AGENDA ITEM NO: 8.0. Meeting Title/Date: Governing Body - 19 November 2019
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AGENDA ITEM NO: 8.0. Meeting Title/Date: Governing Body - 19 November 2019 Report Title: Bay Health and Care Partners Update Karen Kyle Date of Paper Prepared By: System Programme 8 November 2019 Paper: Director - BHCP Responsible Executive Sponsor: Jerry Hawker Manager: Committees where Paper N/A. Previously Presented: Background Paper(s): N/A. Summary of Report: This paper presents an update on key activities for Bay Health and Care Partners (BHCP) workstreams with a focus on:- a) Alfred Barrow Opens. b) Integrated Care System Clinical Congress update. c) Primary Care Development. d) Integrated Care Communities/Community Engagement. e) Population Health. f) Clinical Workstream updates - Accelerator pathways. g) BHCP Workforce Enabling Workstream. h) Digital workstream. i) Communication and Engagement. Recommendation(s): The Governing Body is asked to note the current update of Bay Health and Care Partners. Please Select Y/N Identified Risks: (Record related Assurance Framework or Risk Register reference number) Impact Assessment: (Including Health, Equality, Diversity and Human Rights) Strategic Objective(s) Please Supported by this Paper: Select (X) Better Health - improve population health and wellbeing and reduce X health inequalities Better Care - improve individual outcomes, quality and experience of care X Delivered Sustainably - create an environment for motivated, happy staff X and achieve our control total Please Contact: Karen Kyle System Programme Director BAY HEALTH & CARE PARTNERS UPDATE REPORT NOVEMBER 2019 INTRODUCTION 1. This paper presents an update on key activities for Bay Health and Care Partners (BHCP) workstreams with a focus on: j) Alfred Barrow Opens k) Integrated Care System Clinical Congress update l) Primary Care Development m) Integrated Care Communities/ Community Engagement n) Population Health o) Clinical Workstream updates – Accelerator pathways p) BHCP Workforce Enabling Workstream q) Digital workstream r) Communication and Engagement EXECUTIVE SUMMARY In November, the long awaited primary care centre in Barrow – the Alfred Barrow Health Centre opened its doors to our local communities, with a celebratory event with over 200 people. Alongside this, we are continuing to see progress with our transformational schemes across Morecambe Bay. The development of a cross-Bay Integrated Community Stroke Team (ICST) commences across Morecambe Bay which will lead to improved equity of rehabilitation to people who has sustained a stroke. Thirty clinicians from Bay Health and Care Partners attended the Integrated Care System Clinical congress to agree how we can work together to tackle the major challenges we are all facing within neighbourhoods, in our local partnerships and across Lancashire and South Cumbria. There was a commitment to work together to build greater relationships outside health with local people, voluntary, community, faith and social enterprise sector and local authorities. As winter approaches, BHCP has commenced winter messaging, localising and promoting the national ‘Help us to help you Stay Well this Winter’ campaign. Partners are taking the lead on a fortnightly cycle to publicise message about staying warm, stocking up medicine cabinets, using NHS 111, having flu inoculations and using pharmacies for advice as an alternative to the GP or Urgent Care. Local teams are working closely to understand the pressures on our acute services across health and social care and to ensure greater capacity and ability for primary care, mental health services, and integrated care communities to respond quickly to peaks in system demand. ALFRED BARROW OPENING 2. The official opening of the Alfred Barrow Health Centre was deemed a success after more than 200 people attended the event. The ceremony was held on Wednesday 6 November from 12:30pm until 2:30pm with members of the public invited to attend a tour of the building in the afternoon. 3. The health centre is situated on the site of the former Alfred Barrow School, which closed in 2009. Since then the building has been used by other organisations for various reasons but stood empty for a while before the site was bought for the development of a health centre. Construction on the health centre began in December 2017 with the oldest part of the Victorian building being preserved and an additional building, which will house the patient-facing services, being built. 