9.35 – 9.50 KEYNOTE THEATRE

Speakers:

• Dr Minesh Patel, Chair, NAPC
• Dr Johnny Marshall OBE, President, NAPC

9.50 – 10.40 KEYNOTE THEATRE

This session will explore the importance of effective leadership in the transformation of primary care, particularly primary care networks and the integration of services. The session will examine the findings of an independent report by The King’s Fund, Insights from the spread of primary care home, which looked at the spread of the primary care home model – an established primary care network that has informed national PCN policy. According to the report, primary care homes brought an enabling form of leadership – one that is organic, locally-led, practical, not top down that empowered colleagues and created a culture of compassion and valuing staff. The session will discuss the merits of this form of leadership and how the approach can be applied across primary care. The session will include insights from PCHs that were interviewed in the report.

Panel:

• Dr Nav Chana MBE, National PCH Clinical Director, NAPC
• Dr Ned Naylor, Director of Primary Care Provider Transformation, NHS England and NHS Improvement
• Dr Stewart Smith, GP and Lead, St Austell Healthcare Primary Care Home
• Caroline Rollings, NAPC PCH Faculty Member and former Managing Partner, Newport Pagnell Primary Care Home
• Gerard Newnham, Strategy Director, Granta PCH

9.55 – 10.35 PRIMARY CARE NETWORKS IN ACTION THEATRE

This session will explore how Eden Primary Care Home in Cumbria, one of NAPC’s initial primary care home rapid test sites, has broken down traditional professional boundaries and worked with patients and local communities to overcome challenges specific to the area. Eden covers the most sparsely populated area of the country, with the highest level of fuel poverty in England. Local hospitals are about one hour’s drive away for most patients. Covering a population of around 52,000 patients, Eden established an integrated care hub where community health teams, adult social care, Eden District Council and most local voluntary organisations are co-located within a local community hospital site. All these services are working effectively together for the first time to achieve the best possible outcomes for patients and local people

Panel:

• Dr Ashley Liston, GP Lead, Eden Primary Care Home (Integrated Care Community)
• Vanessa Connor, Senior Integrated Care Community Manager, North Cumbria
• Angie Reynolds, Integrated Community Care Manager/Clinical Nurse Lead, Cumbria Partnership NHS Foundation Trust
• Gordon Barwick, Team Manager, Eden West Social Work Team, Cumbria County Council

9.55 – 10.35 PRIMARY CARE THEATRE – STRAND 1: PREPARING FOR 2020

As part of the new five-year GP contract, primary care networks need to deliver a set of seven national service specifications. One of the services required to start in 2020 is the enhanced health in care homes service, which PCNs need to base on the model tested in the six care home vanguards. These vanguards have been working with care homes, local authorities, the voluntary sector, carers and families in an integrated way to optimise the health of their care home residents.

This session will discuss what the requirements are of the enhanced health in care homes service and how it can be implemented. The former national lead of enhanced health in care homes vanguards will give an overview of the lessons learned from the vanguard work. There will also be two case studies: Newcastle Gateshead CCG will show how they have implemented the vanguard and the impact of the programme, and Herne Bay Primary Care Home will share learning from their integrated service for residents in over 40 care homes, which has resulted in significant hospital admissions reduction amongst this patient group.

Speakers:

• Lesley Bainbridge, Clinical Lead, North East and North Cumbria Frailty Network, Newcastle Gateshead Clinical Commissioning Group
• Dr Jeremy Carter, GP and Lead, Herne Bay Primary Care Home
• William Roberts, Head of Health and Social Care, Innovation Unit and former National Lead, Enhanced health in care homes vanguards, NHS England

10.45 – 11.25 PRIMARY CARE NETWORKS IN ACTION THEATRE

This session will focus on a dedicated children’s rapid response team which was set up in Luton to reduce A&E admissions, minimise the length of time children spend in hospital and improve out of hospital care. The service was set up after a review found that six common acute conditions accounted for 85% of emergency activity involving children – respiratory problems, fever, diarrhoea and vomiting, accidental injuries (including head injury), abdominal pain and fits and fainting. Urgent care pathways for these conditions have been designed to guide local GPs and patients are now able to call NHS 111 and be referred directly to the team. During the session, data will be shared demonstrating how the service has led to improved patient care and reduced pressure on A&E, hospital paediatric teams and GPs.

