co-founder and clinical director - king's fund€¦ · project client i.e. bics service...
TRANSCRIPT
Dr Jonathan Serjeant
Co-founder and Clinical Director
Extended Primary integrated Care
Are the right people spending time with their GP and team?
Is this what we want our GPs doing?
Our Purpose
For people using services:
• To bring better access, better experience, more
choice, better information, safer care, and to put
people in control
For general practice:
• To work towards a more sustainable model of
general practice
5 Area of service redesignTel Consult
Responsible for designing front end GP triage.
Looking at efficiency,
redirection and accountability.
Pharmacy
Responsible for designing how pharmacy is connected to
practices, including IM&T issues, information
governance and pathways
Community
Navigators
Responsible for recruiting, training
and supporting volunteers.
Training in practices.
Workflow redirected.
Responsible for seeing how ‘Back office’ functions
could be delivered centrally
Extended hours and skill mix
Looking at how nurse practitioners
could carry out work previously done by
GPs. Clinical workflows.
What assurance
systems need to be
in place to ensure
people using
services feel safe?
What training needs
to take place?
What are the
capabilities of each of
these roles and
resource
requirements? How
can we learn and
gather data?
How can we best
manage the
change?
5 service redesign areasTel Consult
Responsible for designing front end GP triage.
Looking at efficiency,
redirection and accountability.
Pharmacy
Responsible for designing how pharmacy is connected to
practices, including IM&T issues, information
governance and pathways
Community
Navigators
Responsible for recruiting, training
and supporting volunteers.
Training in practices.
Workflow redirected.
Responsible for seeing how ‘Back office’ functions
could be delivered centrally
Extended hours and skill mix
Looking at how nurse practitioners
could carry out work previously done by
GPs. Clinical workflows.
What assurance
systems need to be
in place to ensure
people using
services feel safe?
What training needs
to take place?
What are the
capabilities of each of
these roles and
resource
requirements? How
can we learn and
gather data?
How can we best
manage the
change?
5 service redesign areasTel Consult
Responsible for designing front end GP triage.
Looking at efficiency,
redirection and accountability.
Pharmacy
Responsible for designing how pharmacy is connected to
practices, including IM&T issues, information
governance and pathways
Community
Navigators
Responsible for recruiting, training
and supporting volunteers.
Training in practices.
Workflow redirected.
Responsible for seeing how ‘Back office’ functions
could be delivered centrally
Extended hours and skill mix
Looking at how nurse practitioners
could carry out work previously done by
GPs. Clinical workflows.
What assurance
systems need to be
in place to ensure
people using
services feel safe?
What training needs
to take place?
What are the
capabilities of each of
these roles and
resource
requirements? How
can we learn and
gather data?
How can we best
manage the
change?
GP challenge…
Keeping GPs and their teams
on board…
• Setting the vision and strategic direction
• Co-produced with key stakeholders
• Structures for design and mobilisation
Vision
• Informed from vision
• Owned and led by practices
• Structured process facilitated by Project client i.e. BICS
Service redesign
• Cluster learning through experience
• Agile and responsive
• Peer led
• Structured process facilitated by Project client i.e.BICS
Action learning
• New service models implemented
• Baseline data collected
• Staff and MDTs in place
Implementation
Project ManagementIM&TEngagement
BICS as a supporting infrastructure
• BICS focus on culture, language and innovation
• Connect people to the purpose of their job
• Skills and depth, reliable process of implementation
and delivery
• Organisational infrastructure and governance
already in place and available to practices to use.
• Experience in how to bring diverse organisations
together to work co-operatively without losing
individual identity.
• BICS is there to support and drive the PACE.
• Control of communications
Go live…
• Leaflets given to all practices, to pharmacies and
voluntary sector organisations
Website
Dr Jonathan SerjeantClinical Director BICSExecutive Member NHS [email protected]