1. Burnley Patient Participation Network 24th January 2018 Care Navigation

2. West Wakefield Influences and where we are up to
• Part of their Vanguard working
• Agreed to work closely with 2 CCGs
• Shared materials
• Hyndburn Practice Manager visit to WW
• Hyndburn, Rossendale and Ribblesdale practices have had training – 137 attended face to face
• Hyndburn, Rossendale and Ribble Valley DOS now live

3. Care Navigation Defined
’A person centred approach that uses signposting and information to help primary care patients and their carers move through the health and social care system as smoothly as possible to ensure that unmet needs are met’’

4. West Wakefield View
Care Navigation is a tried and tested model of care that improves access to primary care services for patients and reduces GP pressures all in one.

5. What is Care Navigation?
It enables frontline staff to provide patients with more information about local health and wellbeing services, both within and outside of primary care, in a safe, effective way.

6. Care Navigators do not make clinical decisions
What is Care Navigation?
Care Navigation offers the patient ‘choice not triage’ to access the most appropriate service first which as we know, isn’t always the GP.
Care Navigators do not make clinical decisions

7. Why do Care Navigation?
• GP Forward View 2016 talks about widening workforce. Care Navigators are important as frontline staff to navigate to other teams
• Decreasing number of GPs
• Increasing number of patients – More homes being built
• National self care agenda
• Kings Fund reporting (Understanding pressures in GP Practices):-
Our analysis of 30m patient contacts from 177 practices found that consultations grew by more than 15% between 2010/11 and 2014/15
Number of face to face consultations grew by 13% and telephone consultations by 63%

8. Decreasing number of GPs Increasing number of patients
Why do Care Navigation?
Decreasing number of GPs
‘The number of full-time equivalent GPs dropped by 1.3% in the last three months of 2016, new workforce figures reveal. Official data from NHS Digital, show a decline of 445 FTE GPs, including registrars, locums and retainers, from 34,495 to 34,050.’
Increasing number of patients
‘The 513,000 or 0.8% rise in the number of people living in Britain in the year to June 2015 was similar to the annual average increase over the last decade.’
Pulse
The context: decreasing number of GP, workforce plans to increase numbers of GPs but the demand is far too great right now, with an increasing population year on year, especially in the older generation
Guardian

9. Good patient experience helps promote the Care Navigation service
Patient Awareness
• Patients should be informed about the Care Navigators role of offering information about appropriate choices for services before the service begins
• Some patients will feel not comfortable with giving receptionists a reason about why they are requesting an appointment
• Working with patients who are willing to give receptionists information about the reason for the appointment builds confidence in the service and patient quickly feedback to others in the community
Good patient experience helps promote the Care Navigation service

10. Who can be a Care Navigator?
• Anyone working within the GP Practice can become a Care Navigator
• Care Navigators need the right skills and attributes to effectively communicate with patients
• Care Navigators need to have access to the right systems and information to support patient choice

11. Care Navigation Questioning
Could I have a brief description of the problem

12. Care Navigation Process Map

13. Extended Primary Care Team
• Emergency Dental & Dental Registration
• Self care with your Community Pharmacy
• Minor Eye Conditions
• Talking Therapies & Women’s Centre
• More to be added….Phase Two

14. Benefits of Care Navigation
• Greater access for patients that need a GP appointment as other patients are signposted to more appropriate services
• Improved patient outcomes
• Improved patient experience
• Improved job satisfaction

15. Care Navigation Summary
• Empower patient choice
• Not clinical decision making
• Frees up GP time
• Carried out by trained professionals
• Improve patient outcomes
• Face to Face or over the phone
• Recorded within GP clinical systems
• Provides a range of support services

16. Next Steps
• Collecting Hyndburn, Rossendale and Ribblesdale early experiences of Care Navigation
• Make on-line & face to face training available in other areas
• Further promote the Directory of Services developed
• DOS for Burnley is now available –
• Identify phase 2 services – Care connectors, Low vision aids, Sexual health