1. Sunderland Multi-Specialty Community Provider Market Engagement
Debbie Burnicle, Deputy Chief Officer
Dr Fadi Khalil, Vice Chair
Penny Davison, Senior Commissioning Manager

2. Welcome to: Potential Providers Main Contractors Sub Contractors
Partners
General Practices and General Practice Alliance
Commissioning staff supporting the market engagement

3. Aim of the Event Seek Views of Potential Providers on draft Prospectus
Facilitate initial engagement between Potential Providers and local GP Practices
In order to:
Help us determine capacity/capability in market to deliver contract
Inform the CCG final procurement and evaluation strategy
Debbie to deliver

4. How we will do this today?
Presentations on the background to; current progress and our expectations of MCP and clarification questions
Group Work focusing on some key areas where we want your views as potential providers
Semi structured Protected time/space for providers and general practices to get to know each other and Commissioners leave the room
Commissioners return to cover Next Steps and any written Questions from group time
Debbie to deliver

5. with better quality of life.”
Our vision
“To commission person-centred proactive and coordinated care which will support appropriate use of health and care services,
will improve patient and carer experience and outcomes, ensuring people will live longer
with better quality of life.”
Debbie to deliver

6. Background Set out the new vision for providing out of hospital care
May 2013
Established a Steering Group with staff from organisations that provide the services, to move the vision into real plans
August 2013
Researched best practice on Integration and held Local engagement event – agreed key principles
April 2014
Debbie to deliver

7. Background
Agreed vision for integration of health and social care with the Local Authority and events with key stakeholders to design the Model of Care.
May 2014
Applied to become a national Vanguard to test a new Model of Care and All Together Better Sunderland Vanguard launched later in 2015.
February 2015
Implemented Model of Care and communication and engagement strategy e.g. website, case studies, 40 public engagement meetings, market research; media campaigns with over 16m non recurrent support.
November 2015 – March 2018
Debbie to deliver

8. What we’ve learned so far
Early feedback from the public has shown us that the most important healthcare priorities for people are:
Staying independent for longer (40%)
Faster access to care and support (22%)
Seeing a health and social care professional together rather than wait for separate appointments (13%)
A single point of contact to access the required services (13%)
Debbie to deliver

9. What is a Multi-Specialty Community Provider (MCP)?
Brings together services that are currently funded by the CCG and managed separately - over 40 providers
Get rid of the separation, waste, repeating information and duplication
Be accountable for the integration of these services, making best use of the skills and experiences of staff
Manage a budget of up to £240m per year for 10 years, beginning in April 2019
Debbie to deliver

10. How will the MCP make a difference?
Creating a more joined up community-based health care service with close links to Local Authority care
A joint approach to physical and mental health
Community focused, wrapped around local GP practices wherever appropriate
Freeing up hospitals to focus on specialist care with more resource supporting community health care
Debbie to deliver

11. Integration with General Practice
There is No MCP without General Practice
Options of full or partial integration are available
Our Design Principles reflect what is important to General Practice
Minimum 100,000 practice population – integration agreements
Opportunity to start engaging with Practices today and follow up with the General Practice Alliance
Debbie to deliver

12. Integration with Local Authority
MCP recognises and promotes role of social care and social work.
MCP will need relationship with Sunderland Council
CCG and Council identifying key areas for any integration agreement – where adds value to work together.
This will guide the expectations on the MCP
Debbie

13. Overview of the MCP Care Model
Dr Fadi Khalil Clinical Vice Chair Sunderland CCG GP Executive- Out of Hospital
Fadi to deliver all slides from here up until Slide 23 on Outcomes and then Debbie will pick up slide 24 on Clarification Questions.

