Preparing for 2020
Wednesday 9 October
09.50 – 09.55: Welcome from Strand Chair, Andy Mullins, Primary Care Home Faculty, NAPC
09.55 – 1035: Enhanced health in care homes – learning from the vanguards and primary care homes
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.
- 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
Click here to download the slides from this session.
10.45 – 11.25: Implementing the comprehensive model of personalised care
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.
- Simon Chapman, Deputy Director, Personalised Care Group, NHS England
- Dr Marie Anne Essam, GP, Pathfinder Practice, South Oxhey
11.35 – 12.15: Anticipatory care: working with community services to provide enhanced care for complex high risk patients
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)