P s ri e m ic v ar r y e In y S teg nit rated Commu Primary Integrated Community Services Limited Registered Office: Unit H4, Ash Tree Court, Nottingham Business Park, Nottingham NG8 6PY P s ri e m ic v ar r Tel: 03000 830000 y e In y S [email protected] teg nit rated mmu www.picsnhs.org.uk Co Annual Report 2016/17 Excellence in patient and primary care Registered in England & Wales Company Registration Number 8763136 Primary Integrated Community Services Foreword Primary care Integrated Community Services are proud to present a copy of the second Annual Report The report highlights our achievements and progress over the last year, including a summary of our accounts and current financial position. ‘We Care’ “We Care” about our patients, carers and families, our partners and all the people we work with underpinned by our core values and our “can do” approach. We regularly review our values and ensure these are integral at all levels of the organisation. Our Values Our values are integral at every level of the organisation and were created by “us” the people that work here. n Family and patient need is central to our decision making n We have a “can do” approach that is responsive, creative and innovative n We are non-judgemental, open and transparent with a no blame culture n We are inclusive and collaborative inside and outside the organisation n We are professional and passionate about our care for patients and one another n We put safety first in everything we do n We protect and support General Practice and our clinicians n Our care is evidence based, safe and effective 2 3 Message from Message from Alison Rounce Managing Director Dr Kelvin Lim Medical Director I am very proud of the progress PICS has working with some groups of practices to Our organisation has grown considerably over This good work was led by Dr Kerri Sallis. Our CCG made over the last year. We have a won a help coordinate the implementation of GP the last year and PICS provide an increasing is very effective at all levels of the organisation number of contracts including a contract to Access teams. Changes in commissioning number of services in a wide geographical area through the ability to cascade information and deliver Community Pain Services across South and delivering national and local financial and and in partnership with many different providers. feedback to and from every service. Our CCG Nottinghamshire. efficiency targets will set challenges going Retaining a positive caring culture, patient safety provides assurance through the robust processes forward but PICS aim to ensure primary care and a high standard of clinical care is paramount. and policies in place and that any concerns are We will be working in partnership with a and GP practices are central to care delivery The Medical Director is accountable for managed effectively. It is heartening to see how number of other providers to deliver the service. now and in the future. continuously improving the quality of services and conscientious our clinical staff are in the welfare It showcases our tried and tested pain model safe guarding high standards of care by creating and care of their patients and how they strive to in delivering excellent patient care and our We were asked to caretaker two practices, an environment in which clinical care can flourish. improve the patients quality of life. It demonstrates ability to transcend and integrate with other one in Balderton and one in Kirkby in how our values are truly integrated in to specialities. Ashfield (KCPCC) and have made significant New schemes of accountability and delegation working life. improvements with a good report from CQC for have been implemented and improved and we Our core aim since the inception of PICS Balderton and awaiting inspection for KCPCC. have recruited further clinical leadership; Clinical All components of clinical governance are subject has been to help with the sustainability and Governance Nurse (Hazel Firmin) and GP lead for to scrutiny and challenge through the Board innovation in primary care. GP practices are As our organisation has grown we have Clinical Governance (Dr Kerri Sallis) for Balderton of Directors. These include; risk management, experiencing many national changes that are introduced additional capacity to manage new Primary Care Centre and Kirkby Community clinical audit, education and training and impacting on their future viability coupled with initiatives; an Operational Manager, Business Primary CareCentre. professional development, evidence based care, many GPs leaving the profession. PICS have Manager, Data Analyst and we have created patient and carer experience and staffing. All been working hard with our GP members to identified nurse and GP leads in Clinical The Clinical Governance committee (CGC) has reporting and risk registers are presented to the collaborate and find ways of delivering services Governance. Our schemes of delegation and monthly meetings and has been successful in board for assurance with any action plans that