Primary Care Networks March 2019 Essex LMCs

NHS Long Term Plan (LTP),and “Investment and Evolution” (5 year GP contract reform) In the LTP , Primary Care Networks (PCNs) are the essential building blocks of every Integrated Care System Under the Network DES, general practice takes the leading role in every PCN All practices are automatically entitled to the PCN contract Coverage is expected to be 100% by July 2019 The DES has three components: Network service specifications Network financial entitlements Supplementary network services

The details from NHS E and GPC Every practice has the right to join a PCN in its CCG and to participate in the Network DES The patients of a practice that does not want to sign-up to the DES will be added to one of the local PCNs, which will provide “network” services to those patients “CCGs, working with LMCs, must ensure all practice lists are covered” PCNs will tend to cover populations of between 30 and 50 thousand patients

Practice Actions PCN boundaries must make sense to practices, other providers and the local community This is a network not a marriage! The network should be an asset to practices and their patients, not a competitor or a massive obligation We do not have all the answers but if practices , CCGs and LMCs can work on this together this is a massive opportunity Every good plan can be ruined by bad behaviour

Registering for the network contract DES (by 15th May 2019) Names and codes of member practices Network list size Map of the agreed Network area Initial Network agreement signed by all practices The practice or provider that will receive funding on behalf of the Network The named accountable clinical director

Funding streams for Networks Funding for workforce expansion £1.50 pp to PCNs to support practice activity within networks Funding for 0.25 WTE Clinical Director £1.76 pp network participation funding direct to practices Investment and Impact fund for delivery against objectives which are not yet agreed (£75 million in 20/21, £300 million in23/24) Access funding, combining extended access and improving access funds.

Workforce (70% funding) Clinical Pharmacist, and Social prescribing link worker (100%) 19/20 First contact physiotherapist 20/21 Physician Associate 20/21 First contact community paramedic 21/22

Delivering new Network services Structured medication review 20/21 Enhanced Health in Care Homes 20/21 Anticipatory care (frailty, LTCs) 20/21 Personalised care 20/21 Early cancer diagnosis 20/21 CVD prevention and diagnosis 21/22 Tackling inequalities 21/22

Questions?? Next steps This is delivered by practices CCGs, with LMC support, will assist