View
83
Download
0
Category
Preview:
Citation preview
Pop up university:
Transition to a new care model
Dudley Multispecialty Community ProviderPaul MaubachChief Executive OfficerDudley Clinical Commissioning Group
@ATBDudley@DudleyCCG
Current position
Analysis of findings
Future position
Capitated budgets
Outcomes framework
MCP organisationCommunity, Specialist, Mental Health, Seconded Social Care, Primary
Care Enhanced Services
Retain independence but with aligned outcome objectives
Merge to form at scale with aligned outcome objectives
Option to suspend GMS and become salaried or part of new MCP partnership
Considerations on organisational form include:- relationship with general practice- public accountability and governance- connections to the community and voluntary sector- technical, legal and tax implications
GP practices under GMS contract
South Somerset Symphony ProgrammeDr. Berge Balian
Jeremy MartinChair, Symphony Programme Board
Programme Director
@SymphonyProj
78%~90k
18%~20k
4%~5k
~15%~£20m
~35%~£55m
~50%~£75m
% of population % of cost
Complex patients with many conditions
Less complex patientswith fewer conditions
Mainly healthy patients
Population segmentationand new care models
Complex care hubs
Enhanced primary care
Proactive health and wellbeing support
Complex Care: Extensivist care modelThe patient is assigned a care coordinator and offered more care, support and attention through a number of services
Enhanced primary care modelThe patient and key worker are supported by the wider care team and a number of care programmes and services
Investment in primary care to facilitate delivery of higher quality and proactive care
Shift focus to population-based health (preventative care)
Enlarging the primary care team to allow GPs to focus on what they do best (“working at the top of your licence”) and increase the capacity of primary care to deliver services
Using the greater resources of the JV to support practices to implement the new models
Improving quality of care by linking elements of income to quality over time
Ensuring sustainable and financially secure general practice
Attracting new GPs and retaining existing GPs by providing an acceptable work-life balance and varied, fulfilling career choices
Ensuring reversibility of any new contractual arrangements
Primary care principles
Distribution of spending across South Somerset for a typical practice
Integrated Practices
Somerset CCG Adult Social Care
NHS South West
Symphony IACO
Yeovil Hospital
Participating Practices Symphony Healthcare Services
Complex Care
Yeovil Hospital
Adult Social Care
Community & Mental Health
South Somerset Primary
Healthcare
GMS/PMS
JV principles: balance, alignment and choice
Recommended