9.05 – 9.40 KEYNOTE THEATRE

This session will explore how some areas are putting aside the silo working of the past and developing new, productive relationships across sectors, based around population health needs. The result will be the creation – for the first time since the NHS was set up in 1948 – of fully integrated community-based healthcare. Developing new ways of working across different types of organisation presents challenges as well as the opportunity to deliver better care for patients. The panel will share their experiences and learning on how to develop new effective alliances across acute, community and primary care.

Panel:

• Peter Aitken, Consultant Liaison Psychiatrist, Royal Devon and Exeter NHS Foundation Trust, and Director of Research and Development and Medical Education at Devon Partnership NHS Trust
• Dr Markus Maiden-Tilsen, CEO, Thanet Health Primary Care Home (Thanet Health CIC)
• Professor Joe Harrison, Chief Executive, Milton Keynes University NHS Foundation Trust
• Dr Karen Kirkham, GP, Senior Medical Advisor Primary Care Provider Transformation, NHS England and NHS Improvement and Clinical Lead, Dorset Integrated Care System (ICS)

9.30 – 10.10 PRIMARY CARE NETWORKS IN ACTION THEATRE

NAPC and Macmillan Cancer Support are working with a number of primary care home sites to enhance care and support for people living with cancer. The primary care home model has been seen to be particularly effective in providing enhanced and personalised cancer care because of its focus on team-based and integrated working across primary, community and secondary care. Primary care homes involved in this project have received specialist training from Macmillan and implemented Macmillan’s Quality Toolkit for Cancer Care in Primary Care and the ‘Right By You’ model – both of which aim to provide seamless and personalised care to cancer patients at primary care level. This session will provide an overview of the project from Macmillan and will include updates from St Austell Healthcare and Granta Primary Care Homes on how they introduced the project, the challenges they faced and lessons learnt.

• Dr Rosie Loftus, Joint Chief Medical Officer, Macmillan Cancer Support
• Sophia Nicola, Primary Care Advisor, Macmillan Cancer Support
• Dr James McClure, GP, St Austell Healthcare Primary Care Home
• Kelly Austin, Social Navigator, Granta Primary Care Home

9.30 – 10.10 PRIMARY CARE THEATRE – STRAND 3: ENHANCING OUR WORKFORCE – OUR PEOPLE AND TEAMS

This session brings together senior nurses to discuss developing nursing leaders across primary care and the opportunities available to empower and enhance their careers.  NHS England’s Chief Nursing Officer has highlighted the need to strengthen nursing leadership in primary care networks and encouraged PCNs to appoint GPNs as clinical directors. To help achieve this there’s additional funding to support primary care nurses to develop the leadership skills needed to become more actively involved in leading their PCNs.

The panel will discuss what more can be done to increase nurses’ voice, how the profession is responding to PCN opportunities, the latest on the General Practice Nursing 10 Point Plan, how nurses can overcome some of the barriers which have traditionally prevented them from taking leadership roles and the opportunities available to advance their careers and retain their skills within primary care.

Speakers:

• Karen Storey, Primary Care Nursing Lead, NHS England and NHS Improvement
• Ben Scott, Advanced Nurse Practitioner, Doncaster South Primary Care Network
• Julie Bolus, Non-Executive Director, NAPC
• Skylar Crutchlow, Nurse Manager, Holbrooks Health Team, Coventry

9.50 – 10.40 KEYNOTE THEATRE

This session will explore the challenges and opportunities around digitalisation in the NHS – the game changers in progress in some parts of the country where it threatens the traditional structures of the NHS, how digital leaders are transforming the way patient care is delivered and its role in joining up health and care systems.

The session will discuss the latest plans from NHSX and there’ll be case studies from University Hospitals Birmingham and Milton Keynes University NHS Foundations Trusts. In Birmingham, they’ve plans to use a triage phone app to reduce emergency attendances at A&E and video technology to run remote outpatient appointments – resulting in them providing a digital out-of-hospital service. Milton Keynes Hospital is now one of the most digitally advanced hospitals – it was the first hospital to enable outpatients to book their appointments online, it gives patients wearable technology to monitor their clinical symptoms and has launched e-care, an electronic patient records system. There will also be an overview of NAPC Digital on its work supporting the adoption of practical and innovative technology that is focused on the needs of local populations.