Panel:

• Dr Uzma Sarwar, GP and Clinical Lead, Children’s Rapid Response Team, Luton CCG
• Lynn Fanning, Children’s Community Nurse Practitioner, Cambridgeshire Community Services NHS Trust

10.45 – 11.25 PRIMARY CARE THEATRE – STRAND 1: PREPARING FOR 2020

The NHS Long Term Plan committed to the full roll out of the NHS comprehensive model for personalised care. Personalised care gives people choice and control over the way their care is delivered based on what matters to them and their needs. Primary care networks are required to implement aspects of the comprehensive model of personalised care from 2020 as part of seven national network service specifications.

This session will hear from a GP in South Oxhey who has driven the development of social prescribing and community-based support – a key aspect of personalised care – in her local area and has championed its value nationally and internationally. The session will also hear from NHS England’s personalised care team who will give an overview of the model and more details on the specification.

Speakers:

• Simon Chapman, Deputy Director, Personalised Care Group, NHS England and NHS Improvement
• Dr Marie Anne Essam, GP, Pathfinder Practice, South Oxhey

11.20 – 11.50 KEYNOTE THEATRE

This year has seen one of the most significant step changes in the history of primary care. Almost all parts of the country are now in a primary care network, all of which are expected to develop new roles, integrated services and a population health approach to the health and care of their communities. Join this session for an in-depth interview with the Director of Primary Care Provider Transformation at NHS England and NHS Improvement who has been key to the development of these plans. The session will give an update on progress made so far, key challenges across the country and how these are being tackled, examples of where PCN development is working well and why, and the milestones coming up. There will also be an opportunity for audience members to ask questions and share their experiences.

Panel:

• Dr Nav Chana MBE, National PCH Clinical Director, NAPC
• Dr Ned Naylor, Director of Primary Care Provider Transformation, NHS England and NHS Improvement

11.35 – 12.15 PRIMARY CARE NETWORKS IN ACTION THEATRE

This session will explore the challenges and opportunities around integrating community pharmacy with primary care networks. NAPC’ guide to community pharmacy integration within primary care homes shows what is possible for greater integration making greater use of pharmacists’ skills and taking a population management approach. We have seen primary care homes join forces with their community pharmacies on flu vaccination campaigns, develop an integrated approach to managing patients with long-term conditions and work together to reduce polypharmacy. The session will discuss how this learning can be applied across primary care networks and the NAPC’s next steps in supporting the drive for further community pharmacy integration in light of both the NHS Long Term Plan and the new community pharmacy contractual framework. Join the session to hear the approach being taken in Newham including their award winning pre-TB extended primary care service – a general practice and community pharmacy partnership with shared IT system to reduce rates of tuberculosis.

Panel:

• Professor Ash Soni OBE, Vice President, International Pharmacy Federation (FIP), Assembly
  and English Pharmacy Board Member, Royal Pharmaceutical Society, Non-Executive Director, NAPC
• Dr Farzana Hussain, Clinical Director, Newham Central 1 PCN
• Jignesh Patel, Pharmacist Independent Prescriber, Rohpharm Pharmacy

11.35 – 12.15 PRIMARY CARE THEATRE – STRAND 1: PREPARING FOR 2020

As part of the five-year GP contract, primary care networks are required to develop an anticipatory care approach. This involves joining up primary care with community-based services to provide more proactive and intense care for patients who are at a high risk of developing poor health, including patients receiving palliative care. The aim is targeted support for severely frail older patients as well as people of all ages living with multiple commodities, and to build on the work of the vanguards.

