Welcome and updates Angela Bright Chief Operating Officer

Welcome and updates Angela Bright, Chief Operating Officer

The evolution and revolution of Primary Medical Care

The essence of general practice • General Practice has been around since the dawn of the NHS • Individual business units – “corner shop” • Based on a patient registered list- av, 7, 000 • Practice teams - GPs , practice managers, practice nurses, admin staff • National core contract – 16/17 =£ 76. 44 per head

Locally North West Leicestershire 1 Castle Medical Group 2 Hugglescote Surgery 3 Broom Leys Surgery 4 Manor House Surgery 5 Whitwick Health Centre (Dr Hepplewhite & Dr Virmani) 6 The Surgery, Coalville 7 Whitwick Health Centre (Dr A M Lewis & Dr M Patel) 8 Castle Donington Surgery 9 Long Lane Surgery 10 The Surgery, Ashby de la Zouch 11 Ibstock House Surgery 12 Markfield Medical Centre 13 Measham Medical Unit North Charnwood 14 Forest House Surgery 15 Woodbrook Medical Centre 16 Field Street Surgery 17 The Surgery, Charnwood Medical Group 18 Bridge Street Medical Practice 19 Park View Surgery 20 Pinford Gate Medical Practice 21 Dishley Grange Medical Practice 22 Medical Centre, Loughborough University North West Leicestershire: 99, 611 Hinckley and Bosworth: 121, 783 Hinckley and Bosworth 36 Maples Family Medical Practice 37 The Centre Surgery 38 Newbold Verdon Medical Practice 39 Groby Surgery 40 Barwell & Hollycroft Medical Centre 41 The Orchard Medical Practice 42 Heath Lane Surgery 43 The Burbage Surgery 44 Desford Medical Centre 45 Ratby Surgery 46 The Old School Surgery 47 Station View Health Centre 48 Castle Mead Medical Centre South Charnwood: South Charnwood 75, 792 23 Greengate Medical Centre North Charnwood: 76, 991 24 Quorn Medical Centre 25 Banks Surgery 26 Cottage Surgery 27 Charnwood Surgery 28 Highgate Medical Centre 29 Anstey Surgery 30 Alpine House Surgery 31 Mahavir Medical Centre 32 Silverdale Medical Centre 33 Birstall Medical Centre 34 Barrow Health Centre 35 The Leicester Medical Group, Thurmaston Health Centre

Locally • 48 practices covering a population of 370, 000 • Average funding • Deliver high quality care – local and national benchmarks • Urban and rural population

What patients, carers and staff told us matters most to them based on their experiences Very good surgery nurses… any problems I can ring the nurse and have a chat GP – regular blood tests – listens when I have a problem and this is sometimes all I need My GP – I get all the treatment and advice I need. GP has phoned me at home to see how things are – excellent service Better access to GPs; easier to get an appointment Nurse and GP supported (me) with medications. I have mental health problems GP – don’t go very often; when I do go they are always very helpful and reassuring GP surgery – even when you go in for appointment for one thing they help with other things – they helped me to reduce weight. Constant GP moving therefore I need a stable GP and they understand me. ’ ‘See the same doctor every time Better contact to the surgery. Takes several phone calls. I get anxious if it’s for my wife

But …. . General Practice is under pressure Ageing Population The population is projected to grow by 10% over the next eight years Care homes Changes to characteristics of care home residents, with many older people making the decision – or having it made for them – to move into care homes later in life, frequently with more complex health needs Housing developments An estimated 3, 500 -4, 500 new homes per annum for 2006 -2031 Increasing demand The CCG has lower than typical admissions and prescribing rates, but is nonetheless facing pressures of rising demand increasing cost.

Long term conditions High numbers of smokers, alcohol related and obesity contribute to our higher rates of cancer Financial situation Faces a 21% funding gap between income and expenditure by 2018/19 Practice Workforce Of a total practice workforce of 970, 250 (26%) are aged 55 or over Premises. More than two thirds believe their premises limit the GP services and community services they can provide.

What we want to achieve in the future Increase the proportion of care provided in local communities and people’s own homes, reduce the care currently provided in an acute hospital Reduce inequalities in care both physical and mental Increase the number of people reporting a positive experience of care Optimise the opportunities for integrating services Achieve financial sustainability Develop our workforce and develop new capacity and capabilities

STP Better Care Together LLR 5 Year Strategic Plan Primary Medical Care Plan Better Care Fund Plan Community Services Plan Operational Plan CCG Operation & Management

Our model Self-care Core Primary Care Enhanced Primary Care Integrated primary and community specialised care Emergency and/or specialised Patient Practice Locality Multispecialty Community Provider Acute

The revolution has started • Our ambition- that our emerging federations provide the opportunity for general practice to be delivered at population scale providing many of the tests, investigations, minor injuries and minor surgery currently only provided within the hospital setting. • North Charnwood GP Community Network Ltd Ø Dr Anu Rao • Hinckley and Bosworth Medical Alliance Ø Dr Will Priestman • North West Leicestershire GP Ltd Ø Dr Kirk Moore & Dr Nick Rushman • South Charnwood GP Network Ltd Ø Dr Trishal Darji

Priorities in 16/17 Federation: Priorities: • North Charnwood GP Community Network Ltd Integrated Urgent Care • Hinckley and Bosworth Medical Alliance Services for frail older people • North West Leicestershire GP Ltd Integrated refferals • South Charnwood GP Network Ltd Medicines optimisation

Questions

Thank you

How the patient and carer engagement structure is already responding to changes in primary medical care Sue Venables Communications, Engagement and Involvement Manager

How PPG have developed Platform created for PPG members to work in collaboration with other PPG’s and CCG Influencing provision of wider health services and influencing reviews and new services Campaign work including PPG Awareness Week Membership recruitment drives Health information events Formal structures established Joint working with practice influencing the work of the practice

Work that is happening at PPG level Help at Flu clinics – utilising community venues Raising awareness of the PPG and recruiting members – PPG awareness week Input in the development of federations Support patients by having events to educate about health issues

Joint working opportunities • Supporting Campaigns – Autumn campaign/ Healthy you, Happy you. • Distributing leaflets in local area • Working in partnership with PPGs Public Health, Health. Watch, VAL and Leicestershire County Council

The emerging picture Locality PPG groups CCG and federated localities PPG Network

Future opportunities • Joint opportunities with CCG’s • Federations – joint events, campaigns collection of patient experiences Advantages • Get clinical and patient voice • Better targeting • Alignment of aims • Reduce duplication and fill gaps • Overall campaign improve knowledge of self care and prevention • Better understanding of patient and carers through collection of insights and experiences.

Group Discussion: In working groups discuss: 1. How can patient, carer and practice staff engagement at individual PPG, locality/federation and CCG levels help to transform services? 2. What should patient, carer and practice staff engagement comprise at PPG, locality/federation and CCG levels to avoid duplication, avoid gaps and encourage partnership working? 3. How can people be better supported to self care and improve their health and wellbeing and what should be done at PPG, locality/federation and CCG levels to avoid duplication, avoid gaps and encourage partnership working?

Thank you