OneNorwichWorking together to transform

General Practice

Executive BoardDr Simon Cooke (Chair)

Dr Alison Dow (Vice chair)

Sarah Ambrose (Lead Nurse)

Donna Laws-Chapman (Lead Practice Manager)

Ben Hogston (Head of Transformation)

Gina Titman (Programme Manager)

Why Now?

• Poor recruitment of GPs

• “Zombie Practices”

• Demographic bulge of GPs over 50 + NHS pension changes

• Increased workload

• Reduced resources

• Nationally driven objectives GPFV/STPs/Vanguards

• Extended hours from April 2018

• CCG need for LCS ‘Single Contract Holder’

• “Work life balance / imbalance’’

• The prospect of a wasted career

• Patients being ruined by the system

• ………..what is there to lose?!

What has happened in Norwich?

What will OneNorwich do?

• Give Norwich practices One Voice for system working through the 4 elected posts

• OneNorwich will be a Not-for-Profit organisation (CIC)

• Ambition for OneNorwich to hold the MCP contract in partnership with others

• Embeds Norwich practices into Norfolk's STP footprint (CRG, PCSC, I/T)

• Gives the Leadership Board a formal entity

• Enable General Practice at Scale through identified workstreams

• Enable GP practices to work closer together and have the same objectives

• Give practices much needed support from a primary care focused organisation

• More inclusive for all practices and staff

• Develop sustainable clinically excellent general practice

What is the Role of the Leadership Board?

• Chaired by elected members

• Provide strategic direction for General Practice in Norwich

• Provide options for practices about function and form for the future to ensure sustainability

• Approve and develop business cases for General Practice Working at Scale

• Be the forum for collaborative working with the Norwich system providers

• Programme Board for PMS Money before submitting to NHSE & CCG committee

• EAHSN MCP Readiness Assessment, of OneNorwich in August 2017

• To drive the evolution of OneNorwich from a simple alliance into a formal functioning provider by 1st April 2018

The 10 Key Aims

• Make OneNorwich an official company structure to ensure readiness for MCP contract

• Develop GP neighbourhoods and tune them according to their demographics

• Release ‘time capacity’ in GP practices to enable GPs to ‘stay in their practices’

• Shift appropriate secondary care into primary care i.e. paediatric diabetes

• Integrate out of hospital care across health & social care

• Prepare for the expected growth of population over the coming years

• Utilise GP & others clinical skills and abilities to maximum effect

• Develop sustainable services over the long term

• Work smarter NOT harder

• Secure maximum value for money for commissioners

Norwich New Model of Care Business Case

The Business case:

• Implementation of Primary Care at Scale as part of the Norwich New Model of Care - £3 per head of primary care transformation money + an additional 50p per head of population from April 2017 until April 2019.

The business case high level detail:

• Support to fund the 4 elected executive team and the Head of Transformation role and management team

• Support to fund the Norwich New Model Leadership advisory group

• Helping to deliver the 10 high impact actions

• Develop the neighbourhoods across Norwich i.e. City 1,2,3 and 4

• Move appropriate treatment into primary care with the correct funding envelope

• Drive forward the MCP across the city + Potential for OneNorwichto be MCP Contract holder or lead provider

Structure

Chair

Vice Chair

Lead Practice Manager

Lead Practice Nurse

Head of Transformation

Programme Manager Primary

Care @Scale

Extended hours lead

Digital Norwich Project Manager

Head of Governance

IT Administrator

Work Programme

The Norwich MCP Vision

‘To develop an integrated, local, sustainable & clinically effective

model of primary and community care, where health and social care

services are tailored to the needs of our diverse communities’

What defines OneNorwich?

1. Clinical Excellence

2. Continuity of Care

3. Patient Centred Care

4. A Bespoke Norwich Eco-healthcare System

5. Inter-operability

6. Championing robustness and a resilient Primary Care that

thrives

Neighbourhood care pilot

Locality City 1,2,3,4 General

Practice

Gp Core Team

District Nurse

Case Manager

Social Worker

Physio

Community Mental Health

Specialist Clinics

Derm/ENT

Locally Commissioned

Services

NEAT

Locality City 1,2,3,4 General

Practice

Multi disciplinary

delivery team admission avoidance

Hub based services

Rouen House7days

/extended hours

OOH BaseDiagnosticsOutpatient

clinicsMFE support

Thank you!

Questions