This session will hear examples of anticipatory care in action. You’ll hear from a primary care home and network which has developed a single responsive team covering community nursing, mental health practitioners, a psychologist, Age UK, physiotherapist, and a housing co-ordinator to provide anticipatory care for high risk patients. This will be followed by two PCNs in Bedfordshire, Luton and Milton Keynes Integrated Care System (ICS) that are developing integrated working with community care services including proactive care planning for frail patients.

• Hollie Poole, Integrated Programme Delivery Manager, PCN Community Teams, West Sussex
• Dr Haydn Williams, GP and Clinical Director, Hatters Health Primary Care Network
• Dr Manraj Barhey, GP and Clinical Director, Medics Primary Care Network (BLMK)

13.10 – 14.00 KEYNOTE THEATRE

The NHS Long Term Plan made provision for mental health services to be more fully integrated across primary care through primary care networks. This shift towards more integrated, population-level health systems is designed to enhance prevention and treatment services at a local level. This session will explore how different parts of the system are managing closer working including looking at how mental health teams are being recreated around primary care networks. The panel will also explore the benefits patients are starting to see where integration is working well. The session will hear the difference Healthier Fleetwood is making to people’s lives and learn about the mental health pilots across Surrey Heartlands.

Panel:

• Claire Murdoch, National Mental Health Director, NHS England and NHS Improvement,
• Dr Barbara Cleaver, Consultant in Emergency Medicine, Imperial College Healthcare NHS Trust,
• Dr David Kirkpatrick, Clinical Psychologist and GPimhs Clinical Lead, Surrey and Borders Partnership NHS Foundation Trust
• Tony O’Neill, Fleetwood Men’s Shed
• Dr Mark Spencer, GP and Lead, Healthier Fleetwood Primary Care Home

13.30 – 14.10 PRIMARY CARE NETWORKS IN ACTION THEATRE

The first Harmony and Health Singing Group started in 2017 with 10 people getting together to sing for fun as part of the Healthier Fleetwood community movement in Lancashire that was born a year earlier. Since then it’s taken off – there are now more than 200 members with four singing groups across four venues. The group is not a choir, it is all about having fun, making friends and feeling healthier and happier. Many members who felt isolated before and didn’t go out now attend regularly and new relationships and social groups have formed. Come and join the more than a dozen singers who’ve travelled to the conference to sing and tell their stories of how Healthier Fleetwood has empowered them to take control of their health and their lives. Warning this is an immersive session – you will be asked to join in!

13.30 – 14.10 PRIMARY CARE THEATRE – STRAND 2: DIGITAL

NAPC digital is a new initiative that brings together NAPC‘s networks with clinical innovators, entrepreneurs and leaders to drive digital transformation across primary care, particularly primary care networks. The aim is to support primary care to adopt practical and innovative technology and to work with entrepreneurs to develop technology that speaks to the needs of the population, individual patients and professionals. Join this session to hear more about NAPC digital including work to develop a digital blueprint for primary care networks – including primary care homes. The session will also unveil plans to test and develop new technology within primary care networks and will give information on how PCNs and digital start-ups can take part in this exciting new programme.

Panel:

• Dr Nav Chana MBE, National PCH Clinical Director, NAPC
• Dr Pooja Sikka, GP and Partner, TenX Health

14.10 – 15.00 KEYNOTE THEATRE

This session will explore the concept of social prescribing which enables GPs and other health professionals to refer people to non-clinical services available locally, recognising that their health is impacted by a range of social, economic and environmental factors. But there are many different terms used – including link workers, care navigators and health connectors – and social prescribing is just one element of personalised care. The session is an opportunity for experts in the field to provide clarity on how social prescribing can be successfully implemented and the benefits and evidence on improving health and wellbeing outcomes.

