Northumberland, Tyne and Wear Strategic Health Authority

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Northumberland, Tyne and Wear Strategic Health
Authority

• Dr Ian Spencer
• Director of Clinical Governance

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The new GMS Contract The local challenge
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The Area We Cover Population of 1.5
million Berwick, down to Houghton- le-Spring,
across to border with Cumbria Coterminous
with one county council, six district councils,
two city councils and three borough councils

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The NHS in Northumberland, Tyne Wear 5
hospital trusts 5 primary care trusts 1
care trust 2 mental health trusts 1
disability trust 1 ambulance trust 236 GP
practices 308 pharmacies 238 dental practices 148
opticians practices
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Health policy

• Helping people to live longer and healthier lives
• Providing fast, convenient services meeting
  universally high standards
• Giving the staff who work in the NHS the support,
  buildings, training and equipment they need to
  provide a modernised service

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Modernisation challenges

• Partnership
• Performance
• Professions
• Patient care
• Speed of access
• Empowerment
• Prevention

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The National Plan

• The New NHS the need for change
• faster and more convenient care
• high standards everywhere
• tackle the causes of ill-health
• need a service that reflects and meets the needs
  and expectations of modern society

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The NHS Plan

• a greater range of primary care services
• improving working lives
• flexible multidisciplinary working
• the practice will remain the basic unit
• improved standards
• wider range of more accessible services
• greater freedoms and incentives

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The vision for primary care

• universal, fast and convenient access
• by informed patients
• to an extended range of high quality services
• delivered in modern primary care settings
• by suitably trained and qualified primary care
  professionals

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Shifting the paradigm
LPS
LDS
PMS
New GMS
NHS LIFT
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Investing in premises and equipment

• investment of 1bn to
• refurbish 3,000 GP premises
• build 500 one stop centres
• investment in IT
• access to NHSnet universal by 2002
• to assist diagnosis, prescribing and referral
• on-line booking of hospital appointments by 2005

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Shiremoor
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Investing in primary care people

• at least an extra 2,000 GPs by 2004 with 450 more
  than now in training
• a review of the primary care workforce
• professional mix more practice nurses
• new initiatives
• 500 community mental health workers
• 1,000 new primary care mental health workers

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Enhanced career opportunities for GPs

• up to 1,000 specialist GPs by 2004
• better training and development
• measures to tackle violence, discrimination and
  harassment
• better working practices
• an occupational health service for GPs and their
  staff

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Building quality into the GP contract

• reform of contract
• greater flexibility to reward for quality
• PMS to remain voluntary
• 30 by 2002
• core contract
• local flexibility for innovation
• address isolation of single-handed GPs

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nGMS Roles

• DoH is responsible for policy
• PCTs are responsible for implementation
• SHAs are responsible for bridging the gap
  leadership and performance management

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nGMS Role of the SHA

• SHA role includes
• ensuring swift 3-way communication (up, down and
  across)
• understanding and informing policy developments
• supporting performance improvement, through
  performance management
• ensuring PCTs use funds to deliver nGMS aims
• initial resolution of problems and appeals

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nGMSPerformance management

• SHA role to ensure PCTs have
• a clear understanding of the task, including
• the essential (e.g. OOH provision, payment
  systems)
• the potential (e.g. enhances quality, new ways of
  working)
• the implications (e.g. patients choice, staffing)
• the required management capacity and capability
• developed a robust local action plan
• effective project management
• identified the risks, which may vary
  locally(e.g. OOH, IMT)
• opportunity to share good practice

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nGMS / PMS Two vehicles for delivery of Primary
Care

• PMS uptake at 1 October 2003
• doctors patients
• Northumberland CT 92 89
• Newcastle PCT 40 38
• North Tyneside PCT 45 43
• Gateshead PCT 34 31
• South Tyneside PCT 72 70
• Sunderland TPCT 76 76
• Opportunities for innovation

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Structures to deliver nGMS

• history of PCOs working together
• TPCT workstreams
• from July 2003, SHA-wide monthly meeting
• Chair PCO Chief Executive
• links to national implementation group
• scoping exercise by individual PCOs to identify
  issues for joint working

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Key challenges

• six months and ticking
• emerging guidance
• building capacity
• managing resources
• managing expectation
• communication

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Todays nGMS Workshops

• opportunity to influence local and national
  agenda
• feedback to SHA-wide nGMS Implementation Group
• Help us to help you!

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Principles for improving NHS

• increasing choice
• increasing equity
• increasing access
• increasing capacity
• John Reid 17 September 2003

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Northumberland, Tyne and Wear Franchise Plan 2002

• The future
• ..for the NHS Plan to be successful, develop a
  whole new model for primary care delivery