Primary Care Networks (PCN) The Nottingham City picture
Dr Hussain Gandhi (@drgandalf52) Joint Clinical Director Nottingham City East PCN (@ncepcn) PCNs
Groups of practices of roughly 30-50,000 registered patients in same geographical locality In City, 8 PCNs based roughly on the Local Authority wards (12 in county ) Number of practices in each city PCN varies from 2 to 11 Not legal entities but collaborations or practices Map of PCNs in Nottingham City Bulwell & Top Valley (PCN1) BACHS (Bilborough, Aspley, Cinderhill, Hyson Green, Strelley)(PCN3) Radford & Mary Potter (PCN4) Bestwood & Sherwood (PCN5) Nottingham City East (PCN6 Sneinton/St Anns/ Mapperley) City South (PCN7 Wollaton) Clifton & Meadows (PCN8) Unity (PCNU = Universities)
NCE Team
Dr Hussain Gandhi Dr Margaret Abbot Nurse Robana Hussain-Mills Pharmacist Sajad Nandjy SLW Andrew Simpkins
Practices: Wellspring Surgery Family Medical Centre Windmill Practice Greendale Surgery Bakersfield Surgery NEMS Platform One Victoria and Mapperly Practice Primary Care Networks – general aims
1. Stabilise general practice 2. Improve the health of the local population 3. Work together as GP practices and with community professional colleagues to achieve 1&2 4. Work with community voluntary groups and patients to achieve 1&2 Decisions re priorities for PCNs
PCNs have had Public Health Profiles of each PCN – deprivation , demographics, social and health needs Had educational events and data in 2019/20 on the clinical areas of greatest health variation in city – diabetes, cancer, COPD, mental health, alcohol, frailty Have drawn up action plans for these clinical topics Created posters to inform others about their current priorities Poster of PCN challenges & aims(prepared for launch of City ICP November) Not the final word but give a flavour PCN specifications 20/21
Structured Medication reviews for complex patients by network pharmacists Reviews of patients in a care home by MDT approach Improving cancer screening and awareness. New PCN patient facing staff Government funding to provide new staff but only if employed across the PCN 2019/20: Clinical director (P/T), 1st clinical pharmacist, 1st social prescriber, 2020-23: Increased funding for roles for the network need New PCN patient facing staff Network Pharmacist First contact physiotherapist Physician associates Community paramedics (2021) Primary care mental health workers (2021) Pharmacy technicians Occupational therapists Dieticians Podiatrists Care coordinators/ Well being coaches Challenges
Finding the workforce Preventing destabilisation of practices and other providers ESTATES Changing the public and professional view of healthcare Digital literacy and integration Solutions
Collaboration Network of networks City and wider areas working together Digital support – Patient Knows Best Support primary care Achievements
Developing workforce Collaborative care Community created identity - logo Text services for patients Questions? Key points
Collaboration of practices with wider partners and patients Aim to stabilise primary care Tackle local healthcare needs Support primary care