Overview on Primary Care Networks (PCNs) Karen Large, Primary Care Networks Manager, South Tyneside Sam Hood, Portfolio Manager, Newcastle & Gateshead CCG Context for PCNs Aims of the long-term plan Everyone gets the best start in life World class care for major health problems Supporting people to age well How will this be achieved? Primary care networks as the foundation for Integrated Care Systems Preventing ill health and tackling health inequalities Supporting the workforce Maximising opportunities presented by data and technology Continued focus on efficiency What is a PCN?
PCNs will comprise groupings of clinicians and wider staff sharing a vision for how to improve the care of their population and will serve as service delivery units and a unifying platform across the country: Groups of Practices working together and with other local health and care providers( including primary care, community services, social care and voluntary sector), to provide co-ordinated care through integrated teams A defined patient population in the region of 30,000-c50,000, based around natural local communities Providing care in different ways to match different peoples needs, including flexible access to advice and support for healthier sections of the population, and joined up care for those with complex conditions What will PCNs do? Focus on prevention and personalised care, supporting patients to make informed decisions about their care and look after their own health, by connecting them with the full range of statutory and voluntary services. Use of data and technology to assess population health needs and health inequalities, to inform, design and deliver practice and population scale care
models; support clinical decision making, and monitor performance and variation to inform continuous service improvement. Making best use of collective resources across practices and other local health and care providers to allow greater resilience, more sustainable workload and access to a larger range of professional groups. PCNs in South Tyneside Total population 157,721 21 Practices PCNs South East West
Locality Map PCN South - 55,993 Network Member Practices Central Surgery Colliery Court Medical Centre Dr Thornily, Walker & Partners Imeary Street Surgery Marsden Road Health Centre Whitburn Surgery Practices registered list size (as at 1 January 2019) 19665 7929
6591 3,283 13,353 5172 PCN East - 53,871 Network Member Practices Farnham Medical Centre St Georges Medical Centre Talbot Medical Centre Trinity Medical Centre Wawn Street Surgery Wenlock Surgery West View Surgery Practices registered list size (as at 1 January 2019)
17,405 6619 7987 6447 8084 4539 2790 PCN West - 47,103 Network Member Practices Albert Road Surgery Dr Dowsett & Overs East Wing Surgery Ellison View Surgery Mayfield Medical Centre Ravensworth Surgery
The Glen Medical Group Victoria Medical Centre Practices registered list size (as at 1 January 2019) 3083 5139 3918 6229 9368 5590 10,600 3176 Network Structure Wider system alliance
Clinical Directors & PCN Manager CCG Social Care PCN JCU Public Health Community
Services NTW FT Benefits for patients More co-ordinated services where they do not have to repeat their story multiple times Access to a wider range of professionals in the community, so they can get access to the people and services they need in a single appointment Appointments that work around their lives, with shorter waiting times and different ways to get treatment and advice including digital, telephone-based and face-to-face More influence when they want it, giving more power over how their health and care are planned and managed Personalisation and a focus on prevention and living healthily, recognising what matters to them and their individual strengths, needs and preferences
Benefits for the whole health care system Co-operation across organisational boundaries and teams to allow better coordination of services Wider range of services in a community setting, so patients dont have to default to the acute sector Developing a more population-focused approach to systemwide decision-making and resource allocation, drawing on primary care expertise as central partners More resilient primary care, acting as the foundation of integrated systems Sam Hood, Portfolio Manager, Newcastle & Gateshead CCG Inner West 45,192 Whickham 15,987
