gp engagement at scale
TRANSCRIPT
Primary Care At Scale
GP Engagement At Scale
Nina Jhita 22 November 2017
• 1 of 4 GP Led MCPs
(Multi-Speciality
Community Providers)
• Bringing together local
health system leaders to
developing our new care
model
• “Working together
differently”
• Improving the delivery of
care to 160,000
population
Summary
2
About Connected Care Partnership
3
Why Transform General Practice?
Operational and System Challenges:
• Rising patient demand and complexity
• Primary care becoming more under-resourced
• Continuity of care being lost
• Patient experience/satisfaction reduced
• Difficulties in recruiting and retaining staff
• Increasing workload
4
Our Response: Enhanced Primary Care Programme
Creating Multi-Disciplinary Teams
3,500 Patients
EPC Team 1
3,500 Patients 3,500 Patients
EPC Team 2 EPC Team 3
Complex Case Management MDT
10,500 Patients
5
Receptionist
Receptionist Receptionist
Receptionist
ReceptionistMSK
MSK
MSK MSK
Our Response: Enhanced Primary Care Programme
• 2 sites tested model first
• 20/23 GP sites have been
transformed to date:
Resource - Clinical
Pharmacist (13) & MSK
Practitioner (5)
Training & Development -
Care Navigation & Team
Development
Smaller Teams -
Distribution of patients &
workload 6
What Did We Do?
Our Vanguard Footprint: Sandwell & West Birmingham
7
Our Approach - How Did We Transform?
8
GP Engagement At Scale
Strategic engagement & Operational engagement (Top Down
and Bottom Up Approach):
CCP Partnership Board
CCP Operational Steering Group
Modality/ICOF Practices
Modality Board
ICOF Board
Modality EPC Lead
ICOF EPC Lead
EPC Programme Team/Practice
Managers
• Clinical Leadership –
‘like-minded innovators’
• Commitment to vision
and implementation at
Board and Practice level
• Protected time to
engage with practices
(clinical & operational
support)
At Scale Engagement With EPC Model
9
Feedback from GP to support transformation (Dr Khan video)
Post ‘test site’ implementation
• Sharing of experiences from
test sites (outcomes &
benefits, feedback from
surveys)
• Change Champions (clinical
and non-clinical)nominated
to support widespread
engagement across the
Vanguard
• Individual clinical lead
engagement meetings
• Individual practice
engagement meetings
• Collaborative recruitment
• Sharing of lessons learned
• Sharing of successes
Design & Implement Daily Huddles
10
Daily Huddle Process Co-Designed with GP Lead & Practice
Operational Managers (Dr Randhawa video)
Induction/Orientation of New Roles
• CPD sessions/networks led
by Lead Clinician: Clinical
Pharmacist & MSK
• Collaboration with Clinical
Leads and Clinicians to
develop operational
intervention dashboards to
convey impact/benefits of
role
• Encouraging confidence at
peer sites
Co-Recruitment, Selection,
Induction of New Roles
Design & Implement MDTs
12
• Holistic, person-centred
approach
• Identification of patients
via. risk stratification
• Right clinicians to
review/discuss patients and
make appropriate decisions
• Standardised: Frequency,
Admin support, size
Co-Designed with Clinicians
to develop MDT philosophy
13
Design & Implement Care Navigation
Co-Designed with Medical
Director, Clinicians, Frontline
Outcomes to Date:
14
• Confidence growing: new roles and smaller teams
increasing GP/ANP capacity
• Operational and system savings being demonstrated
Summary:
New Roles: 5.2 WTETotal GP Sessions Released: 894
Outcomes to Date:
15
16
Key Take-Away!
Any Questions?
17