14. High Level Model of Care

15. MCP Framework Care Model
Meeting the needs of people across four levels:

16. Achievements of the MCP Vanguard
Culture Change and Infrastructure (Enablers)
Improved Patient Pathways
High Level outcomes

17. Culture Change and Infrastructure (Enablers)
Recovery at Home service operating 24hrs a day 7 days a week (Nursing and Social Care)
Co-location of Community Staff
Roll out of EMIS Web to Community services
Data Sharing agreements across Health
Enhanced Business Intelligence Capabilities
Development of excellent relationships across front line staff
Development of MDT mentality and regular meetings
IT solutions ( Map of Medicine and Telecare)
Establishment of governance processes

18. Patient Pathways
MDT Meetings in all GP Practices to coordinate care and interventions for complex patients
A Responsive intermediate care service –RAH
Dedicated support to care homes to enhance care in care homes
Mobilisation of Extended Access across all localities with the participation of all GP Practices
Dedicated Self care workstreams supported by the voluntary sector
Development of a system wide Falls Strategy
Aligning care homes to practices in localities
New services and patient pathways such as
Ambulatory ECG
Telehealth
Map of Medicine (local clinical pathways)

19. High Level Outcomes
Reducing emergency admissions and A/E attendances for targeted patients
One of the lowest Delayed Transfers of Care in England
Reducing numbers of days people are in hospital as a result of an emergency
Reduction in admissions to care homes
Reduction in elective activity/ referrals to secondary care
Feedback from frontline staff about better patient outcomes and better use of staff time and skills/experience
Collaborative working across primary care and a sustainable system

20. Why an MCP and not just continue with the Vanguard approach?
Current model of care relies on good will and the existing leadership.
Separate contractual arrangements remain in place
We need to secure the improvements for the long term and go further.
The MCP expands to wider than the initial vanguard services
There are increasing pressures in the system
Further development needed to ensure workforce and finances are responsive to patient and system requirements

21. Which services would be involved?
Community Nursing (community matrons, district nursing, treatment rooms)
Urgent care (non-life threatening cases where the patient needs to be seen the same day)
Ambulatory care (emergency care that can be treated without an admission to hospital)
Community specialist services and some outpatient activity
Palliative Care services
Therapies (such as physiotherapy and occupational therapy)
Rehabilitation services (support to help people remain as independent as possible)
Community bed based services (short stay beds to prevent an admission or support patients leaving hospital)
Mental health, learning disabilities and autism
General Practice (subject to level of integration)

22. Design principles
Need to replace with picture all 19 principles

23. Expected Outcomes for the MCP
Joining up services in order to:
Improve care quality including safety, clinical effectiveness and patient experience
Improve health outcomes and wellbeing
Create a health and care system that is able to manage current and future pressures

24. Questions Opportunity for any clarification questions now?
During Group Work can flag any questions
Team will review these whilst Networking session happens and aim to respond under Next Steps section.
Where further consideration required – Amended Q and A will follow the event.
Debbie to do this slide

25. GROUP WORK – Penny Davison
What is this about? Getting your VIEWS on key areas as potential providers
What is this NOT about? Answering Questions
Facilitators not Experts – their role is to enable everyone to give a view on each area
Scribes will note and info will be shared after
Mixed Provider/General Practice tables
Q and A in packs – further questions to be recorded and aim to respond just before Event closes.
Penny to introduce

26. NETWORKING SESSION – Penny Davison
Opportunity for potential providers interested in delivering the overall contract to network with potential subcontractors; partners and General Practices over refreshments.
Commissioners leave the room
Member of staff will facilitate space and manage time
Following the session further engagement with General Practice can be facilitated by the GP Federation – Sunderland General Practice Alliance: tel ;
All return for last 15mins re Questions and Next Steps
Penny to introduce

27. What happens next? Market Engagement activities
Video/info from event will be available
Sunderland CCG website and Proactis have links to all documentation
Offer of 1 to 1 meetings for those completed RFIs – dates/times been sent via Proactis
If you need help with Proactis: see Julie; Lisa; Mereoni – you need to have registered!
Please complete feedback form
Debbie to deliver

28. Asking the public what they think (public engagement)
November-December 2017
Update the draft Prospectus taking account of public and market engagement feedback
Develop Procurement and Evaluation Strategy for decision at Governing Body Jan/Feb 2018
January 2018
Secure the MCP and mobilise
April 2018 – March 2019 SS
From April 2019 to March 2022 all out of hospital health and care services commissioned by the CCG will become the responsibility of the MCP
April 2019 – March 2022
Debbie to deliver

29. Close Session
Thank-you for attending!
Debbie to deliver