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East of England East Midlands London North East North West South East Coast South Central PowerPoint Presentation
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East of England East Midlands London North East North West South East Coast South Central

East of England East Midlands London North East North West South East Coast South Central

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East of England East Midlands London North East North West South East Coast South Central

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  1. East of England East Midlands London North East North West South East Coast South Central South West West Midlands Yorkshire & the Humber NHS Integrated Care – implications for professional development Angela Lennox GP and Associate Director of Primary Care Department of Health

  2. The opportunities • Expectations • Population • Information society – and its implications • The changing nature of disease • Advances in treatment • A changing health workplace

  3. High quality care for all- NHS Next Stage Review Final Report Quality at the heart of the NHS High quality care for all High quality care for patients and the public Freedom to focus on quality

  4. NHS Next Stage Review: vision for primary and community care People shaping services Continuously improving quality Promoting healthy lives Leading Local Change Clinical Leadership & Engagement Patient Power & Choice World Class Commissioning

  5. NHS Next Stage Review: vision for primary and community care Listening and responding to people’s views Services that fit together & make sense Informed choices for patients and families More control for people with long-term conditions Piloting personal budgets People shaping services Promoting healthy lives Continuously improving quality

  6. NHS Next Stage Review: vision for primary and community care Listening and responding to people’s views Services that fit together & make sense Informed choices for patients and families More control for people with long-term conditions Piloting personal budgets Partnerships with local government and other sectors to promote health and wellbeing Staying healthy throughout life Access to healthy living services Reducing health inequalities Stronger QOF focus on public health People shaping services Promoting healthy lives Continuously improving quality

  7. NHS Next Stage Review: vision for primary and community care

  8. NHS Next Stage Review: vision for primary and community care

  9. NHS Next Stage Review: vision for primary and community care

  10. NHS Next Stage Review: vision for primary and community care Examples of LIFT centres

  11. NHS Next Stage Review: vision for primary and community care Bingfield Primary Care Centre Islington, North London.

  12. NHS Next Stage Review: vision for primary and community care • 3 GP Practices • Community Nursing Base • Pharmacy • Genito-Urinary Outpatients • Podiatry • Family Planning/Health Living Services • Dentistry • Adult and Children’s Audiology • ENT Outpatients • Speech and language therapy • Musculoskeletal Therapy St Peter’s Health & Leisure Centre, Burnley, East Lancs.

  13. NHS Next Stage Review: vision for primary and community care • 3GP Practices • Minor operations • Podiatry • Pharmacy • Audiology • Physiotherapy and hydrotherapy suite • Paediatric clinical services • Catalyst for re-development Platt Bridge Health Centre Wigan

  14. NHS Next Stage Review: vision for primary and community care • Shared site with extended school • SureStart • Family support centre • Library • Housing office Platt Bridge Health Centre Wigan

  15. NHS Next Stage Review: vision for primary and community care Barking & Havering

  16. NHS Next Stage Review: vision for primary and community care Barnsley

  17. NHS Next Stage Review: vision for primary and community care Listening and responding to people’s views Services that fit together & make sense Informed choices for patients and families More control for people with long-term conditions Piloting personal budgets Partnerships with local government and other sectors to promote health and wellbeing Staying healthy throughout life Access to healthy living services Reducing health inequalities Stronger QOF focus on public health People shaping services Promoting healthy lives Transforming community health services Systematically measuring quality Independent process for QOF Practice accreditation Registration with Care Quality Commission Continuously improving quality

  18. NHS Next Stage Review: vision for primary and community care People shaping services Continuously improving quality Promoting healthy lives Leading Local Change Clinical Leadership & Engagement Patient Power & Choice World Class Commissioning

  19. Leading local change World Class Commissioning for primary care • World class commissioning guide for primary care • understanding needs of local communities • clinical leadership and clinical engagement • incentives for integrated care and upstream prevention • information for patients and the public • applying system rules • stimulating innovation and choice (market making) • Support and development • predictive modelling and risk stratification • public engagement and social marketing • dataset development (including equality monitoring) • contract management • estates strategies

  20. Leading local change World Class Commissioning for primary care • World class commissioning guide for primary care • understanding needs of local communities • clinical leadership and clinical engagement • incentives for integrated care and upstream prevention • information for patients and the public • applying system rules • stimulating innovation and choice (market making) • Support and development • predictive modelling and risk stratification • public engagement and social marketing • dataset development (including equality monitoring) • contract management • estates strategies Supporting integration of health and social care • Joint strategic needs assessment & LAAs • More integrated working between SHAs and GOs • Ministerially-led group to identify how to support organisations that want to go further

  21. Leading local change Reinvigorating PBC • Repositioning PBC: clinical leadership & health outcomes • Incentives for more multi-professional engagement • Entitlement to management and financial support • Holding PCTs to account through assurance framework • Different levels of engagement • entry-level PBC (dependent on quality of primary care) • increasing freedoms for high-performing, multi-professional and accountable PBC groups

  22. Leading local change Reinvigorating PBC • Repositioning PBC: clinical leadership & health outcomes • Incentives for more multi-professional engagement • Entitlement to management and financial support • Holding PCTs to account through assurance framework • Different levels of engagement • entry-level PBC (dependent on quality of primary care) • increasing freedoms for high-performing, multi-professional and accountable PBC groups • Clinical collaboration across primary, community and secondary care • Integration between health and social care • ‘Integrated care organisations’ managing capitated budgets • Testing safeguards for choice and competition • Specifying service quality and financial management Piloting new models of integrated care

  23. Leadership for quality- making change happen NHS Leadership Model Embed in training. Leadership will be included in undergraduate curricula for nurses and doctors Vision where we are going New standards. Accredited health leadership standards for both clinicians and managers NHS Leadership Council. Support all leadership, with strong focus on top 250 in the NHS Method the way that improvement will happen Expectations how people will have to change Support Boards. New development programme for trust boards to be commissioned

  24. Interprofessional Education – opportunities

  25. Interprofessional Education – opportunities Patient Access, Choice and Empowerment

  26. Interprofessional Education – opportunities Patient Access, Choice and Empowerment Integrated Pathway Redesign - Quality, Outcomes, Productivity and Efficiency

  27. Interprofessional Education – opportunities Patient Access, Choice and Empowerment Integrated Pathway Redesign - Quality, Outcomes, Productivity and Efficiency Promoting Healthier Lives

  28. Interprofessional Education – opportunities Patient Access, Choice and Empowerment Integrated Pathway Redesign - Quality, Outcomes, Productivity and Efficiency Promoting Healthier Lives Continuously Improving Quality

  29. Interprofessional Education – opportunities Patient Access, Choice and Empowerment Integrated Pathway Redesign - Quality, Outcomes, Productivity and Efficiency Promoting Healthier Lives Continuously Improving Quality Leadership and Innovation

  30. Interprofessional Education – opportunities Patient Access, Choice and Empowerment Integrated Pathway Redesign - Quality, Outcomes, Productivity and Efficiency Promoting Healthier Lives Continuously Improving Quality Leadership and Innovation