are more efficiently and at scale by utilising PICS as Clinical Governance have improved to match the ensuring that PICS as an organisation is able required giving an opportunity for both challenge a vehicle and platform to support primary care growth and we are looking to phase in further to care for patients safely. We have reviewed all and support from non-executive Directors. sustainability. capacity to the corporate structure and board complaints, safeguarding reports, audits and over time. significant events that have occurred in the last Over the last year we have been working with year. Having one process has allowed us to analyse mid Nottinghamshire practices and have helped I would like to acknowledge how conscientious, trends, ensure learning across all parts of the them to deliver new services, for example, professional and caring our staff are both organisation and feedback to all staff. the Acute Home Visiting Service at Newark, administration and clinical. This is evidenced Clinical Pharmacist pilots and we are currently by the excellent patient satisfaction we receive. The CGC is multi-disciplinary with representatives Dr Kelvin Lim Quite simply our organisation is our people, and from Nursing, General Practice, Pharmacists and our reputation and success depends on them. Management. It is chaired by the Medical Director and should it be necessary representatives from I would also like to thank all the partners we different disciplines are invited. work with in secondary and primary care and the third sector who help us to work together We have already used audits for good effect and to give our patients the good care they deserve. improved learning outcomes and will continue to share audits and protocols in the forthcoming year across both KCPCC and Balderton, PICS and where appropriate, the wider primary care community. Alison Rounce We have successfully completed audits on use of Atorvastatin in CKD 3, regular measurement of U&E in patients on Methotrexate and ensuring the DMARDS registers are robust in both practices. 4 5 Our Aims To deliver and provide clinically led pathways for patients that are evidence based, Our clinical and efficient, cost community pathways effective and of high quality care. include: To deliver pathways for patients that are truly n Respiratory and Nurse Educator Role seamless through secondary and primary care built on n Cardiology and Atrial fibrillation our partnerships with a wide networks of n Palliative care for long term conditions stakeholders n Diabetes To provide a platform and vehicle for our n Urology primary care partners that will provide: n Gynaecology n A governance structure and partnership that enables practices to deliver services n Carpal Tunnel at scale n Care Coordination Our Structure n A conduit and integrator with other providers n Acute Home Visiting n A platform to help practices deliver n 24 hour ECG The organisation is a company limited by The Business Manager and the Finance and collaborative work in primary care shares and (nominally) ‘for profit’. We say Corporate Manager are in attendance at n Clinical Pharmacy nominally because the company expects each meeting. to make a profit eventually but in the early n Pain Services years will seek to re-invest any profit in In our November 2017 AGM we will appoint expanding the organisation, allowing it to a non-executive Director Chair and an PICS currently provide a caretaker role for compete more effectively for contracts and additional non-executive GP subject Balderton and Kirkby Primary Care Centres become a stable business entity. The idea to shareholder approval. The board is based in Newark and Sherwood is to invite GPs to become a member by supported through risk assurance, schemes and Mansfield and Ashfield CCG area. purchasing a share in the new company. of delegation and management Our board consists of a small group of controls including a governance committee Directors; Dr Kelvin Lim (Chair), Dr Andrew providing robust corporate assurance. Parkin and Dr Junaid Dar and the Managing Director Mrs Alison Rounce. 6 72 Our Pathways Respiratory Pathway Our respiratory nurse team has a wealth support networks is essential. We have of knowledge and specialist training in access to the psychology team and we Respiratory Nurse Cardiology and Atrial respiratory disease. have a unique relationship with several Educator Role Fibrillation Pathway Breathe Easy groups in Nottingham. They We have secured a contract with Nottingham Our service is provided by a dedicated team All patients referred to the team have long support the groups in all sorts of ways; North and east CCG to provide a Respiratory of specialist heart nurses who deliver care in term conditions including; COPD, Idiopathic answering questions of members, checking Nurse educator role starting September a community setting in Nottingham West and Pulmonary Fibrosis, Bronchiectasis and inhalers, making sure patients understand 2017 The aims of the service are: Nottingham North and East CCG areas.