New Care Models and STPs Roundup for GPs
Hempsons is pleased to bring you the latest in its series of news updates on new care models, STPs and integration.
Information supplied as part of the STP planning process suggests the NHS will employ thousands fewer nurses and other staff in the next few years, and treat tens of thousands fewer emergency patients in hospital. Although the information has not been published, HSJ has reported the findings of its analysis of some STPs.
The findings are based on the detailed finance, workforce and efficiency plans submitted as part of the sustainability and transformation plan process.
Hempsons Partner Andrew Davidson comments: “Although it makes sense for the HSJ to put together the individual workforce plans submitted as part of the STP process to get a sense of how the national workforce might develop over the years to come we would urge some caution.
The Five Year Forward View envisaged significant changes to job roles and the creation of entirely new roles to meet new care models. Over time this might lead to a reduction in traditional nursing roles but it’s too early to reach this conclusion. The reduction in “infrastructure support” suggested by the STP plans is, in our view, far more likely to happen with an increased focused on shared services more integration.”
NHS England has published ‘Allied Health Professionals into Action’, a blueprint for using Allied Health Professionals to transform health, care and wellbeing.
‘Allied Health Professions into Action‘ brings together the views of the third largest workforce in the health and care system, including chiropodists, dieticians, orthoptists, paramedics, physiotherapists, art therapists and speech and language therapists.
Under the blueprint England’s 145,000 Allied Health Professionals will be encouraged to innovate and lead within the NHS and wider care system. They will be at the forefront of innovative changes to patient care and will shape future health policy by having a full involvement in transformation plans being developed across the country.
Interestingly, the publication indicates that the blueprint has been developed via crowdfunding.
The MCP Procurement and assurance approach document published in December 2016 sets out useful guidance and checklists for workforce considerations for MCP commissioners.
Hempsons Partner Andrew Davidson comments: “The aim is to give some structure to consideration of bidders’ submissions on workforce planning. The checklists fall into three broad categories; assessing the current workforce structure, managing the transition to MCP and the future shape of the MCP workforce. They include consideration of how the proposed MCP workforce would align with the local STP to allow delivery of local and national priorities.
These checklists will provide a useful starting point for those who will need to develop a “Staff Transition and Development Programme” as required under the NHS Standard Contract for MCPs.”
NHS England’s consultation period on the draft MCP contract and associated guidance came to an end last week and we await the outcome of that consultation process it is fair to say that there are concerns in a number of areas.
For example, the BMA’s document ‘Focus on the draft MCP contract’ notes that: “Whilst supporting the principles of integrated care, the GPC remains concerned by the apparent longer-term movement away from the national GMS contract and continues to believe that the key aims of the MCP contract can be met within the existing framework and protections of the national GMS contract.”
For another view, Julian Patterson, Director of marketing and communications at PCC, believes that “’Primary care home’ is a much more GP friendly brand than the unwieldy terminology of MCP and PACS or the transatlantic jargon of accountable care organisations.” He thinks that the primary care home model focussing on GP hubs serving populations of 30-50,000 is much more practical than the far bigger populations NHS England anticipates for MCPs and PACS.
With STPs recognising the need for new care models, and the key role of primary care in those models, it will be interesting to see how things develop over the course of the year.
Read Julian Patterson’s article
The Five Year Forward View and the National Information Board set out a clear strategy for the adoption of technology and the realisation of a data-driven health and care service including a mandate to move to integrated, citizen-centric and outcomes-based care provision with the aim of improving the health and wellbeing of individuals and populations at large.
Building on this, Will Smart, the CIO for Health and Social Care in England, convened an Interoperability and Population Health Summit in November 2016. The purpose of the summit was to bring together national and international experts to explore the challenges associated with achieving the aims of the Five Year Forward View. Attendees included representatives from NHS bodies and private sector suppliers including from DeepMind Health at Google and IBM.
A helpful summary of issues discussed at the Summit and next steps has been published. It shows, amongst other things, plans for regional solutions with a minimum STP level footprint as well as the development of a national “data-lake” based upon information held at a regional level which is able to perform near real-time analytics and provide insight at a national level.
The effective creation and delivery of local system sustainability and transformation plans (STPs) is now a key task for any healthcare leader. There is a clear consensus that creating effective governance for the STP process is vital, but this is not something that has collectively been done well enough up to now, and it is recognised as a potentially complex issue.
In partnership with NHS Providers, we have launched a report, Governing for transformation: STPs and governance.
The report sets the context for STPs, identifies the challenges for organisations, examines the role of the board, and addresses the constraints of current legislation.
Hempsons’ Integration Resource Centre contains a series of articles and in-depth reports on new care models, integration, STPs and governance.
Have a browse through the available topics and contact us if you have any questions.