3.6 Primary-secondary care collaboration - Dr Robin Hudson
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1. Northumberland is working to better integrate primary and secondary care through leadership collaboration and various enabling initiatives. 2. Key enablers include shared leadership across the clinical commissioning group, local authority, and healthcare trust, as well as initiatives to improve access to care, information technology, and workforce development. 3. Additional enablers focus on strengthening primary care through practice mergers, federations, and developing a culture of shared learning across the healthcare system to plan and deliver sustainable, patient-centered care through a new accountable care organization model.
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3.6 Primary-secondary care collaboration - Dr Robin Hudson
- 1. Primary & Secondary Care Collaboration in Northumberland
- 2. Dr Robin Hudson FRCGP Joint Clinical Director Northumberland PACS Vanguard Primary Care Quality Lead NHS Northumberland CCG
- 3. Primary & Secondary Collaboration • Our integration journey (Vanguard) • Leadership • Enablers • Culture
- 6. Enabler 1: System Leadership • CEO Local Authority also Accountable Officer CCG • Deputy CEO Local Authority also Senior board position NHCFT and leadership role in CCG • Director Adult Social Care also Chief Operating Officer CCG • Accountable Officer CCG is the chair of the CCG and will be the new chair of the ACO
- 7. Enabler 1: System Leadership • Leadership development programmes open to GPs • GP leaders within Northumbria Healthcare NHS Foundation Trust (medical director, assoc MDs) • Vanguard Clinical directors & leads • Chief Clinical Information Officers • CCG & Local Authority • Clinical leaders Forum & Clinical Strategy Group • Enhanced Care Steering Group • Primary Care Leadership Group & LMC
- 8. Enabler 1: System Leadership • Meeting together regularly • Joint goals and purposes • Building trust • Not just about structure • Accelerated culture of development
- 9. Enabler 2: Access to healthcare • Northumbria Specialist Emergency Care Hospital • GPs in urgent care centres • Building capacity in General Practice • Improving access in General Practice
- 11. Specialist Emergency Hospital Outpatients Diagnostics Day cases Elective Surgery Sub acute in- patients A&E Emergency Admissions Acute in- patients Minor injuries Acute in- patients A&E Emergency admissions “hot” diagnostics Outpatients Diagnostics Day cases Elective Surgery Sub acute in- patients A&E Emergency Admissions Acute in- patients Minor injuries STAGE ONE 1st purpose built specialist emergency care hospital in England Outpatients Diagnostics Day cases Elective Surgery Sub acute in- patients A&E Emergency Admissions Acute in- patients Minor injuries
- 12. Urgent and emergency care when you need it, in the right place Acute visiting service -triage of same day requests to GP, community nurse or pharmacist 7 day emergency care – The Northumbria -reduced admissions -reduced length of stay Local urgent care -Capacity and demand exercise: increased GP urgent access -Extended GP access Quick access -to specialist telephone advice/ assessment -single point of access
- 14. Primary care access – latest data shows that the average percentage helped has increased to just over 8% from 7.5% - equating to an additional 3,226 contacts per week – 170,000 potentially per year (across 30 practices) – 43 practices will have data for the next quarter
- 15. Enabler 3: IM&T • Medical interoperability Gateway (MIG) • System One (S1) – Community nursing, palliative care, diabetes teams – 33/44 practices on S1 “Summer” 2017 • Openness to change within NHCFT • Ambulatory Care/ ED/ UCC? • North East Ambulance NHS Foundation Trust? • S1 Care Homes?
- 16. Enabler 4: Workforce • Accelerated nurse training programme • Clinical Pharmacists • Community education provider network
- 17. Enabler 5: Primary medical care • Engagement • Building capacity • Integration vs Independence • Provider focus locally • Single voice in the county • New organisational forms
- 18. Today… Choluteca River Bridge, HondurasIntegration Independence
- 19. Courtesy 20th Century Fox
- 20. Enabler 5: Primary medical care • Engagement • Building capacity • Integration vs Independence • Provider focus locally • Single voice in the county • New organisational forms
- 21. Enabler 5: Primary medical care • New organisational forms – Practice mergers – Northumbria Primary Care – Countywide federation +
- 22. Culture • Not just structural • Accelerated culture of learning and transformation • No more silo thinking • Sharing improvement methodology • Challenging the medical model when needed • Enhancing communication • Sharing risk across the entire system • Truly empowering patients
- 23. A capitated budget for the population Mutual responsibility for the system Sustainable services for the future A new model of planning and delivering care ACCOUNTABLE CARE ORGANISATION
- 24. Primary & Secondary Care Collaboration in Northumberland