Understanding primary care networks

Understanding primary care networks: context, benefits and risks |  The Health Foundation

cohesion-454881_1920.jpg

This briefing places Primary Care Networks (PCNs)  in the context of previous changes to general practice funding and contracting. It examines the rationale for networks, explores relevant evidence and draws out intended benefits and possible risks for the future of PCNs.

Key points
  • From 1 July 2019, all patients in England will be covered by a primary care network (PCN) – the most significant reform to general practice in England in a generation.
  • PCNs should help to integrate primary care with secondary and community services, and bridge a gap between general practice and emerging Integrated Care Systems.
  • Since January 2019, practices have been organising themselves into local networks to provide care at greater scale by sharing staff and some of their funding.
  • While PCNs offer huge potential to integrate care and improve services, there is a risk that the speed of implementation will undermine the best intentions of the policy.

Full briefing: Understanding primary care networks . Context, benefits and risks

Additional link: NHS England press release | NHS England blog

Designing integrated care systems (ICSs) in England

This guide sets out the different levels of management that make up an integrated care system, describing their core functions, the rationale behind them and how they will work together | NHS England

integration-2489613_1920.jpgThe NHS Long-Term Plan set the ambition that every part of the country should be an integrated care system by 2021. It encourages all organisations in each health and care system to join forces, so they are better able to improve the health of their populations and offer well coordinated efficient services to those who need them.

This overview is for all the health and care leaders working to make that ambition a reality, whether in NHS acute or primary care, physical or mental health, local government or the voluntary sector.

It sets out the different levels of management that make up an integrated care
system, describing their core functions, the rationale behind them and how they
will work together.

Full document: Designing integrated care systems (ICSs) in England. An overview on the arrangements needed to build strong health and care systems across the country.

Social Care Institute for Excellence: Webinar recording: Integrating Better

Social Care Institute for Excellence | March 2019 | Webinar recording: Integrating Better

The purpose of this webinar, recorded on 29 March 2019, has been to introduce a new guide which captures common features of good practice of integration between health, social care and the voluntary and community sector. The guide and associated materials are called Integrating Better: new resources on health and social care integration.

The guide – and the accompanying webinar – covers key topics such as: Leadership for integration; Promoting self-care; Supporting care closer to home; and care and support in a crisis

Webinar recording: Integrating Better

Guide available (requires SCIE registration)

Starting community conversations

NHS England | March 2019 | Starting community conversations

In a recent post on NHS England’s blog the Deputy Chief Executive and Chief Nurse at the Royal Devon and Exeter NHS Foundation Trust, explains how the Trust has started bringing together all the different groups in what we call ‘community conversations’, in an initiative which aims to pass leadership on engagement to local communities, and better connect GPs and other health professionals, local government, social services, the voluntary sector and local people, in ways that work for them. 

blur-brainstorming-chatting-1881333.jpg

Read the full post Starting community conversations

Age UK’s Personalised Integrated Care Programme: Evaluation Of Impact On Hospital Activity

Nuffield Trust | February 2019 | Age UK’s Personalised Integrated Care Programme: Evaluation Of Impact On Hospital Activity

Age UK commissioned the Nuffield Trust to conduct a detailed evaluation of a scheme providing personalised care for older people. Given the severe pressure on health and care services across England, could this scheme help local systems by reducing the numbers of people being admitted to hospital in an emergency? 

nuffieldtrust.org.uk
Image source: nuffieldtrust.org.uk

Read the full piece from Nuffield Trust

Download the publication Age UK’s Personalised Integrated Care Programme

 

Delivering effective governance and accountability for integrated health and care

NHS Clinical Commissioners | February 2019 | Delivering effective governance and accountability for integrated health and care

NHS Clinical Commissioners has released a new explainer for the NHS and local authorities outlines possible solutions for the governance and accountability challenges brought by the move to integrated health and care.

NHS organisations and local authorities are already working closely together to join up approaches to delivery and this will become even more important as the journey towards more integrated approaches to planning for health and care continues via ICSs, as set out in the NHS Long Term Plan earlier this year.

But we know from our members that there are several important differences in governance and accountability between the NHS and local authorities, which creates challenges when seeking to integrate systems and structures (Source: NHS Clinical Commissioners)

NHS Clinical Commissioners Download the explainer

Age UK’s Personalised Integrated Care Programme: Evaluation of impact on hospital activity

Nuffield Trust | January 2019 | Age UK’s Personalised Integrated Care Programme: Evaluation of impact on hospital activity

Age UK commissioned the Nuffield Trust to conduct a detailed evaluation of a scheme providing personalised care for older people. Given the severe pressure on health and care services across England, could this scheme help local systems by reducing the numbers of people being admitted to hospital in an emergency? (Source: Nuffield Trust)

Using data linkage the Nuffield Trust analysed the hospital use of 1,996 older people who had received a service from PICP in eight areas in England, and we compared their activity to that of a carefully selected control group. Their detailed analysis concludes – with some confidence – that it has almost certainly not been able to reduce costs or emergency admissions.

personalisedintegrated
Image source: nuffieldtrust.org.uk

While in some areas there was no apparent impact on hospital activity, overall there was a higher than expected use of emergency and outpatient services, and a corresponding increase in costs. These effects were detectable from the very start of the service and persisted for more than a year after.

However, the results suggest that the scheme may be identifying unmet need in the population, which manifests in greater use of hospital care (Source: Nuffield Trust).

The report- Age UK’s Personalised Integrated Care Programme – is available to download from the Nuffield Trust