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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
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