Panel:

• Professor Joe Harrison, Chief Executive, Milton Keynes University Hospital NHS Foundation Trust
• Dr Pooja Sikka, GP and Partner, TenX Health
• Lawrence Tallon, Director of Strategy, Planning and Performance, University Hospitals Birmingham NHS Foundation Trust

10.20 – 11.00 PRIMARY CARE NETWORKS IN ACTION THEATRE

This session will explore how two primary care homes and networks are working in close partnership with their local community trusts and other organisations to improve the care of older people. Team BDP Primary Care Home works with the Cheshire and Wirral Partnership NHS Foundation Trust to reduce the length of hospital stays for older patients and provide rehabilitation in a local care home. Lakeside Stamford Primary Care Home works with a wide range of statutory and voluntary organisations in Lincolnshire to reduce the number of falls among older people. Falls resulting in serious injury are the most common cause of hospital admission in its catchment area.

Panel includes:

• Dr Paul Bowen, Medical Director, Middlewood Group and member of Team Bollington, Disley and Poynton (Team BDP) Primary Care Home
• Dr Miles Langdon, Chief Medical Officer and GP partner at Lakeside Healthcare(Lakeside Stamford Primary Care Home)

10.20 – 11.00 PRIMARY CARE THEATRE – STRAND 3: ENHANCING OUR WORKFORCE – OUR PEOPLE AND TEAMS

Clinical pharmacists have played an increasing role in primary care over the last few years with many benefits to patients and practices. Now their role has been boosted further as a result of the additional 20,000 staff promised in the five year GP contract, with clinical pharmacists one of the first roles to be rolled out across England this year alongside link workers. It’s hoped clinical pharmacists will be an integral part of core general practice by 2024 and by then a typical PCN of 50,000 patients could even have a team of five or six. The ambition is that a dedicated clinical pharmacy team will significantly improve medication reviews, medicine optimisation and safety, and support in care homes.

In this session, pharmacy leaders will outline the opportunities the new reimbursement scheme brings for pharmacists and patients, how pharmacists’ contribution can be maximised and embedded as part of multidisciplinary teams. They’ll be joined by a clinical pharmacist who is one of the few pharmacists to have been appointed a PCN clinical director.

• Dr Reg Rehal, Advanced Pharmacist Practitioner, Clinical Pharmacist Lead, Thurrock Health Hubs and Clinical Director, Tilbury and Chadwell Primary Care Network
• Dr Bruce Warner, Deputy Chief Pharmaceutical Officer, NHS England and NHS Improvement
• Lelly Oboh, Consultant Pharmacist for Older People at Guy’s and St Thomas’ NHS Foundation Trust and NHS Specialist Pharmacy Service
• Professor Ash Soni OBE, Vice President, International Pharmacy Federation (FIP), Assembly and English Pharmacy Board Member, Royal Pharmaceutical Society, NAPC Non-Executive Director  (session chair)

11.10 – 11.50 PRIMARY CARE NETWORKS IN ACTION THEATRE

This session will outline how Northamptonshire Health and Care Partnership (STP) co-designed their 12-month leadership programme for clinical directors (CDs) including the approach they took and the importance they placed on it from the beginning. They will explain how they developed the programme alongside their key stakeholders including CDS, commissioners, the local medical committee (LMC) and the local community trust, and why investing early in the leadership development of CDs is vital to the success of PCNs and realising the vision of the NHS Long Term Plan

Panel:

• Catherine Wills, Workforce Programme Lead, Northamptonshire CCGs
• Dr Sanjay Gadhia, GP and Chair of the Primary Care Workforce Group, Northamptonshire CCGs
• Dr Naomi Caldwell, GP and Clinical Executive Director for Localities and Primary Care, Nene CCG

11.15 – 12.00 KEYNOTE THEATRE

Join this session to hear from one of the key figures in national primary care development. NAPC’s Dr Nav Chana will interview Dominic Hardy, Director of Primary Care and System Transformation on how primary care is progressing after one of the most significant step changes in the history of the sector.  Almost all parts of the country are now in a primary care network and are expected to develop new roles, integrated services and a population health approach.

The interview will cover the challenges to make this happen and how these are being tackled, priorities now and in the future, the sustainability of the model and key milestones coming up. The session will also reference learning from primary care homes – the original primary care network – which NHS England has recognised as having ‘blazed a trail’  and “shown us the art of the possible”.

