OxfordshireClinical Commissioning Group

Primary Care Networks -introduction

Fergus CampbellNHS Oxfordshire Clinical Commissioning Group

21 November 2019

OxfordshireClinical Commissioning Group

Working together for health

Local services working together make a great difference to people’s health and wellbeing.

An example of positive working in the Wokingham area:

Video: Sam's story

Link: https://www.youtube.com/watch?v=Z3XDy2jzSb4

OxfordshireClinical Commissioning GroupIntegrated working

• The NHS Long Term Plan sets out clear ambitions for greater integrated working

• What makes us healthy is a broad and complex picture

• Integrated across health and care, local authorities and the third sector

• The Long Term Plan puts strong emphasis on integrated multidisciplinary teams –Primary Care Networks • Collaborating with all other providers

in the local health and social care system

• Sustainable into the longer term• Enhanced services via the network• Additional practice staff to support

Primary Care Network delivery

OxfordshireClinical Commissioning Group

OxfordshireClinical Commissioning Group

Introducing Primary Care Networks

31 January 2018 Primary Care Networks (PCNs) announced by NHS England based on evidenced models

Feb-May 2019 PCNs develop from the building blocks of GP practices to cover population of 30-50,000.

Each PCN develops a Network Agreement and appoints a Clinical Director

1 July 2019 19 PCNs covering Oxfordshire through a national template contract

PCNs offering coordinated Extended Hours Access

First year PCNs appointing clinical pharmacists and social prescribing link workers

Future From 2020/21 PCNs must collaborate with non-GP providers through their Network Agreement.

OxfordshireClinical Commissioning Group

Abingdon PCNs

Name Practices PopulationJan. 2019 Clinical Director

Abingdon Central

Abingdon Surgery

Malthouse Surgery33,657 Dr Tudor Gwatkin

Abingdon and District

Berinsfield Health Centre

Clifton Hampden Surgery

Marcham Road Health Centre

Long Furlong MC

30,043 Dr Sanjay Trivedi

OxfordshireClinical Commissioning Group

Abingdon PCNs

OxfordshireClinical Commissioning Group

Future PCN services7 national service specifications expected from NHS England.

Apply in full from 2020/21:

i.Structured Medications Review and Optimisation

ii.Enhanced Health in Care Homes

Commence in 2020/21 and develop in following years:

iii.Anticipatory Care requirements for high need patients

iv.Personalised Care

v.Supporting Early Cancer Diagnosis

Start in 2021/22:

vi.Cardiovascular Disease Prevention and Diagnosis

vii.Tacking Neighbourhood Inequalities

OxfordshireClinical Commissioning Group

Additional PCN staff

PCNs will be able to access funding for these additional roles, starting from the date shown:

2019/20

clinical pharmacists

social prescribing link workers

2020/21

Physician associates

First contact physiotherapists

2021/22

Community paramedics

OxfordshireClinical Commissioning Group

Ongoing development

NHS Oxfordshire Clinical Commissioning Group (OCCG) holds contracts with all 19 PCNs

OCCG and partners have arranged development activities for PCN teams, including joint working with community services

OCCG is working with the County Council to gather and present data to support PCNs in understanding and planning for local needs

Community and patient engagement in development – varying approaches to reflect local opportunities

HealthWatch Oxfordshire have initiated the Oxfordshire Wellbeing Network

OCCG developing arrangements to enable PCNs to engage in health and social care planning across Oxfordshire and Thames Valley.