Primary Care Network

Making change happen

Primary Care Networks – making change happen

Dr Chetal Sheth GP, Sarum North PCN Anna Morton Practice Manager, Sarum North PCN Alison Westmacott Director of Primary Care, SCW Geoff Berg Assistant Director, NEL Healthcare Consulting Jason Carrigan Senior Consultant, NEL Healthcare Consulting

Population health and changing conversations

Experiences shared by Sarum North PCN

Confed 2019

Sarum North PCN

Work to date

PCN Formation •Governance •Organisational

structure • Framework •Quality schedules • Financial schedules

•Data • Launch event

Clinical Pathways

•Travel

•Mental Health

• Improved Access / Extended Hours

Administration • Safeguarding •Document handling •Relias – online

training •Army re-basing

scanning and summarising

•CHURN

Shaping the future of primary care in our local communities

Population Health Analytics | Sarum North PCN

Population Health Analytics | Practice Population Level

Population Health Analytics | Practice Population Level

Sarum North – Population Health Analytics

Sarum North – Practice Comparators

Elderly with Complex Care Needs

Adults living with Complex Care Needs

The health of the Sarum North PCN Population

Generally Well Adults

Adults living with 1-3 Long Term Conditions

Population Health Management

Wellness centre – Links to the adult figures

Health and Housing – Collaborative Working

Picture title page for CSU collaborative support for PCNS

CSU collaborative support for PCNS

Primary care network support

Midlands and Lancashire CSU have now supported 5 Primary Care Networks in Cheshire and Merseyside The regional NHS England team pump primed Primary Care Networks in 2018 to set up in anticipation for the Long Term Plan and GP Contract Supported PCN’s to;

- Push forward a Compassionate Communities website to launch

- Developed a business case in supporting an alternative way of General Practice supporting Care Homes

- Streamline policies, processes and back office functions and evaluate the care home scheme currently in operation across an area

- At the start of a PCN help set up a governance framework and establish a Memorandum of Understanding

- Developing workstreams, communication plan, developed an IT platform for the Network, developed a robust governance structure

midlandsandlancashirecsu.nhs.uk

Supporting establishment of a primary care network

Impact

• The Chester East PCN project was identified by an independent audit on behalf of NHS England as an exemplar of best practice

• Using an 0365 platform to share project information and documentation has provided visibility of project progress and supported collaborative and agile working in the absence of shared file arrangements

• Dedicated programme support has enabled the work to move at pace, providing a structure for everyone to feed into and embrace

• CSU expertise within the programme management provided valuable support in sharing best practice across the network, using case studies to support current and future opportunities in collaborative working

• The programme has provided an opportunity to standardise the approach to future projects on a “do it once” basis, providing a rich library of accessible templates

• Creating a robust governance structure has enhanced working relationships and provided visibility and clarity on roles and responsibilities across the network

• An “out of box” approach has stimulated creative thinking in the design of a collaborative Dressings and Visiting service, focusing on a phased approach embracing LEAN practices and principles.

“Exemplar PCN, the way everything was organised from finances to workstreams was excellent.” Charlotte Fisher NHS England on behalf of Mersey Internal Audit

“High calibre project management – MLCSU – game changer ” GP Dr Shana Tam Boughton Medical Group

Building robust board and system leadership for Barnet federated GPs

www.scwcsu.nhs.uk

Supporting establishment of a primary care network

Background Following successful application for funding through the primary care network (PCN) development fund in 2018, Chester East PCN was formed, covering a network population of 37,020 patients. The network engaged the services of The Improvement Unit in November 2018 to provide project management support to deliver their shared vision: “Working together to deliver high quality, innovative and sustainable healthcare for our community with commitment, compassion and integrity”.

Action We used an agile approach for managing the programme. This involved aligning the Workflow Optimisation project, which was already underway, to the Dressing and Visiting workstreams. An overarching project specification, detailed plan, risk register, identified mitigation strategies and communication plan were developed and established to provide a clear structure and visibility of the programme. This work was undertaken in parallel with providing support and expertise for development of the operational board structure. This included development of a Memorandum of Understanding and governance arrangements.

“Exemplar PCN, the way everything was organised from finances to workstreams was excellent.” -Charlotte Fisher NHS England on behalf of Mersey Internal Audit

Impact • The Chester East PCN project was identified by an

independent audit on behalf of NHS England as an exemplar of best practice

• Using an 0365 platform to share project information and documentation has provided visibility of project progress and supported collaborative and agile working in the absence of shared file arrangements

• Dedicated programme support has enabled the work to move at pace, providing a structure for everyone to feed into and embrace

• CSU expertise within the programme management provided valuable support in sharing best practice across the network, using case studies to support current and future opportunities in collaborative working

• The programme has provided an opportunity to standardise the approach to future projects on a “do it once” basis, providing a rich library of accessible templates

• Creating a robust governance structure has enhanced working relationships and provided visibility and clarity on roles and responsibilities across the network

• An “out of box” approach has stimulated creative thinking in the design of a collaborative Dressings and Visiting service, focusing on a phased approach embracing LEAN practices and principles.

“High calibre project management – MLCSU – game changer ” GP Dr Shana Tam Boughton Medical Group