A local model for working at scale

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Presentation transcript:

A local model for working at scale Sue Ikin Director of Innovation and Transformation

Understanding alternative models Mergers / Takeovers Multi-Practice – Single Ownership Model So called Super Practice models Our Health Partnership Modality Partnership Hurley Group Etc.

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 ESP / 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

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