Transforming care in Hampshire. Our multi-specialty community provider

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1 Transforming care in Hampshire Our multi-specialty community provider

2 Overview NHS Five Year Forward View set out new models of care needed for sustainable future Initially 29 Vanguards across England to pilot them South Hampshire Vanguard is a Multi-specialty Community Provider (MCP) Another Vanguard in North East Hants and Farnham is Primary Acute Care System (PACS) NOT one size fits all: Local variation MCP is about transforming how care is organised and delivered to improve out-of-hospital care

3 What is a Multi-specialty Community Provider? An extended team of GPs and specialists offering more straightforward access to a wider range of health and care closer to people s homes. Centred around GP practices and primary care hubs. Supporting a population based around a natural community of care. Enhanced support and promotion of self-care and prevention

4 Our MCP in South Hampshire Around 30 GP practices working in partnership with Southern Health NHS Foundation Trust. Supporting population of 220,000 in three initial localities (Gosport, East Hants and South West New Forest) Supported by 16 local health providers, commissioners, local authority, third sector partners Working closely with local patients and communities Significant growth across Hampshire anticipated

5 Our MCP in South Hampshire East Hampshire 10 practices / 70k patients Semi-rural new town Gosport 11 practices / 80k patients Urban deprived New Forest 7 practices / 70k patients Rural older demographic

6 Transforming local care

7 A new model, built around natural communities of care Improved access to care An extended primary care team Fewer steps to access specialist support Prevention and self-management

8 Improved access to care Current model of care: Multiple, disjointed access points multiple points of access that are not integrated Example of new model: Primary Care Access Centre In a central, accessible location Open 8-8 for walk-in or prebooked appointments Staffed by GPs, physiotherapists, clinical pharmacists, nurse practitioner, paramedic, paediatric nurses Able to read and write to a single shared clinical record Going live from autumn 2015 in some areas

9 Extended primary care team + Bringing primary, community and adult social care together, with specialists from local hospitals and third sector organisations, to work as a single extended primary care team: the MCP

10 Fewer steps to specialist support Example of traditional respiratory care Example of new model of respiratory care See GP Investigation Patient sees GP, investigations on site. Seen in OPD to review results Referral Respiratory team review investigations. Letter to GP GP sees patient Planned Skype conversation: GP, consultant and patient. Management plan agreed.

11 Prevention and self-management Putting people in control of their own health by changing the dynamic of the relationship between health professionals and patients Engaging local people in positive health behaviours Linking intervention and support services available in local communities to the Extended Primary Care team through Surgery Signposters to support those with longterm conditions to self-manage Supporting practitioners to take a whole person approach in every interaction

12 What are the priority areas in East Hampshire? (1) Access to Same Day Care - Understanding issues and variations across practices. Developing tailored solutions for the locality. If appropriate, may include piloting same-day appointment hub(s) operating from 8am to 8pm Redesigning care to better meet the needs of frail, elderly patients and those with complex/multiple long term conditions. Initial testing to explore different ways of working to integrate practice nurse and Integrated Care Teams (pilots at two practices proposed). May also include disease specific work e.g. Diabetes

13 What are the priority areas in East Hampshire? (2) Enhanced primary care services for children scoping to define final focus which includes long term conditions care, and better same-day access for children requiring more urgent care Whitehill and Bordon new town development will significantly increase the local population, so local health and care services must be ready to cope with higher demand.

14 The benefits

15 For people using services, families, carers and citizens More straightforward access to a wider range of care via your local GP practice or primary care hub Better outcomes based on what s important to you More advice and guidance to help you make the right choices and manage your own health and care Better access to local voluntary and community groups More involvement in design of care services near you In short, Better Local Care

16 For health and care professionals Being part of developing new services that better meet the needs of local people Working as one team with a much wider group of professionals supporting the same people Access to team and leadership development and talent management More time to support people who need your specific expertise

17 For the health and care economy More tailored, better value services co-produced by the people who use them and commissioned based on outcomes rather than activity Reduced acute hospital activity (admissions and ED attendance) More focus on primary care, education and prevention More sustainable services (esp. general practice)

18 Transforming care in Hampshire Our multi-specialty community provider

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