A local Model for working at scale.

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Presentation transcript:

A local Model for working at scale. Mike Pyrah NSGPF – Management Support

Developing a local model. Recognising Different Objectives Sustainability Workforce / New Ways of Working Reduced Costs Increased Income Improving Services Maintaining Independence / Maintaining Contracts. Building on NSGPF / Locality Hubs etc.

Developing a local model. Recognising Different Footprints for Different Functions and Services (and Different Funding Streams) Practice Locality Federation A Voluntary Model Recognition that the Practice as we know it may not be Sustainable.

Services Model 40+Options. Extended hours – (£6) Repeats POD Ultrasound Ear Micro-Suction Service Overspill Access On the Day Appointments Community Services Tele-Health Under 5’s Clinics Frailty Services Primary Care DVT Direct Access Physio Consultant Out-Patient clinics Care Home support Social Prescribing Peer to Peer Support

Functions Model 30+ Options. H.R. (Incl Payroll) Accountancy (incl Management Accounts). Training and Development Advocacy / Complaints Management Bidding Function Syndicated Websites Social Media Procurement Indemnity Coding / Notes Summarising IT support (EMIS etc) Secretarial Hub Benchmarking Management Development

Workforce Model 20+ Options. Shared functions and Services Secretarial Coding etc Shared Services Direct Access Physio Counselling Ultrasound Nurse Bank Physician Associate Programme Pharmacists Locum Bank / Posts Research Paramedics / UCPs

Quality Improvement Model. (Potentially most contentious) Quality Improvement Initiatives Minimum Standards CQC Access Benchmarking Peer to Peer Patient / Staff feedback.

Making it Happen (We have some £) Needs to be locally driven – GP + PM champions. Needs to be ‘Real’ – A definite proposal Services / Functions need to reflect local priorities Needs to reflect Commissioning Intentions and STP / Alliance Board. Needs a transparent and affordable funding model.

Any Questions?