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Practice Support-What works? Digital Primary Care Congress Pauline Foreman September 2019

Practice Support-What works? Digital Primary Care Congress Pauline Foreman September 2019. Apologies. Planning to cover. Current pressures facing primary care RCGP role in supporting primary care Primary care network support & digital challenges. Primary care under pressure.

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Practice Support-What works? Digital Primary Care Congress Pauline Foreman September 2019

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  1. Practice Support-What works?Digital Primary Care Congress Pauline Foreman September 2019

  2. Apologies

  3. Planning to cover • Current pressures facing primary care • RCGP role in supporting primary care • Primary care network support & digital challenges

  4. Primary care under pressure • Increased workload & reduced resources • Increased regulatory burden • Decline in the GP workforce

  5. Potential Solutions

  6. The RCGP • Professional membership body for GPs in the UK • Our purpose is to encourage, foster and maintain the highest possible standards in general practice

  7. RCGP Practice Support • Began in 2014 with the National Peer Support Programme for practices placed in special measures • Support delivered by a multidisciplinary team of approx. 70 highly skilled advisers/trainers including GPs, nurses, practice managers & pharmacists • Diagnostic and targeted support

  8. Our outcomes • 138 practices supported • 87% of re-inspected practices improved their CQC rating, 80% exited special measures • Significantly fewer practice closures compared to non-RCGP supported practices • An average expenditure of £4,854.47 per re-inspected practice

  9. Our Learning • The commonest root causes for a practice entering special measures were: inadequate clinical leadership, inadequate practice management and professional isolation • Practice insight and engagement with the root cause of their difficulties were key to a successful RCGP outcome

  10. Primary Care Development Training and development Coaching/wellbeing Consultancy and support Collaborative working CQC Preparation Recruitment service

  11. Consultancy & Support • Bespoke service • 113 practices/primary care organisations in the last 18 months • NHS & private providers (IDF) • Increasingly working with at scale organisations • Supporting PCNs is a natural progression of our work

  12. Common Themes • Leadership/governance/organisational development • Workforce/capacity issues • Team development/communication • Finances • Premises • Quality Improvement

  13. Example 1 A practice struggling with capacity and GP recruitment • Workforce analysis looking at current capacity, skills mix and costs • Developing a new workforce including pharmacists & paramedics • Signposting & correspondence training for reception/admin team

  14. Example 2 A group of 7 practices in a CCG • From Rescue to Resilience-a unique CCG wide QI programme • With the opportunity to identify and address common areas of difficulty and share good practice, improving resilience across the CCG.

  15. Example 3 A group of practice managers in a CCG struggling to work collaboratively • Group mentoring & support to enable them to move forward, develop their specification for extended access and their own support network.

  16. Example 4 An established at scale organisation who were struggling with leadership & engagement issues • A review of current board structure & governance • Stakeholder engagement

  17. Example 5 New pilot CQC at scale inspections • Supporting at scale organisations to prepare/deal with an adverse rating

  18. Example 6 A PCN struggling to set up due to Inter-practice conflict • A series of facilitated meetings that enabled them to move forward and sign a network agreement

  19. PCN Support Effective PCNs need: • A clear shared vision • Effective leadership • Strong relationships/good communication/Trust • Adequate support

  20. PCN development support domains

  21. Challenges for you • How do we develop PCN skills in data management/analytics so that we can truly provide population based care? • How can technology help us to build successful teams across PCNs? • How can we use technology to deliver truly integrated patient care? • How can we use technology to maintain continuity of care?

  22. Why Work with Us? • Highly trusted brand with a reputation for quality • Guardian of standards for general practice in the UK • Access to College’s cutting edge work in improving clinical care, organisational design, the development of new models of care, quality improvement, informatics and new technologies • Excellent track record in delivering primary care support, training & development

  23. Cum Scientia Caritas

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