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Friday 4 th February 2011 Aberdeen

Clinical Leadership / Primary care Re-Design Aberdeen City CHP. Friday 4 th February 2011 Aberdeen. Dr Malcolm J Valentine GP Project Manager. Clinical Leadership / Primary Care Re-Design – City CHP Friday 4 th February 2011, Aberdeen. Introduction. My brief CV:

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Friday 4 th February 2011 Aberdeen

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  1. Clinical Leadership / Primary care Re-Design Aberdeen City CHP Friday 4th February 2011 Aberdeen Dr Malcolm J Valentine GP Project Manager

  2. Clinical Leadership / Primary Care Re-Design – City CHPFriday 4th February 2011, Aberdeen Introduction • My brief CV: • 1986 GP Principal Brimmond Medical Group (Aberdeen) • 1988 Small Group Leader - Aberdeen VTS • 1990 Associate Adviser (CME) • 1994 GP Trainer • 1997 Associate Adviser (VTS) • 2000 GMC Revalidation Group • 2001 MD • 2001 Assistant Director Postgraduate GP Education • 2003 Non-Executive Director NHS Education for Scotland • 2008 GP and Independent Resource / CHP Project Manager

  3. Clinical Leadership / Primary Care Re-Design – City CHPFriday 4th February 2011, Aberdeen Introduction – the issues • General Practice: • Engagement • Communication • Consultation • CHP • Service development • Partnership with independent contractors • Responding to the evolving agenda • Service • Demography • Partnerships eg Soc Work • Service redesign

  4. Clinical Leadership / Primary Care Re-Design – City CHPFriday 4th February 2011, Aberdeen Introduction – the absolute imperatives • Demography • Population – 2021 and all that • GP workforce – 75% trained output now female; in 5 years likely 90% female • The existing practice models will have to change to embrace risk • Premises • No systematic support for GP strategic development – but integrity of health service delivery already depends on it; need to INVEST • Clinical – and high quality general leadership

  5. Clinical Leadership / Primary Care Re-Design – City CHPFriday 4th February 2011, Aberdeen Introduction – the City • No locality clinical leadership to date • Moderate effect of core clinical leadership • Limited interest (to date) from Board and Executive leadership in facilitating GP strategic development • Evidence of creative collaboration in past eg GP fundholding (but incentive then clear and immediate) • So: • 4 ‘cluster’ model (?Enthoven) • Clinical leadership in each cluster • Core CHP clinical leadership redefined

  6. Clinical Leadership / Primary Care Re-Design – City CHPFriday 4th February 2011, Aberdeen Introduction – the City (2) • Gary Newbigging role in re-design project • Core Re-Design group • City wide Re-Design meetings • Programme of activity now underway • Broad range of partnerships eg ACC Soc Work, Programme Managers • Broad range of clinical links eg Psychogeriatrics, Elderly Medicine, Public Health etc resulting in joint activities eg workshops, task groups etc • ‘Higher level’ effect on creating identity and engagement

  7. Clinical Leadership / Primary Care Re-Design – City CHPFriday 4th February 2011, Aberdeen – Cluster Model North 7 Pract / 63 Docs / 66 300pt Cluster GP Lead Management support Central South 7 Pract / 45 Docs / 51 700pt Cluster GP Lead Management support SW links eg Pharmacy SW links eg Public Health Shifting locus of care lead Innovations lead Core CHP Central North 8 Pract / 64 Docs / 65 200 pt Cluster GP Lead Management support South 8 Pract / 65 Docs / 60 200 pt Cluster GP Lead Management support eg Pharmacy eg Public Health SW links SW links Pathway development lead System development lead

  8. Clinical Leadership / Primary Care Re-Design – City CHPFriday 4th February 2011, Aberdeen • Cluster model allows for horizontal integration and partnerships • Core CHP role key critical for vertical and strategic integration and strong leadership • Must re-specify the Core CHP leadership role. This must assume high quality, energetic GP leadership as a substantial component part. Aspirational Role. • NHSG MUST invest in Leadership training / development and extend this deep into GP. • Future service delivery depends on getting all of this right

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