Mid Essex CCG Patient and Community Representative meeting, 26 May 2021 The Mid Essex “Place” Plan and Alliance working Dan Doherty, Alliance Director – Mid Essex The Mid & South Essex Integrated Care System Dan Doherty, Alliance Director – Mid Essex Next steps • Parliament will consider the new Health Bill and once it is clear it will become law (if it passes its Second Reading in the House of Commons), ICS transition will accelerate, with public engagement • In preparation for this, CCGs have made interim senior appointments to support Joint Executive Team in developing closer partnership working • In mid Essex, Kate Butcher and Paula Wilkinson have taken interim Deputy Alliance Director roles Primary Care Network patient engagement Emily Fallon Contents 1. PCN update – March 2021 – slide 3 2. PCN Network Contract ‘DES’ – slide 4 3. Patient Engagement a. Requirements – slide 5 b. Examples – slide 6 c. How can PCNs action the DES? slides 7-9 4. Mid Essex PCNs – slides 10-12 5. PCN Patient Engagement Questionnaire – slide 13 PCN Update March 2021 PCN overview IIF Acronyms PCN = Primary Care Network ARRS = Additional Roles Reimbursement Scheme Primary care networks explained | The King's Fund IIF = Impact and Investment Fund IPCC = Integrated Primary and Community Care IH = Integrated Health SC = Social Care PCN Network Contract • All Primary Care Network’s (PCN’s) are required to comply with a Network Contract, called the ‘Directed Enhanced Service’, commonly known as the DES • The ‘DES’ is the basis of their work and runs April–March, with revisions each year • The key sections of the DES are: • Additional Roles Reimbursement Scheme (ARRS) – funding for 14 extra roles in primary care such as paramedic, dietitian, health coach, podiatrist, physiotherapist, mental health • Impact and Investment Framework (IIF) – 6 indicators that PCNs receive extra payment for based on their achievement, for example learning disability health checks, social prescribing referrals, influenza vaccination etc • Structured Medication Reviews (SMR) and Medicine Optimisation* • Extended Hours Access • Enhanced Health in Care Homes* • Early Cancer Diagnosis* • Social Prescribing • Patient Engagement *Have clear specifications for what a PCN is required to do. 4 specifications are due to follow in October 2021: anticipatory care (with community services), weight management, cardiovascular disease, health inequalities Patient Engagement – requirements • Must meet requirements under PCN’s core network practice’s primary medical services contracts by: ✓Engaging, liaising and communicating with the PCN’s patients in the most appropriate way; ✓Informing and/or involving them in developing new services and changes related to service delivery; and ✓Engaging with a range of communities, including ‘seldom heard’ groups Patient Engagement – examples Engaging, Informing liaising and and/or involving communicating them in with the PCN’s developing new patients in services and the most changes related appropriate way to service delivery Engaging with a range of communities, including ‘seldom heard’ groups Patient Engagement – how to? (1) • How can PCNs: Engage with a range of communities, including ‘seldom heard’ groups Engaging – offering patients the opportunity to share their views and design/develop in partnership Seldom heard groups – under-represented groups with protected characteristics including disability, ethnicity, sexuality, communication impairments, mental health problems, homelessness, geographical isolation Patient Engagement – how to? (2) • How can PCNs Inform and/or involve residents in developing new services and changes related to service delivery? Patient Engagement – how to? (3) • How can PCNs Engage, liaise and communicate with the PCN’s patients in the most appropriate way? (PCN patients – 30-50,000 patients from multiple GP practices across the PCN geography) Chelmsford PCNs Chelmsford City Health Chelmsford West Chelmer Baddow Village Surgery Chelmer Medical Partnership Chelmer Village Surgery Beauchamp House Surgery Dickens Place Surgery North Chelmsford HCC Whitley House Surgery The Writtle Surgery Rivermead Gate Medical Practice Stock Surgery Sutherland Lodge Surgery Maldon PCNs Dengie & South Woodham Ferrers Phoenix Witham & Maldon The Burnham Surgery Longfield Medical Centre Fern House Surgery William Fisher Medical Centre Kingsway Surgery Tollesbury Surgery Blackwater Medical Centre The Dengie Medical Partnership Beacon Health Group Witham Health Centre Wyncroft Surgery Collingwood Road Surgery Brickfields Surgery Trinity Medical Practice Greenwood Surgery Braintree PCNs Colne Valley Aegros Braintree Coggeshall Surgery Little Waltham Surgery Blandford Medical Centre Freshwell Health Centre The Laurels Surgery Blyths Meadow Surgery Hedingham Medical Centre Douglas Grove Surgery Church Lane Kelvedon & Feering Health Centre Mount Chambers Medical Practice The Elizabeth Courtauld Surgery Silver End Surgery The Pump House Surgery PCN Patient Engagement Survey https://forms.office.com/r/N0fiLeEBTy.