City & Hackney ELIC Society Ltd. ELIC PAUL HAIGH - EXECUTIVE DIRECTOR.

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City & Hackney GP Confederation

Presentation transcript:

City & Hackney ELIC Society Ltd. ELIC PAUL HAIGH - EXECUTIVE DIRECTOR

City & Hackney ELIC Society Ltd. WHAT? E ast L ondon I ntegrated C are City & Hackney ELIC Society Ltd BENCOM Registered in July 2006 Industrial & Provident Societies Act 247 members; represent 232,000 patients/34 practices 2 roles PBC support service Direct service provision

City & Hackney ELIC Society Ltd. WHY? Size matters Work together; strengthen provision; equity Opportunity of PBC to develop primary care Unified commissioning plan Harness the enthusiasm of the front line Organisational clout Bid for and provide services; compete

City & Hackney ELIC Society Ltd. ORGANISATION Membership GPs; Practice Managers; Practice Nurses; Practice staff; employees?; Public Organised into constituencies (for GPs based on Consortia)  Elect representatives onto quarterly Council Overall policy and direction Includes PEC Chair  Day to day management by monthly Clinical Executive Council Chair + 2 GPs + Exec Director (paid roles) Leadership, implementation, thinking

City & Hackney ELIC Society Ltd. PBC SUPPORT SERVICE 89% Hackney practices - 7 Consortia 95p per patient from practices Covers 100% of infrastructure (small!) Business support - plans; data; ideas Uniform approach Commissioning “clout” Pooling of 50% PBC savings

City & Hackney ELIC Society Ltd. ELIC ROLE Bureaucracy relating to PBC Business cases Data analysis What’s best done at individual practice and what done “corporately” Practice – new opd referrals, patient education/A&E, follow pathways, interpractice referrals, ?community matrons/emergencies

City & Hackney ELIC Society Ltd. PHILOSOPHY Support practices through education and training Care pathways with Homerton- 12 to date Education, audit, education Sharing best practice and ideas - Consortia Maximise primary care services Consultant advice/support and outreach

City & Hackney ELIC Society Ltd. ACHIEVEMENTS Savings £2.5m over 2 years Pathways and education Specifications for services – with all PBCers Community nursing Urgent Medical Clinic Heart failure, diabetes, COPD, Cardiology New practice/Consortia services planned this year Practice physio; Obesity support; Investigations Advocacy; Active patient monitoring Support practices to provide primary care/new lists

City & Hackney ELIC Society Ltd. DIRECT SERVICES Contract from PCT for ENT Delivered via 4 subcontracts Pooled savings /8 (900k) under development At risk COPD Obesity Antenatal services Drug monitoring “Willing provider” Surgery Heart failure team COPD team

City & Hackney ELIC Society Ltd. RELATIONSHIPS PCT Represented on monthly PBCE Commissioning framework input Renegotiate PBC Framework Commissioning plans/performance indicators Homerton Bimonthly Liaison Group Individual clinical and managerial meetings

City & Hackney ELIC Society Ltd. HACKNEY POLYCLINIC Primary Care Resource Centre Networked practices Intermediate services Chronic disease management to back up primary care Antenatal Surgery Consultant advice and outreach Pathways

City & Hackney ELIC Society Ltd. QUESTIONS FOR FUTURE Commissioning PCT services GPSI, specialist nursing Define service standards Specify where fit into pathways ?More direct provision NHS Pensions - ELIC “trading arm”? Primary care services – support vs provide Organisational capacity/growth VFM