4. The health centre, which opens its doors to patients on Monday 11 November, will bring together several primary and community health services which will greatly benefit the Furness population. Pamela Reid, the longest serving local member of NHS staff officially opens Alfred Barrow, alongside Dr Geoff Jolliffe, MBCCG Clinical Chair INTEGRATED CARE SYSTEM CLINICAL CONGRESS UPDATE 5. On Thursday 26 September 2019, more than 100 clinical leaders from across Lancashire and South Cumbria attended a Clinical Leaders Congress at the Farington Lodge Hotel, Leyland. Bay Health and Care Partners was well represented by clinicians from all disciplines across primary, community, acute and mental health services. The purpose of the Congress was to: Involve a wide range of clinical leaders at the earliest stage of development of a new clinical and financial strategy for Lancashire and South Cumbria and to establish ongoing engagement. Agree how we can work together to tackle the major challenges we are facing – in neighbourhoods, in our local partnerships and across Lancashire and South Cumbria. Understand the challenges for clinicians to implement change at scale and pace across the ICS and our Integrated Care Providers (ICPs) / Multi-speciality Community Provider (MCP). Consider what we are already learning about working differently with patients and the public. Inform the content of Lancashire and South Cumbria’s response to the NHS Long Term Plan. Commitments and next steps 6. During 2019/20 and 2020/21 the ICS is committed to: Strengthen our existing clinical networks to help us deliver change for our agreed priorities. Look for a group of clinicians with representation from each of the ICPs / MCP to develop proposals on improvements to pathways, prioritising the transformation of outpatients; MSK; theatre optimisation and the management of long term conditions. Take a system approach to change where it makes sense to do so – for example building on evidence of what works, spreading good practice from one area to another, engaging with the public. Build greater relationships outside health with local people, voluntary, community, faith and social enterprise sector and local authorities. ICS colleagues affirmed that they have listened to the clinical body and will: Recognise that change takes time and we will support giving clinicians time and space. Work with clinicians to define new workforce models. Help clinicians to take more risk through a supportive framework and infrastructure – keeping clinical colleagues safe and supporting them with the big difficult decisions that may not be universally supported or liked. Identify when changing financial frameworks will help us embed the changes that have been identified by clinicians. Invest in digital solutions to support clinical work and improve patient experience. The full report and presentations on the day are available within appendix 1 PRIMARY CARE DEVELOPMENT Primary Care Networks (PCNs) 7. Since the contractual formation of Primary Care Networks (PCNs) in July 2019 there has been progression locally in terms of PCN development. Considerable work has been undertaken within the networks to advance in the building of internal relationships and operational working arrangements, in addition to the delivery of the national PCN contract requirements. The networks have also worked together to develop a Morecambe Bay network of PCN Clinical Directors (CDs) who meet regularly and are beginning to identify the areas where joint/shared PCN working would be of benefit. The Clinical Directors have also begun to discuss with system colleagues, including the General Practice Provider Alliance (GPPA) ways to further embed PCNs within the local system and to ensure joined up working with Integrated Care Communities (ICCs). A number of geographically co-terminus PCNs and ICCs are already working as one entity, whilst others currently remain separate. 8. The Clinical Directors have developed a number of suggested system wide approaches to the recruitment and supervision of future PCN workforce which were brought together into a ‘system ask’ document. This document has prompted constructive and innovative discussion between PCNs and wider system partners with meetings planned in relation to MSK and Pharmacy joint recruitment. 9. Morecambe Bay PCN CDs are fully engaged with the Integrated Care System (ICS) PCN development work stream and the majority of Morecambe Bay CDs attended a recent Lancashire and South Cumbria PCN development event with Barrow & Millom PCN providing a well- received presentation upon their development experiences so far. The PCN CDs have also secured a place upon the ICS Primary Care Development Board which will further enable their engagement and influence within the ICS. 10. The local alignment of ICCs and PCNs to deliver integrated primary and community care to local populations within natural geographical neighbourhoods remains a system priority. A summary of PCNs and ICCs is attached as appendix 2. Primary Care Academy 11. General Practice workforce challenges remain and are increasing within Morecambe Bay. The development