Panel:

• Christiana Melam, Chief Executive, National Association of Link Workers
• Simon Chapman, Deputy Director, Personalised Care Group, NHS England and NHS Improvement
• Dr Mark Spencer, GP and Lead, Healthier Fleetwood Primary Care Home
• Dr Kathy Hoffman, GP and Diabetes Clinical Lead, Buckinghamshire CCG
• Kathy Clark, Patient, Frome Primary Care Home

14.20 – 15.00 PRIMARY CARE NETWORKS IN ACTION THEATRE

Patients in Cheshire with dementia are now being diagnosed quicker following a pilot project between a community trust and the local primary care network. Faced with a higher than national average of people over 75, the PCN in Knutsford worked with Cheshire and Wirral Partnership NHS Foundation Trust on a pilot project to improve care. This has led to speeding up the diagnosis for patients, a new local primary care review clinic and greater access to consultants for the most complex and advanced patients.

Panel:

• Dr Sadia Ahmed, Consultant Psychiatrist for Older Adults, Macclesfield General Hospital
• Josephine Worthington, Team Manager, Macclesfield Older People’s Community Mental Health Team

14.20 – 15.00 PRIMARY CARE THEATRE – STRAND 2: DIGITAL

The NHS Long Term Plan highlights the importance of technology for the future of the NHS, setting out priorities that will support digital transformation and provide a step change in the way the NHS cares for patients. Key to this transformation is enabling digital innovation to flourish and spread across the health service. This session will hear from four digital healthcare innovators who have founded products and services that aim to disrupt the way care delivered in the NHS. Join the session to hear what motivated them to launch their company, how their digital product or service is helping to tackle key challenges in the NHS, their experiences of entering the NHS market and their ambitions for the future. Their innovations include a workforce platform that reduces spending and empowers staff, clinically proven technology that improves patient and population health, digital support to employees going through a big life transition and a breath analysis device and app to help with the management of IBS and related conditions.

Panel:

• Dr Ishani Patel, Co-founder, Lantum
• Arjun Panesar, Founding CEO and Head of AI, Diabetes Digital Media, Mridula Pore, Co-founder and CEO, Peppy
• Aonghus Shortt, CEO, FoodMarble

15.10 – 15.50 PRIMARY CARE THEATRE – STRAND 2: DIGITAL

This session will explore how Dorset Integrated Care System (ICS) is using innovative technology to support its vision to transform the health and well being of its population. The session will include an overview of the ICS’s digital projects, how technology is joining up different parts of the system and their work to digitalise primary care networks. You’ll also hear about the innovative technology that is transforming the way care is delivered – including their WaitLess app – which gives people with minor injuries information about where they can access treatment in the most convenient location.

Panel:

• Crystal Dennis, Digital Lead for Empowered Self Care and Innovation Catalyst, Dorset CCG
• John Stubbs, Transformation Project Manager and Digital Workforce Development Lead, Dorset CCG

15.00 – 15.40 KEYNOTE THEATRE

The transformational change taking place in primary care is leading to a very different environment for the next generation of people entering the profession, presenting exciting opportunities as well as new challenges. The session will focus on the impact of primary care networks on the sector and the expansion of integrated working with multi professional teams from multiple organisations.

Join the session to hear the aspirations of emerging leaders, how they can overcome obstacles, leadership styles needed in the new environment and how the NHS can retain and lure the best people across the new evolving primary care landscape. The session will hear NHS England’s view on the opportunities for general practice nursing as part of the 10 point action plan and from Next Generation GP on the sustainability of the profession. By 2020, there could be as many as 1,000 physician associates working in primary care, the session will hear how this new breed of healthcare professional is fitting in and the future for practice managers in the world of PCNs.

Panel:

• Michelle Chapman, Vice President, Faculty of Physician Associates (FPA)
• Karen Storey, Primary Care Nursing Lead, NHS England and NHS Improvement
• Dr Thuva Amuthan, GP Registrar, West Midlands and Next Generation GP
• Tracy Dell, Practice Manager, Plane Trees Group Practice

15.20 – 15.50 PRIMARY CARE NETWORKS IN ACTION THEATRE

This session will explore the different ways in which two primary care homes are working in close partnership with their local community trusts and schools to support pupils with mental health problems. The South Coast Medical Group in Dorset runs GP sessions in local schools to help combat high levels of mental health problems among young people. Team Winsford (Winsford Care Community) in Cheshire funds a project which involves training education staff to spot mental health problems and make appropriate referrals.

