1. Midlands Medical Partnership
Working together to sustain General Practice
Dr Dave Sangha - Executive Chairman
Dr Sunando Ghosh - Executive Partner

2. Introduction 12 Sites across Birmingham (inc 7 Day Access WIC)
Single GMS Contract
Single IT Database
Fully Integrated Working
Focus on Care Delivery & Access
Patient Feedback
Growth of Patient Services

3. Our model A super partnership model
One of the pioneers for working at scale - established 2009 without any support
Largest single GMS contract code partnership with 23 partners
68,000 patients and growing, soon to be 85,000 patients
Largest single code primary care IT database

4. Our model MMP Communications Strategy Bi Annual MMP AGM
Partners Monthly Meeting
Site Admin/Reception Monthly Meeting
Surgery 1 to 11 MDT Weekly/Fortnightly Meeting
Senior Business Manager
Operations Manager
Management Board Fortnightly Meeting
MMP Communications Strategy
Receiving summary of all meeting minutes on standard MMP templates
Receiving minutes and reviewing for actions
Meetings
Fortnightly
Central team
Management team
Monthly
Nurses / HCAs
Secretaries
Scanners
Finance
Clinical Target team (QOF)
ACE
Team Leader
Bi-Monthly
Clinical Governance
Quarterly
Salaried GPs
Gold Standard Framework (GSF)
Safeguarding
Staff Forum
All meeting minutes on standard template
Feedback via General Manager / Operations Manager/Clinical Leads / Team Leaders
Feedback forms:
Anyone can raise a concern in writing, by or in person. MMP operates a confidential whistleblowing policy (in policy library in hard copy and electronically)

5. MMP delivery model
Fully integrated business and clinical working model
Single mature and established team
MMP Management board / Partnership structure
Centralised MMP management team
Centralised MMP in house functions – HR, finance, IT, etc
Centralised MMP performance target teams – monthly clinical performance reports
Centralised MMP call centre
MMP Standardisation of service
MMP Benchmarking to achieve clinical excellence

6. MMP delivery model Service development with CCG The MMP Team
200+ Clinical & Non-clinical staff
Fully Recruited Teams
25 salaried GPs
40 nurses & HCAs
Advanced Nurse Practitioners
Specialist Diabetes Nurses
Specialist Respiratory Nurses
Service development with CCG
Aspiring Clinical Excellence Pioneers
Diabetes care
Respiratory care
Phlebotomy
Medicines management

7. Benefits of MMP model The Benefits Increased services for patients
Standardisation
Resilience
Staff development and progression
Clinicians and teams free to concentrate on patients
Specialised Clinics – Dementia, Substance Misuse, Increased Access, Sexual health, Urogyneacology
Increased services for patients
Increased access
Cross site access across Birmingham
Universal offer and standards
Templates to optimise care
Staff movement to optimise care
Interactive PPG groups

8. Benefits of MMP model
Robust and sleek management and operational structure that frees up clinicians to focus on delivering care to patients
No duplication, skill sets used to maximise organisational strength
MMP standardised policies and procedures
Happier teams – CQC quoted “MMP staff feel empowered”
Happier partners with better work life balance
Strong vision, purpose and leadership
Overcoming the pitfalls of change

9. Benefits of MMP model QOF 2015/16 544.6/545 Partnership working with
Birmingham Cross City CCG
Birmingham Community Healthcare Trust
Birmingham Mental Health Trust
Birmingham Council
Birmingham Secondary Care Providers
Birmingham and Solihull GP Alliance
Birmingham and Solihull STP Health and Social Care Board

10. CQC inspection over two full days in Oct 2016
Our Model - Assessment
CQC inspection over two full days in Oct 2016
OUTSTANDING

11. MMP Vision
Continuing emphasis on outstanding care of our patients Improving access and services for our patients Ensuring sustainability and resilience of General Practice Aiming to form Multispecialty Care Provider / Accountable Care status

12. Thank you for listening Any questions. dave. sangha@nhs. net sunando
Thank you for listening Any questions? Midlands Medical Partnership