This report by the Primary Care Workforce Commission has outlined the challenges and recommendations to meet the changes in the workforce in the next few years. You can download the full report here.
Here is a summary of the meeting that we had which involved GPs, Practice nurses, managers, district nurses, community matrons, care navigator and mental health. It was a lively afternoon with some challenging and thought provoking issues.
The key take home messages
- We have some amazing people in our locality.
- We need to get on at least try things for ourselves, rather than waiting for others.
- Develop leadership and key areas for development.
- Engage staff (clinical and non clinical) and patients.
We have identified some of the key areas and will develop them in the next few weeks.
Short interview of some of the people attending GWR MDG Meeting in Hounslow. Part of North West London, Whole System Integrated Care.
This document outlines examples of how health and social care are collaborating.
The full document can be downloaded here.Local Leadership, new approaches
The job of improving the population’s wellbeing and preventing premature mortality starts locally. It starts in people’s neighbourhoods and communities. It is done by local leaders working together, across health and local government, delivering a better deal for their residents. Too often we equate better health with more healthcare: with hospitals, clinicians and health services. But if our ambition is for people to live as well as possible for as long as possible, it will be neither effective nor feasible to ramp up our spending on healthcare. We need to find new ways of working that reflect the fact that ill-health is rarely a single, isolated problem but is often tied up with where and how we live, with our jobs, our families, our incomes. People’s lives aren’t compartmentalised. A crisis in someone’s life – perhaps spiralling debt or the shock of unemployment – is likely to spill over into other areas. It may have knock-on effects on housing, on families, and on a person’s mental and physical health. A visit to the GP can help with the latter, but it cannot, by itself, address the wider set of problems. When people are dealing with the messy reality of multiple challenges, they need support from local services that are joined-up, timely and convenient. Local councillors and local health professionals are used to working together for the health of their communities. But we have to make it even easier for them to join forces, especially in tackling longterm diseases – a burden that we know falls heaviest on those who are most deprived and most vulnerable. We have an opportunity, with the changes to our health and public health landscape, to foster collaboration across sectors. It is an opportunity we cannot afford to pass up. We will learn faster and more effectively if we share the experiences of those who have created joint programmes, and can see the real difference this is making to the wellbeing of local residents. This report contributes to this collective understanding and I am delighted to endorse it and the case studies it highlights. They offer valuable insights to all of us concerned with maximising the impact we hope to have on improving population health and reducing inequalities.
Happy New Year! We hope to improved integrated care in 2015 with better integration. A lot going on, so join our newsletter for Great West Road Locality in Hounslow. We will share advice and tips and would welcome thoughts and views from patients, healthcare professionals and social workers. Just click on the link here. http://eepurl.com/bamNMD
Here is a summary of our Great West Road locality (Hounslow) integrated care meeting discussed on the 9th December 2014. It was a short but productive meeting. Outlined below.
- Brief recap of WSIC (Whole System Integrated Care) and discuss outcomes of the Simulation event – discussed ways in which we can access advice from the providers for individual patients, when we need it. We discussed the use of social media in healthcare for our locality in delivering integrated care. A quick summary of what happens elsewhere, we are ahead of the game (although it often does not feel like it!). For more info, click here.
- Update on Locality pathfinder – a presentation from Phil Howell from London Borough of Hounslow, A really helpful update on the progress and key lessons learnt in the pilot between Hounslow CCG and London Borough of Hounslow to identify ways in which we can work collaboratively. This pilot is running in Great West Road and Feltham localities in the first instance. For more info, click here
- Workforce and training issues for staff delivering integrated care. Verbal presentation by Natalie Oswald, Northwest London. Discussed CEPN (Community Education Provider Networks) – major issue, probably the biggest rate limiting step for implementing WSIC. We will work on identify learning needs as providers (primary, secondary and social services) and see if we can collaborate with joint external training, develop internal training teaching, mentoring / coaching within our locality etc. Dementia is an obvious one to start with. For more info, click here.
- Setting up locality patient forum, increasing patient engagement and education. Verbal update by Rob Flan. We would like to develop assessments of patient educational needs and help them to own and improve their health outcomes. Explore community and self directed learning rather than the traditional didactic approach taken with patient education. Combination of online and meetings.
It was a busy meeting but please feel free to continue to conversation here.
Key themes that emerged are
- Develop a single care record
- Reconciling accountability with the nominated care coordinator. Having clear points of contact.
- Building up trust between providers and patients. Understanding each others roles eg sitting in on each others clinics.
- Improving communication between providers, develop a contact list, physical meetings, phone calls, conference calls (video & telephone), including contact with patients. Social workers have already started ‘drop in clinics’, which have had positive initial feedback. These will be extended and offered to other practices.
- Streamlining referral process between providers
- Getting feedback on referrals made. Clear summary of has been done and what the person who has received the letter needs to action. Social workers will start trialling this now.
- Review existing resources of all providers and identify ways in which we can streamline them improve service we provide for patients and avoid duplication.