Panel:

• Dr Shelley Carter, GP, South Coast Medical Group Primary Care Home
• Dr Isi Sosa, GP and Safeguarding Lead, Dorset CCG
• Tina Cookson, Clinical Lead, Team Winsford Primary Care Home (Winsford Care Community)
• Ian Roberts, Team Manager, Winsford Child and Adolescent Mental Health Services
• Nic Curran, Assistant Principal, Winsford Academy

16.00 – 16.45 PRIMARY CARE NETWORKS IN ACTION THEATRE

This is the story of Frome Medical Practice which has pioneered an enhanced model of primary care. In 2013 it set out to improve patient care and improve the working lives of those working in health and social care. Recognising that many vulnerable and socially isolated people would benefit from support other than medical interventions, the Frome practice established a care coordination hub to provide a more holistic approach to care. Based in the practice’s state-of-the-art building, the hub houses more than 130 permanent health professionals, including 30 GPs, district nurses, health visitors, a pharmacy, opticians and operating theatre. Working in a collaborative holistic way and supporting patients to make their life worthwhile, Frome Medical Practice has seen a sharp drop in emergency admission and staff have been empowered to deliver healthcare they are proud of. Working with Health Connections Mendip and Frome Town Council, there are now 1,000 connectors encouraging patients to take control of their lives. Join the session to learn from one of the most mature primary care networks.

Panel:

• Dr Helen Kingston, GP and Senior Partner, Frome Medical Practice
• Dr Rob Taylor, GP Partner, Frome Medical Practice
• Dr Andy Millar, GP Partner, Frome Medical Practice
• Jenny Hartnoll, Service Lead, Health Connections Mendip
• Jo Fordham, Link Worker, Health Connections Mendip
• Kathy Clark, Patient, Frome Primary Care Home

15.50 – 16.40 KEYNOTE THEATRE

This session will explore how local areas can harnass the power of communities by building relationships and enabling all parts of the community to play a role in the health and wellbeing of populations. This involves identifying community assets, co-designing, collaborative leadership, and taking a preventative and population health approach to health and care. The session will hear examples of local areas using this approach – including an update on the Wigan Deal.

Over the last seven years, Wigan Council have adopted a radical new approach to delivering services based on an informal agreement between the council and the people who live there as well as working with NHS and other partners. The session will also hear from North Halifax Primary Care Home, an established primary care network, which has worked with its community and developed a population health management approach, as well as national ADASS case studies on providing solutions to reflect local needs.

Panel:

• Don Redding, Director of Policy and Partnerships, National Voices
• Glen Garrod, Immediate Past President, ADASS, and Executive Director of Adult Care and Community Wellbeing, Lincolnshire County Council
• Professor James Kingsland OBE, National PCH Clinical Director, NAPC, Councillor
• Keith Cunliffe, Deputy Leader, Wigan Council
• Caroline Taylor, North Halifax Community Wellbeing Partnership Primary Care Home

16.45 – 17.15 KEYNOTE THEATRE

Panel:

• Dr Minesh Patel, Chair, NAPC
• Dr Johnny Marshall OBE, President, NAPC
• Professor Ash Soni OBE, Vice President, International Pharmacy Federation (FIP), Assembly and English Pharmacy Board Member, Royal Pharmaceutical Society, Non-Executive Director, NAPC
• Julie Bolus, Non-Executive Director, NAPC
• Christiana Melam, Chief Executive, National Association of Link Workers
• Don Redding, Director of Policy and Partnerships, National Voices
• Tracy Dell, Practice Manager, Plane Trees Group Practice