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CHEADLE & BRAMHALL NEIGHBOURHOOD

ENGAGEMENT WORKSHOP SESSION TWO

22 SEPTEMBER 2015

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Purpose• To produce a draft Memorandum of Understanding and proposal for

seven day working delivery; for the Hazel Grove & Offerton and Victoria neighbourhoods

Outcomes• Have reviewed the outputs from session one together• Have identified the key components for the Memorandum of

Understanding for the Hazel Grove & Offerton and Victoria neighbourhoods

• Have drafted an outline proposal for how seven day working will be delivered in the Hazel Grove & Offerton and Victoria neighbourhoods neighbourhoods

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Outputs from Session One

Strengths• Working together • Improved quality of care• Knowing who the team are – one number to call

Weaknesses• Recruitment concerns/staffing• Continuity of care/patients being able to access their own GP

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Outputs from Session One

Opportunities• Increased communication for secondary care • Increase patient empowerment• Working together as a neighbourhood

Threats• Increased hours impact on core commitments• All GP’s may not work together i.e. Prescribing• Resource implications for 7 day working

Neighbourhood Approach

Development phases

Core teamGPs , DNs, SWs

Core teamPlus 3rd sector

Core teamPlus 3rd sectorMental Health

Core team Plus 3rd sector, Mental Health, Therapy, Intermediate tier

Full new Out of hospital service with prevention, planned and urgent links

Plan Do

Study Act

Plan Do

Study Act

Plan Do

Study Act

Plan Do

Study Act

Plan Do

Study Act

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Update

• Devolution Manchester• Progress• Milestones• Worth a read: THE FORWARD VIEW INTO ACTION:

New Care Models: update and initial support. http://www.england.nhs.uk/wp-content/uploads/2015/07/ncm-support-package.pdf

• Our submission

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What is a ‘Memorandum Of Understanding’ (MOU)

• All discussions between the Parties and their representatives regarding the subject matter of this document are subject to developing contracts. Nothing in this document shall constitute a legally binding obligation.

• It is will be used to demonstrate intent and collaboration between practices.

• Sets out precursors for information sharing agreements

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The Stockport Together NeighbourhoodGP Practice MOU

Describes:• Working behaviours• Clinical Input into the proactive care service• Clinical leadership into the neighbourhood teams• Routes to develop joint financing mechanisms, joint contracting,

service delivery and efficiency share.• Describes the neighbourhood relationship between practices and

into the wider team in its initial form.• Is an understanding that as financial support and services are

developed that you agree to work in a collaboration.• What else........?

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 What is expected today?

• Need to discuss what should be in the agreement• Not to finalise a MOU but allow its content to be

determined for other professionals to complete• Make you aware of the potential routes of travel and

outcomes• The journey is not defined and the outcome is in

development

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Memorandum of Understanding conversation

• What do you want to be included?• What don't you want included?• What are your hopes?• What are your concerns?• How will we introduce and embed it?• Who will commissioners contract with?• How will practices share income & expenditure?• How will shared staff be employed and by who?

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Delivery of seven days working conversation

• In neighbourhood teams, identify the goals, reality, options and way forward for the delivery of seven day working