Rotherham PPG Network 4 th June 2019 Welcome!

1. Rotherham PPG Network4th June 2019Welcome!

2. Updates and queries • Rotherham APP – any issues or concerns, please email Helen to pass on to our lead – Jo Martin. • Diagnostics • Hospital services review • Re-ablement and intermediate care • Community health centre

3. The NHS Long Term Plan • Published Jan 2019 • Series of additional documents • Local views and gathered by Healthwatch; national survey • Local implementation plan by the autumn

4. Why? ….things are changing.

5. Currently…………

6. The Aims The NHS Long Term Plan responds to these issues and places primary care at the centre • Everyone gets the best start in life • World class care for major health problems • Supporting people to age well

7. How? • Primary care networks as the foundation for integrated care systems • Preventing ill health and tackling health inequalities • Supporting the workforce • Making the most of data and new technology • Continue to focus on efficiency

8. Key elements…. • Seamless care for both mental and physical health; • Deliver care as close to home as possible • Integrate across primary care networks, secondary care and place based care • Assess population health – focus on prevention, and before people become ill • Support people to care for themselves whenever appropriate • Build on the information we have about patients and the population • Make a real difference for both patients and staff

9. The vision for primary care networks • The key building block of the NHS long-term plan • All GP practices in geographical based PCNs with populations of around 30,000–50,000 patients; • Intended to dissolve the historic divide between primary and community services • Centrally funded and delivered through the ICS • PCN proposals submitted in May 2019 • Small enough to provide valued personal care • Large enough to enable a more consistent offer • General practices working at scale together, to • recruit and retain staff; • manage financial and estates pressures; • provide a wider range of services to patients • integrate with the wider health and care system.

10. What will PCNs do? • Provide care in different ways to meet different needs, e.g. • flexible access to advice and support for generally healthy people • joined up care for those with complex conditions • focus on prevention and personalised care, • supporting patients to make informed decisions • to look after their own health • connecting patients with statutory and voluntary services

11. What will PCNs do? …ctd • provide a wider range of services through a wider set of staff roles i.e. • first contact physiotherapy, • extended access • social prescribing. • deliver 7 national service specifications. • Five will start by April 2020: • Two will start by 2021

12. What will PCNs do? …ctd • join up the delivery of urgent care in the community • Publication of GP activity and waiting times data alongside hospital data • New measure of patient-reported experience of access

13. What will PCNs do? ctd • will be the base for: • integrated community-based teams • community and mental health services • will consider population health, • from 2020/21, will identify people who would benefit from targeted, proactive support.  • will represent primary care in integrated care systems, through the accountable clinical directors from each network

14. How will the funding work? Practices have to be part of the network to receive payments, which will include: • Separate national funding for digital-first support from April 2021 • funding for clinical pharmacists and social prescribing link workers in 2019/20 (as a Network), • funding for physiotherapists, physician associates and paramedics to follow (as a Network)

15. Benefits for patients • More co-ordinated services; where patients don’t have to repeat information many times • Access to a wider range of professionals in the community • Appointments that work around patients’ lives; shorter waits & treatment and advice delivered through digital, telephone and face to face • More influence when people want it, with more power over how health and care services are planned and managed • Personalisation and a focus on prevention and living healthily

16. Benefits for practices, and the wider health system • Greater resilience; using shared staff, buildings and other resources to balance capacity and demand • Better work life balance • More satisfying work; each professional able to do what they do best • Improved care and treatment for patients, • Greater influence on the wider health system • Better co-operation and co-ordination across services • Wider range of services in community settings, meaning patients don’t default to acute services • Using the expertise in primary care on local populations to inform system wide decisions and how resources are allocated

17. Rotherham Focus • 100% geographical coverage by July 2019 • Rotherham agreed Networks • Health Village / Dearne Valley PCN • Maltby Wickersley PCN • Raven PCN • Rother Valley South PCN • Rotherham Central North PCN • Wentworth 1 PCN

18. But……… • This is the national vision • There is a lot more guidance and detail to come • This is very early days • Our challenge is how this will work locally

19. Rotherham Focus • Local Implementation Plan • Submitted in the autumn • Guidance and frameworks pending • Will need feedback and engagement from patients, public and stakeholders

20. Questions and discussion Priorities from the LTP – list on a page Tell us your priorities – use the themes here to focus the discussion – information sheets on tables • Care in your neighbourhood • How can we influence Primary Care Networks? • What will engagement in PCN’s and the new structures look like? • Prevention, Promoting Independence and Self-Care • Cancer • Mental health and learning disabilities • Digital