East of England East Midlands London North East North West South East Coast South Central South West West Midlands Yorkshire & the Humber NHS Integrated

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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 Slide 2 Expectations Population Information society and its implications The changing nature of disease Advances in treatment A changing health workplace The opportunities Slide 3 High quality care for all- NHS Next Stage Review Final Report Quality at the heart of the NHS High quality care for patients and the public Freedom to focus on quality High quality care for all Slide 4 NHS Next Stage Review: vision for primary and community care People shaping services Continuously improving quality Promoting healthy lives Leading Local Change Patient Power & Choice Clinical Leadership & Engagement World Class Commissioning Slide 5 NHS Next Stage Review: vision for primary and community care People shaping services Continuously improving quality Listening and responding to peoples views Services that fit together & make sense Informed choices for patients and families More control for people with long-term conditions Piloting personal budgets Promoting healthy lives Slide 6 NHS Next Stage Review: vision for primary and community care People shaping services Continuously improving quality 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 Listening and responding to peoples views Services that fit together & make sense Informed choices for patients and families More control for people with long-term conditions Piloting personal budgets Promoting healthy lives Slide 7 NHS Next Stage Review: vision for primary and community care Slide 8 Slide 9 Slide 10 Examples of LIFT centres NHS Next Stage Review: vision for primary and community care Slide 11 Bingfield Primary Care Centre Islington, North London. NHS Next Stage Review: vision for primary and community care Slide 12 3 GP Practices Community Nursing Base Pharmacy Genito-Urinary Outpatients Podiatry Family Planning/Health Living Services Dentistry Adult and Childrens Audiology ENT Outpatients Speech and language therapy Musculoskeletal Therapy St Peters Health & Leisure Centre, Burnley, East Lancs. NHS Next Stage Review: vision for primary and community care Slide 13 3 GP Practices Minor operations Podiatry Pharmacy Audiology Physiotherapy and hydrotherapy suite Paediatric clinical services Catalyst for re-development Platt Bridge Health Centre Wigan NHS Next Stage Review: vision for primary and community care Slide 14 Shared site with extended school SureStart Family support centre Library Housing office Platt Bridge Health Centre Wigan NHS Next Stage Review: vision for primary and community care Slide 15 Barking & Havering NHS Next Stage Review: vision for primary and community care Slide 16 Barnsley NHS Next Stage Review: vision for primary and community care Slide 17 People shaping services Continuously improving quality 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 Listening and responding to peoples views Services that fit together & make sense Informed choices for patients and families More control for people with long-term conditions Piloting personal budgets Promoting healthy lives Transforming community health services Systematically measuring quality Independent process for QOF Practice accreditation Registration with Care Quality Commission Slide 18 NHS Next Stage Review: vision for primary and community care People shaping services Continuously improving quality Promoting healthy lives Leading Local Change Patient Power & Choice Clinical Leadership & Engagement World Class Commissioning Slide 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 Slide 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 Slide 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 Slide 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 Piloting new models of integrated care 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 Slide 23 Leadership for quality - making change happen Expectations how people will have to change Vision where we are going Method the way that improvement will happen Embed in training. Leadership will be included in undergraduate curricula for nurses and doctors 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 Support Boards. New development programme for trust boards to be commissioned NHS Leadership Model Slide 24 Interprofessional Education opportunities Slide 25 Patient Access, Choice and Empowerment Slide 26 Interprofessional Education opportunities Patient Access, Choice and Empowerment Integrated Pathway Redesign - Quality, Outcomes, Productivity and Efficiency Slide 27 Interprofessional Education opportunities Patient Access, Choice and Empowerment Promoting Healthier Lives Integrated Pathway Redesign - Quality, Outcomes, Productivity and Efficiency Slide 28 Interprofessional Education opportunities Patient Access, Choice and Empowerment Promoting Healthier Lives Continuously Improving Quality Integrated Pathway Redesign - Quality, Outcomes, Productivity and Efficiency Slide 29 Interprofessional Education opportunities Patient Access, Choice and Empowerment Promoting Healthier Lives Leadership and Innovation Continuously Improving Quality Integrated Pathway Redesign - Quality, Outcomes, Productivity and Efficiency Slide 30 Interprofessional Education opportunities Patient Access, Choice and Empowerment Promoting Healthier Lives Leadership and Innovation Continuously Improving Quality Integrated Pathway Redesign - Quality, Outcomes, Productivity and Efficiency