Agenda Item 5.2 – Appendix A Primary Care Commissioning Committee Overview Report

Primary Care Networks - Overview

As of 1 July, Cambridgeshire and Peterborough CCG has twenty one Primary Care Networks. This consists of twelve in the North and nine in the South. The below table outlines all PCNs and Clinical Directors:

North South PCN Name Clinical Director PCN Name Clinical Director A1 Network Dr Jo Pritchard Cam Medical Network Dr Marie Waters Dr Stephen Ford BMC Paston Dr Adnan Tariq Cambridge City Dr Rachel Harmer Dr Tom Shackleton Central Thistlemoor Dr Neil Modha Cambridge North Villages Dr Craig Needs Dr Toseef Sethi Dr Simon Poole Octagon Dr SanathYogasundram CantabMedical Practices Dr Kevin Webb Huntingdon Dr Duncan Blake Ely North Dr Zoe Hutchinson Wisbech Dr Mandeep Sira Ely South Dr Richard Brixey Peterborough 1 Dr Tabasum Shah Granta Medical Practice Dr Duncan Sconce Fenland Dr Ben Curtis Meridian Dr Vanessa Lockyer South Fenland Dr Angela Stevens-King Woodlands Dr Cathy Bennett Dr Simon Hambling South Peterborough Dr Peresh Gela St Ives Dr Sean Culloty St Neots Dr Katherine Scoffings North Primary Care Networks – further detail

North PCN Name Practices List Size A1 Network Buckden and Little Paxton Surgeries; Alconbury and Brampton Surgeries; Wellside Surgery; 40,053 Kimbolton Medical Practice; Almond Surgery BMC Paston BoroughburyMedical Centre; PastonHealth Centre 39,427 Central Thirstlemoor Medical centre; Central Medical Centre 37,700 Thistlemoor Octagon Octagon Medical Practice; Hampton Health; Bretton Medical Practice; Thomas Walker Surgery 93,542 Huntingdon Priory Fields Surgery; Hicks Group Practice; Papworth Surgery; Acorn Surgery 43,544 Wisbech Trinity Surgery; Parson Drove Surgery; Clarkson Surgery; North Brink Practice 50,356 Peterborough 1 Ailsworth Medical Centre; Botolph Bridge Community Health centre; Dogsthorpe Medical 40,431 Centre; Orton Bushfield Medical Practice; The Grange Medical Centre; Thorpe Road Surgery; Welland Medical Practice; Westwood Clinic Fenland Ramsey Health Centre Partnership; The Cornerstone Practice; Mercheford House; The 30,557 Riverside Practice South Fenland George Clary Surgery; Fenland Group Practice; Priors Field Surgery 30,293 South Yaxley Group Practice; New Queen Street Surgery; Old Fletton Surgery; Oundle Medical 67,343 Peterborough Practice; Wansford and Kings Cliffe St Ives The Old Exchange Surgery; The Spinney Partnership; Moat House Surgery; Church Street 46,160 Health Centre; Cromwell Place Surgery; Riverport Medical Practice St Neots Eaton Socon Health Centre; Cedar House Surgery; Great Staughton Surgery; St Neots Health 46,580 Centre; Monkfield Medical Practice South Primary Care Networks – further detail

South PCN Name Practices List Size Cam Medical Newnham Walk Surgery; Lensfield Medical Practice; Trumpington Street Medical Practice 46,455 Network Cambridge City Nuffield Road Medical Centre; Arbury Road Surgery; York Street Medical Practice; East 50,456 Barnwell Health Centre; Bottisham Medical Practice (Cambridge City PCN also includes patients from Cambridge Access Surgery) Cambridge Firs House Partnership; Willingham Medical Practice; Over Surgery; Cottenham Surgery; 46,666 North Villages Swavesy Surgery; Maple Surgery; Waterbeach Surgery; Milton Surgery Cantab Medical Bridge Street Medical Centre; Huntingdon Road Surgery; The Red House 49,692 Practices Ely North Cathedral Medical Centre; St Mary’s Surgery; St George’s Medical Centre 37,746 Ely South Staploe Medical Centre; Burwell Surgery; Haddenham Surgery 36,701 Granta Medical Granta Medical Practice 42,923 Practice Meridian Bourn Surgery; Harston Surgery; Comberton and Eversden Surgeries; Orchard Surgery; 40,189 Roysia Surgery; The Health Centre Practice Woodlands Woodlands Surgery at Eden House; Cherry Hinton and Brookfields Medical Practice; Queen 55,951 Edith Medical Practice; Cornford House Surgery; Mill Road Surgery; Petersfield Medical Practice Engagement and next Steps

The below sets out next steps and plans to engage and work with PCNs.

Clinical Director Welcome Event – Wednesday 17 July

As an initial support offer the CCG has organised a welcome event for all Clinical Directors. This is an opportunity to welcome new PCN Clinical Directors, networking with their peers and outline the CCG support offer. The draft agenda will include practical information around the DES, discussions around the new roles outlined in the DES (Social Prescribers and Clinical Pharmacists) and possible options for recruitment alongside agreeing how Clinical Directors would like to be engaged moving forward.

Primary Care Innovation Academy Leadership Programme

The CCG has co-developed a Primary Care Innovation Academy Leadership programme with the Judge Business School, University of Cambridge, to support PCN Clinical Directors locally. It will commence in September 2019, funded by the CCG.

