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Managed Clinical Networks

What are they and what do they do?. Managed Clinical Networks. Around long time Different types/functions Combat isolation/share opinions Promote (consensus) good practice Social/belonging BUT. Networks (clinical/professional). Must be externally acknowledged: To be a body of expertise

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Managed Clinical Networks

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  1. What are they and what do they do? Managed Clinical Networks

  2. Around long time Different types/functions Combat isolation/share opinions Promote (consensus) good practice Social/belonging BUT Networks (clinical/professional)

  3. Must be externally acknowledged: To be a body of expertise To give advice To be a partner in planning To influence practice Influence

  4. Formally organised, transparent, accountable, representative Governance Funding Must be

  5. Clear unambiguous remit and function Beware – same words, different meanings: Perinatal Mental health Maternal health Networks Must have

  6. Perinatal mental illness: Complicate pregnancy and first postpartum year Perinatal psychiatric services provide care for: Women and their infants Serious and/or complex mental illness Both new onset and existing illness Infant before and after delivery Central to speciality, care and services Definition

  7. What is a Managed Clinical Network? Organisation delivering quality cost effective care for conditions Involve different professions trusts organisations levels of service provision Most severe uncommon, critical mass only possible at regional level Mildest common-provision locality level Requires specialist skills resources (evidence better outcome) Suited to “hub & spoke” suited to integrated care pathways Amenable audit/outcome measures Includes at its core a clinical network

  8. MCN Managed Accountable to SHA & SCG Funded Lead Chief Executive (PCT) Premises Director & Manager Infrastructure Governance & terms of reference Clear function and work plan Subject to periodic review

  9. MCN Care/Clinical - Complete/Integrated - All levels of provision/severity - Access and equity - Appropriate to needs - Patient journey/care pathway - Standard driven - Evidence based -Cost effectiveness/clinical effectiveness - Outcomes

  10. MCN Network - Professionals/Resources - Horizontal/Vertical - Develops/maintains skills, knowledge and resources - Supports and informs staff - Common philosophies and standards - Common integrated care pathways - Internal/external review of standards

  11. 1. Partnership with SHA, SCG, PCTs: Strategic planning Service model Commissioning framework Procurement and implementation Workforce planning MCN Function

  12. 2. Within Network: Standards of care and provision Care pathways Advice and information Education and training Patient involvement Maintaining integration of hub and spokes Interface with other services Quality control and audit Data collection MCN Function

  13. East Midlands Perinatal Mental Health MCN Pop 4.4 million a.b.r. 54,000 Leicestershire, Northamptonshire, Nottinghamshire, Derbyshire & Lincolnshire 5 M.H. Trusts 9 Acute (Maternity) Trusts 9 PCTs Perinatal Mental Health Clinical Network Promoting quality care for all mothers

  14. Cost £150,000 per year Funded 9 PCTs Recurrent 3 year review Medical Director (2 sessions) Manager 8a f/t Coordinator/PA 5b f/t 5 year pilot (2004), annual funding to formal status 2009 Perinatal Mental Health Clinical Network East Midlands MCN Promoting quality care for all mothers

  15. Commissioners reign Right advice Standards Monitoring MCN essential to ensure Seamless integrated care Equity access & standards Continued improvement In the new world

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