced services to the network

• National workforce fund for 20,000+ additional

practice staff to support PCN delivery

Oxfordshire CCGPrimary Care Network

Number of practices

Registered Population

District/s

City - East Oxford 5 47,535 Oxford City

City - OX3+ 2 43,391 Oxford City

Oxford Central 5 39,178 Oxford City

Oxford City North 4 42,990 Oxford City

SE Oxfordshire Health Alliance

440,824

Oxford City

Banbury Town 6 66,154 Cherwell

Bicester 3 49,523 Cherwell

Eynsham & Witney 4 51,273 West

KIWY (Kidlington, Islip, Woodstock, Yarnton)

4 35,229 Cherwell, West

NORA (North Oxfordshire Rural Alliance)

5 47,666 Cherwell, West

Rural West 4 31,457 West

Abingdon & District 4 30,043 Vale

Abingdon Central 2 33,657 Vale

Didcot 3 41,902 South

Henley SonNet 4 33,052 South

Thame 3 30,525 South

Wallingford & Surrounds 3 32,052 South

Wantage 2 30,070 Vale

White Horse Botley 2 31,366 Vale

Total 757,887

PCNs in Oxfordshire

• 19 PCNs

• 100% population coverage

• 69 out of 70 practices a part of a PCN

• All PCNs meet the acceptance criteria in relation to set up

requirements

• CCG and LMC working in support of practices and now

PCNs to enable them to establish and develop

• Community providers across health and care engaging with

the PCNs to work towards multi disciplinary integrated care

teams

• Greater resilience

• Free up GP time through additional workforce

• Peer support and better distribution of workload

• Co-operation across organisational boundaries

• Driving a more population-focussed approach

• Strengthening of primary care and less need to default to

hospital

PATIENTS

• Joined up care leading to better care coordination

• More care closer to home

• Focus on prevention

Benefits for the patients and the public sector

GENERAL

PRACTICE

SYSTEM

Opportunities

• PCNs - the building blocks for integrated care

• Primary and community care service will be changing

• This is the beginning of that change

• There will be many opportunities for collaboration

• This is about more than NHS services

• Integrated multidisciplinary teams should include elements

of health and care and give consideration to the wider social

determinants of health

• Some areas of the country have been advancing this work

as Vanguards and early ICS areas – the LTP recommends

good practice based on these real life experiences

Additional Workforce

• A national workforce fund for 20,000+ additional

practice staff has been set to support PCN delivery

• This is a phased approach over the 5 year period:

From 2019/20

• clinical pharmacists and social prescribers / link workers

From 2020/21

• physician associates and first contact physiotherapists

From 2021/22

• Community Paramedics

• PCNs will have the opportunity to strengthen both the size

and clinical breadth of their workforce through this fund

Involving Communities

• Primary Care Networks are built on the Network

Direct Enhanced Services Contract they will evolve

over a 5 year period – this is year 1

• PCNs are 3 months old and they are still developing

• As an extension of the GMS contract engagement

with Practice Participation Groups is important

• However PCNs will be about much more that General

Practice and therefore

• PCNs are being actively encouraged to form links

with local people and communities

• Wokingham have been working on the

development and delivery of integrated care for

some time

• Their approach covers health and care

• Patients and providers of services are now

reporting real benefits to their new ways of working

What will it look like for patients?

So far

• Practices have worked hard to come together to form

PCNs – the contractual process was complex and

delivered in a very tight timescale

• Now the focus on integration begins

• In this the first year of PCNs the focus is on better

and closer ways of working

• In future years this approach will become more

integrated across wider health and social care

PCN expectations

by March 2020

Understand their own journey

Making 100% use of their

funding entitlement for additional roles

Formed multi-disciplinary

teams

Starting to function as a single team Started work on

one service improvement

project (linked to Long Term Plan goals)

Ready to deliver new

national service

specifications from April 2020

Started thinking about future estate needs, jointly

with community

partners

Formed links with local people +

communities

Part of a ‘network of

PCNs’

Points to consider

• What learning from PPGs could support and facilitate

wider community involvement?

• How can local communities support the development

of integrated services that respond to patient need?

• What role is there for communities to support

individuals in self care of both mental and physical

health?

• Questions