Further development opportunities and plans, for example:

• Productive General Practice - 25 practices attend facilitated workshop to develop QI and change management skills - can be provided for individual practices to attend or for a whole PCN (PGP Collaborative). • PCNs and system partners: Vision to Delivery - local bespoke facilitated workshops for PCNs and stakeholders to develop vision and identify priorities. • National accelerator site – offer to be relaunched. Primary Care Strategic Delivery Plan

Background There have been a number of publications and changes within Primary Care recently, including: • The publication of the NHS Long Term Plan (LTP) in January 2019, which as well as setting out the overarching long-term goals for the NHS, included some specific changes for Primary Care; • New GP Contract published in the form of “Investment and evolution: A five-year framework for GP contract reform to implement the NHS LTP”; • Primary Care Networks (PCNs) and the Network Contract DES; and • Integrated Neighbourhoods.

To support the refreshed system plan which will be submitted to NHSE in Autumn 2019, the CCG have developed a Primary Care Strategic Delivery Plan, which sets out how we will ensure the sustainability and transformation of primary care and general practice to improve population health covering 2019/20 to 2023/24. This plan builds on the General Practice Forward View Strategy published in 2017.

Engagement At the CCG members’ event held on 13 June we shared our draft strategic ambitions (available slides 6 and 7/in the annex) for Primary Care and asked our members who were in attendance their views on the revised ambitions. Subsequently we shared this virtually with all members with a short survey to ensure all member practices had the opportunity to comment.

A draft copy of the plan has also been shared with NHSE, Healthwatch, the LMC, GPFV Engagement and Delivery Group and North/South Alliances for comment.

We are due to submit the current version of the Primary Care Strategic Delivery Plan to NHS England on the 28 June, however foresee the plan being updated throughout the year as PCNs evolve. DRAFT – work in progress Ambitions (1/2) Our vision for a sustainable future remains, with practices working together to engage a wide range of staff to deliver proactive, standardised and integrated care. There are four areas to support the ongoing transformation journey. General Practice Delivered at Scale Much more joined up and integrated primary and To build a better health service for our population by community services for sharing expertise and resource ensuring services are safe, accessible and of the across PCN’s to build resilience and sustainability. highest quality. Reducing variation in the safety of care. Engaged patients and carers who are central to any Establishing 21 Primary Care Networks of 30,000- decision making about their health and empowered to 50,000 population cluster level across the prevent and manage their illness. Cambridgeshire and Peterborough STP area. Patients within the PCN are central to service and Maximising DES opportunities, establishing PCNs as clinical pathway changes. the cornerstone to deliver proactive and co-ordinated Cohesive Online and Extended Access care, sensitive to specific population needs, maximising Ongoing delivery of improved access current universal patient care and quality in local communities. coverage continued through GP federations, with Resilient General Practice at the heart of Integrated responsibility to pass to PCNs linked to maturity and Neighbourhoods, with general practice business subject to ongoing plans for delivery. configuration aligned for PCNs sustainability, ensuring services are safe, accessible and of the highest quality. Digital solutions for demand and capacity management, and online consultation across Primary Clinical Director leadership arising from effective PCNs and supported by education and resources. Care. Commissioning for increasingly at scale provision and Patients able to directly book into general practice via using new contract options for more localised service NHS 111. offer (LES, supplementary services, APMS). Promoting the continuous improvement in the safety and quality of Expanded role for PCNs to run urgent care in the commissioned services. community – local plans linked to outcomes of Urgent and Emergency Care (UEC) Round Table system Underpinned by contracting and quality improvement planning. enablers and regulations. DRAFT – work in progress Ambitions (2/2) Our vision for a sustainable future remains, with practices working together to engage a wide range of staff to deliver proactive, standardised and integrated care. There are four areas to support the ongoing transformation journey. Workforce and workload optimisation Digital and estate future-proofing PCN led retention of Primary Care workforce All patients will have online access to their full record resulting in reduced rate of attrition and build of from April 2020. resilience. An empowered workforce that feels All practices offering and promoting electronic valued and has the balance of specialist and ordering of repeat prescriptions and using electronic generalist skills to meet the population needs. dispensing from April 2019. Attracting wider workforce into STP footprint All practices to have an informative and up to date through successful recruitment strategies to meet online presence by April 2020. Including giving all key trajectories, working alongside Training Hub, patients access online to correspondence . HEE and LWAB. Ensuring structures developed for new roles. Improve quality of Primary Care estate that supports frontline service delivery for patients, considering Extending reach of High Impact Changes across all current and future requirements and in the context of practices to address workload pressures and our ambition to achieve Integrated Neighbourhoods assign skill mix effectively across clinical and non- that support wider communities and meet H&SC Act. clinical work areas. Strategic planning for growth sites, learning from our New to PC Nurses offered the Fundamentals of PN developing new town (Northstowe), informing 33 course within first, alongside the national other strategic growth sites across the system, and preceptorship programme. maximising developer contributions (S106, CIL). Offer guided support to newly qualified nurses and Delivering on aims and benefits of ETTF schemes. new to Primary Care Nurses to support recruitment New schemes supported with capital coming from a and retention. range of sources. Refreshed Primary Care estates Pilot of Physician Associate role in Primary Care in strategy – set at PCN and Alliance level. Peterborough.