Glenpark 9,146 Teams 5,542 Sunniside 3,308 Oxford Terrace 15,750 Birtley 16,091 Chainbridge 11,264 Clinical Director: Andrew Porter Management Lead: Alison Sample Clinical Director: Peter Young / Jeremy Watson
Management Lead: Anna Knighton / Sheinaz Stansfield Outer West 31,798 Blaydon 2,320 Crawcrook 6,913 East 30,272 Oxford Terrace / Birtley 31,841 IJ Healthcare 4,699 Chopwell 2,498 Crowhall 6,262 Longrigg 10,688
St Albans 8,139 Pelaw 5,183 Clinical Director: James Taylor Management Lead: Gail White / Helen Sangster Gateshead Networks 30 practices population 209,448 at Jan 2019 Central /South 70,345 108 Rawling Road 1,578 Metro Interchange
3,504 Second Street 3,572 Bridges 5,298 Bensham 4,216 Bewick Road 6,252 Central Gateshead 10,629 Beacon View 4,752
Clinical Director: Linda Nutting / David Roberts Management Lead: Sue Harrigan / Tracey Atkinson Fell Tower 7,629 Gateshead Health & Care System & Relationships Regulatory Bodies Gateshead Health & Care System Gateshead Health & Wellbeing Board Newcastle Gateshead Chairs Meeting Member Organisations
Local People, Service Users, Patients and Carers Other Local Stakeholder Organisations Gateshead A.O.s Integrated Care System (NE and North Cumbria) & Integrated Care Partnership (North) Gateshead Health & Care System A Place based approach to Integrated Health & Care Collective and best use of Gateshead
Primacy of Gateshead Place Newcastle Gateshead CCG Planning as a System Gateshead Local Authority Gateshead GP Federation/CBC/PC Networks Public Health NUTH
NTW Transformation Programmes Priority areas: Childrens wellbeing & mental health Multiple & complex needs Frailty Blue Stone Consortium
Gateshead Health Foundation Trust Community services Intermediate care Falls Deciding Together, DT (MH) Community Model - LD End of life care
Workforce Opportunities Funded Roles per PCN Clinical Director one day a week per PCN Clinical Pharmacists Social Prescribing Link Worker Advanced Practice Physio Therapist Physician Associate Paramedics Advanced Paramedic Practitioner From July 2019 July 2019 July 2019 March 2020 March 2020 March 2021
Delivering New Network Services Meeting the NHS Long Term Plan 7 Specific national service specifications under the network contract DES Focused on areas where Primary Care Networks can have significant impact on the Triple Aim: Improving health and savings lives Improving the quality of care for people with multiple morbidities Helping to make the NHS more sustainable Service Specifications From April 2020: Structured Medication Reviews Enhanced Health in Care Homes Anticipatory Care (with community services) Personalised care Supporting early cancer diagnosis
From April 2021: Cardio-vascular Disease Case-finding Locally agreed action to tackle health inequalities Any questions Thank you Karen Large, Primary Care Networks Manager (Interim) South Tyneside Health Collaboration M: 07970 129 550, E: [email protected] Sam Hood, Portfolio Manager Gateshead, NGCCG Tel: 0191 2172820, E: [email protected]
Trend of Data. Level of Data. ... No evidence of an upward or downward trend. Most values fall within small range. ... All of the things we just discussed must be considered within the context of the graph's construction. Scaling...
"F.E.A.R" plan takes children through elements of CBT including techniques to calm their bodies, cognitive restructuring, exposure, and rewards Just print for notes then delete CBT, Meds, and combination: what's best?
Involve St George's University staff. Perfect Week: Data Management. Recommendations for next time. Briefing sessions (07.30/15.00) should focus on a handover of issues between the AM and PM LO's. Revise the data collections sheets.
The entire trie is now compressed… We call this "inter-node compressed trie" (INCT) Move to forwarding plane. In this example we save 50% of the nodes, not counting the root. Also in the paper. Detailed algorithm. Sketch of incremental update
Despite the challenges in the POISE trial from 2008, there have been two subsequent studies in 2013 that endorse the assertion that metoprolol has a higher incidence of stroke as compared to Atenolol, Esmolol, Labetalol, and Bisoprolol. In animal models:...
Compromises to provide 3D interfaces might be undermine usability Think RTS games Discussion: Is the interface holding back 3D? 3D Interfaces Use occlusion, shadows, perspective carefully Improves use of spatial memory (Ark '98) Distracting and confusing Minimize navigation steps Keep...
Ready to download the document? Go ahead and hit continue!