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Nene Commissioning Community Interest Company
Local Doctors Leading Local Healthcare
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Growth through engagement
April 2007: established by 62 practices across majority of Northamptonshire February 2008: PBC Survey – no confidence in commissioning plans, little support for PBC, no services commissioned April 2009: 13 new practices ask to join, PBC survey results transformed, national recognition
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How do we know we’re succeeding?
Attendance and engagement Growth of organisation Board elections PBC survey results 23 schemes underway Lead organisation for ICO pilot National awards
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PBC Survey Results
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Believing in the right things
Local doctors leading local healthcare Core objectives Clinically led redesign Clinical effectiveness Strengthening general practice Values – Doctors make decisions Delivering product Whatever it takes
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Doing the right things Board with majority clinical directors (9)
Engine of NC is our four locality structure Monthly meetings, clinically led and locally set Projects clinically led with management support Regular “Update” with detailed web presence Annual Conference
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Saying the right things
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Structure of Nene Commissioning
Board of Directors Elected Chair 9 Clinical Directors 2 Non-Clinical Directors Chief Executive 2 Clinical Directors 2 Clinical Directors 3 Clinical Directors 2 Clinical Directors Daventry & South Northants 11 Practices Kettering and Corby 14 Practices Northampton Town 31 Practices Wellingborough & East Northants 19 Practices Executive Team in Support Chief Executive 4 x Service Development Managers Communications & OD Specialist Information Analyst Business Manager Admin Support
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Musculoskeletal, Spinal Community Service
Practical Example
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The Problem High number of referrals into secondary care for patients with back pain Low conversion rate to surgery following first outpatient attendance Service not delivery quality of care to patient
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What would a community service look like?
Freed up resource Lead GPs Challenges Current CAS in operation What can we agree on? GP Accreditation Service Mapping Communicate service model, Board, Localities, GPs, Secondary Care Approval
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Implementation From approval to implementation 4 months
Service delivered 20% below tariff Build in time to review process MDT monthly review meetings Nov – March attendances (inc physio) Evaluation – diversion rate away from secondary care increased from 25% to 30% Further development Clinical Psychology and Pain management
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MSK county wide review Spinal Service in South GP led
Physiotherapy and Heartland Orthopaedic Triage service review - North MSK service, Daventry GP and ESP led (1 Yr tender)
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