• Dr Nav Chana MBE, National PCH Clinical Director, NAPC
• Dominic Hardy, Director of Primary Care and System Transformation, NHS England and NHS Improvement

12.00 KEYNOTE THEATRE

Video address from the Secretary of State for Health and Social Care Matt Hancock (pre-recorded)

12.00 – 12.40 PRIMARY CARE NETWORKS IN ACTION THEATRE

Bringing together new roles and scaling up an urgent care team for a primary care network can present a host of challenges. At Beacon Medical Group Primary Care Home, a practical multi-disciplinary team framework was developed by its advanced clinical practitioner – the first paramedic practitoner to work full time in primary care – to help the group tackle the high demand for appointments (more than 200 a day) and support its evolving and expanding urgent care team. As part of the framework, clear expectations were set for new emerging roles, the whole team (GPs, practice pharmacists, advanced paramedic practitioners, advanced nurse practitioners and a minor illness nurse) were involved in its development and time set aside for resilience, reflection and growth. The PCH championed its team members to patients and neighbouring practices. Additional training time enabled students including trainee pharmacists, paramedics and nurses to witness the team’s work and they now see the new model as offering a place to develop their careers in the future.

Panel:

• Simon Robinson, Advanced Paramedic Practitioner, Beacon Medical Group Primary Care Home
• Robin Conibere, Practice Pharmacist, Beacon Medical Group Primary Care Home
• Claire Oatway, Chief Operating Officer, Beacon Medical Group Primary Care Home

12.15 – 12.45 PRIMARY CARE THEATRE – STRAND 3: ENHANCING OUR WORKFORCE – OUR PEOPLE AND TEAMS

NAPC’s Dr Nav Chana MBE, National Clinical Director, interviews Prerana Issar on the challenges and opportunities around developing the primary care workforce. They will discuss the interim People Plan published in June and explore workforce plans for primary care. Prerana will reflect on her first six months in her role and the work she is doing with primary care networks to ensure that the NHS has enough people, with the right skills and experience to deliver the improvements for patients as set out in the NHS Long Term Plan (LTP). They will discuss the importance of team-based care around population health needs and developing new models in multi-disciplinary working to support the LTP’s ambition to integrate primary, community and secondary care. Discussions will include the new roles being embedded in primary care networks and the importance of making the fundamental shift in the skill mix needed to improve care for the local population, culture and ways of working.

12.50 – 13.30 PRIMARY CARE THEATRE – STRAND 3: ENHANCING OUR WORKFORCE – OUR PEOPLE AND TEAMS

District nurses are vital to enabling people to live as healthily and independently as possible while reducing the need for hospital care. This session looks at district nursing within primary care networks and asks what new primary care networks can learn from some of the approaches taken to integrating district nursing in primary care homes where strong relationships between primary care and district nursing have been been built.There will be a practical focus as both Freshney Pelham Primary Care Home and Herefordshire Primary Care Home share the work their district nursing teams have been doing to become key integrated parts of the primary care home with a fresh approach to managing their patients and new technologies enabling them to do things differently. But in other areas challenges remain where relationships and working relationships vary in terms of governance, funding and culture – the session will also explore how these can be overcome and how they can provide proactive personalised care particularly for people with long term conditions.

Panel include:

• Dr Crystal Oldman CBE, Chief Executive, Queen’s Nursing Institute
• David Farnsworth, Associate Director Integrated Care, Wye Valley NHS Trust and member of Herefordshire Integrated Care Alliance Primary Care Home
• Claire James, District Nurse, Herefordshire Primary Care Home
• Dr David Colin-Thome OBE, Fellow of the Queen’s Nursing Institute
• Dr Nathalie Dukes, CEO, Freshney Pelham Primary Care Home
• Elizabeth Clift, Clinical Lead Manager, Freshney Pelham Primary Care Home
• Jill Ottley, Operational Nurse Manager, Freshney Pelham Primary Care Home

13.00 – 14.00 PRIMARY CARE NETWORKS IN ACTION THEATRE

The ceremony celebrates the success of the latest primary care managers to complete the Diploma in Advanced Primary Care Management. They’re the third group to successfully complete the course and will receive their graduation certificates.The one-year diploma supports primary care managers within primary care networks to develop the skills and competencies for managing primary care at scale. The students have completed the course whilst working in demanding full time roles in primary care. Join us to help celebrate their achievements.

• Hosted by Dr Minesh Patel, Chair, NAPC

13.20 – 14.10 KEYNOTE THEATRE

This session will examine some of the biggest changes that are taking place in primary care and what they mean for the immediate and long-term future of the sector. We are already seeing transformation in action with the rapid development of primary care networks, the focus on integrated care and systems, as well as organisations, beginning to take a population health management approach. As part of the GP contract, primary care networks are asked to achieve a number of milestones, with new services being introduced from 2020. Discussions will focus on what’s next for primary care amid all the political uncertainty, the impact of the current transformation on workforce challenges, sustainability, leadership, and integration with community-based services and overall progress towards achieving the vision of the NHS Long Term Plan.

