Primary Care Networks (KF 0319) (Do what? (New staff roles (first contact…
Primary Care Networks (KF 0319)
practices not joining will lost out on funding and neighbouring networks given the funding to provide services to those patients.
network-based services have to be accessible to entire population
approx. with CCG boundary (unless existing well-funded federation) , tho can cross boundaries and a practice could belong to more than 1 PCN
Deliver 7 national service specifications
local agreed actions to tackle inequalities
cardiovascular disease case-finding
supporting early cancer diagnosis
anticipatory care (with community services)
enhanced health in care homes
structured medications review
integrated care systems
PCNs are the mechanism for making primary care representation stronger - with accountable clinical directors from each network being link between GP and wider system.
planning and funding of services,still responsibility of commissioners, building blocks for the ICSs.
Wider health of the Popn.
20/21 assess needs of local pop and deliver targeted proactive support
proactive approach to managing pop health
Integrated community based teams
community and mental health services expected to configure their services to these boundaries
service people with more complex needs, with proactive and anticipatory care
to be develop to this footprint
New staff roles
first contact physio, physician associates 20/21 and paramedics 21/22
Shared services across a network
Funding 19/20 for clinical pharmacists and social prescribing link workers
Service Delivery vehicle for LTP and offer wider range of services
only way to access additional funding attached to GP contract.
more easily integrate with wider health and care system
provider a wider range of services
manage financial and estate pressures
improve practice staff recruitement and retention
Additional Roles Reimbursement Scheme
= part of DES, funds 70% to cost of new clinical roles (100% of social prescribing link worker to be funded); networks decide on numbers.
current fund for providing enhanced access services, aid to GPs to give consultations out of core hours, will transfer to the DES (0421) (from an agreed list of suppliers on a new separate national framework).
contract between commissioner and individual practices - and money channelled through a single bank account by the network.
= money to operate network and £891m to fund new staff (roles imbursement scheme.
DES direct enhanced services payment, extension of core GP contract, and being offered to all practices. worth upto £1.8 billion by 2023/24.
0618 announcement of new money large portion will be channelled through networks
GP Practices working at scale
Building block for NHS long-term plan.
30-50,000 populations (with no upper limit)
networks are similar to size of primary care homes, but smaller than federations
all practices to be in a network (0619).
defined in nhs LTP and new GP contract (0419)
lots of different ways in the past, super-partnerships, federations, clusters, networks
Practices accountable to commissioner, for deliveing 'network services'.
Practices in network sign legally binding network agreement
Agreement could set out wider objectives, involvement of partners (community health, pharmacy).
Comisioners could remove DES entitlement if they don't deliver serivces, but rare.
Identifies Accountable Clinical Director
primary focus - voice upwards and single point of contact for wider integrated care system
appointed by the network
In the past, success when generated organically, over years, underpinned in trust, relationships, support and clear focus on role of collaboration
less success, lack of clarity of purpose, aover-optimistic expectations, high cost of shared information systems, complexities around financial liabilities and premises.
Scotland model, new GP contract requirs practices to join geo quality cluster, most effective when focussing on similar QI initiatives
Welsh model, also clusters, flagged over reliance on key individuals and need for greater invlovement of care professionals.
England, networks and Leads will require significant support to build trust and relatioships, resist over optimism in short term.
continuity and trustung relationships
Monies to start to flow - 0719
test-bed sites to test elements of new contract
write new service specs
design innovation and investment fund
development support from the centre.