Panel:

• Dr Nav Chana MBE, National PCH Clinical Director, NAPC
• Prerana Issar, Chief People Officer, NHS England and NHS Improvement
• Dr Karen Kirkham, GP, Senior Medical Advisor Primary Care Provider Transformation, NHS England and NHS Improvement and Clinical Lead, Dorset Integrated Care System (ICS)
• Niall Dickson, Chief Executive, NHS Confederation
• Neil Tester, Director, Richmond Group

14.10 – 14.50 PRIMARY CARE NETWORKS IN ACTION THEATRE

As primary care networks (PCN) deliver the NHS Long Term Plan’s vision of more integrated care, local systems and PCNs are looking at the estate needed to deliver the these aims. Fully integrated community-based health care increasingly needs modern, customised and functional premises to provide extended ‘out-of-hospital’ services to meet the health needs of the local population. Current provision varies across areas and systems and there is a need to understand better how entire footprints can be used more effectively. The current primary care estate is often a block rather than an enabler to progress, as too many buildings are inadequate to allow PCNs to offer an increased number of services in a more accessible way for patients and improved communication between healthcare professionals and patients. Join this session to hear  how these challenges can be overcome and how a good estate strategy can have a positive impact and help realise the integrated care vision.

Panel:

• Dr Sue o’Connell, CEO, Community Health Partnerships
• Simon Gould, Head of Development, Assura
• Dr Miles Langdon, Lakeside Stamford Primary Care Home
• John Pope, Chief Executive, NAPC (session chair)

14.15 – 15.30 PRIMARY CARE THEATRE – STRAND 4: COMMUNITY ENGAGEMENT

Building a culture of partnership with patients, people and communities is vital to the success of primary care networks. Successful primary care homes have made community engagement a key element from the very beginning as they embarked on a shared vision to building their understanding of their population’s health needs and co-designing personalised care.

This session looks at how primary care networks can build successful community engagement into their plans. As well as practical tips on how to get started, the session will look at two case studies – Newport Pagnell Primary Care Home on their extensive work to understand the needs of their patients, especially those who tended to be unrepresented and the mental health projects that followed, and Newham Primary Care Home where they engaged with some of their community for the first time through local clubs.

The session will finish with an opportunity to pose your community engagement challenges to the panel.

Speakers:

• Dr Nav Chana MBE, National PCH Clinical Director, NAPC
• Caroline Rollings, PCH Faculty Member, NAPC
• Neil Tester, Director, Richmond Group.
• Wayne Farah, Former Vice Chair, Newham CCG

14.20 – 15.00 KEYNOTE THEATRE

This session will explore the extent to which first contact care providers – general practice, pharmacy, dentistry, eye and hearing services – have made progress towards collaboration and integration with primary care networks and the potential for greater work in future with improved health outcomes. In some areas progress has been evident where relationships have previously been made with primary care homes and super practices to support patients with long term conditions, prevent ill health as well as improve oral health outcomes for young children and older people. But it is still widely recognised that there’s an untapped potential to make better use of the skills of first contact care professionals across primary care particularly to help relieve the strain on the urgent health system.

• Ash Soni OBE, Vice President, International Pharmacy Federation (FIP), Assembly and English Pharmacy Board Member, Royal Pharmaceutical Society, NAPC Non-Executive Director
• Dr Johnny Marshall, President, NAPC
• Eric Rooney, Chief Dental Officer, NHS England
• Zoe Richmond, Clinical Director (interim), LOCSU
• Dr Bruce Warner, Deputy Chief Pharmaceutical Officer, NHS England and NHS Improvement
• Mark Georgevic, Non-Executive Director and former Chair,  National Community Hearing Association (NCHA)

15.00 – 15.50 KEYNOTE THEATRE

Join us to discuss the big issues of today. Our panel will be there to answer your burning questions – whether on the impact of a general election, preparing for a deal or no deal Brexit, funding, workforce challenges, governance, digital enablers and disruptors,  the Lansley Reforms, the future of primary care networks and much more.

Panel:

• Dr Nav Chana MBE, National PCH Clinical Director, NAPC
• Dr Crystal Oldman CBE, Chief Executive, Queen’s Nursing Institute
• Ash Soni OBE, Vice President, International Pharmacy Federation (FIP), Assembly and English Pharmacy Board Member, Royal Pharmaceutical Society, NAPC Council Member
• Dr Krishna Kasaraneni,  GPC Executive Team, British Medical Association (BMA)

15.50 KEYNOTE THEATRE

Close from NAPC Chair Minesh Patel.