Primary Care Networks

1. Primary Care Networks March 2019 Essex LMCs

2. NHS Long Term Plan (LTP),and“Investment and Evolution” (5 year GP contract reform) • In the LTP , Primary Care Networks (PCNs) are the essential building blocks of every Integrated Care System • Under the Network DES, general practice takes the leading role in every PCN • All practices are automatically entitled to the PCN contract • Coverage is expected to be 100% by July 2019 • The DES has three components: • Network service specifications • Network financial entitlements • Supplementary network services

3. The details from NHS E and GPC • Every practice has the right to join a PCN in its CCG and to participate in the Network DES • The patients of a practice that does not want to sign-up to the DES will be added to one of the local PCNs, which will provide “network” services to those patients • “CCGs, working with LMCs, must ensure all practice lists are covered” • PCNs will tend to cover populations of between 30 and 50 thousand patients

4. Practice Actions • PCN boundaries must make sense to practices, other providers and the local community • This is a network not a marriage! • The network should be an asset to practices and their patients, not a competitor or a massive obligation • We do not have all the answers but if practices , CCGs and LMCs can work on this together this is a massive opportunity • Every good plan can be ruined by bad behaviour

5. Registering for the network contract DES(by 15th May 2019) • Names and codes of member practices • Network list size • Map of the agreed Network area • Initial Network agreement signed by all practices • The practice or provider that will receive funding on behalf of the Network • The named accountable clinical director

6. Funding streams for Networks • Funding for workforce expansion • £1.50 pp to PCNs to support practice activity within networks • Funding for 0.25 WTE Clinical Director • £1.76 pp network participation funding direct to practices • Investment and Impact fund for delivery against objectives which are not yet agreed (£75 million in 20/21, £300 million in23/24) • Access funding, combining extended access and improving access funds.

7. Workforce(70% funding) • Clinical Pharmacist, and Social prescribing link worker (100%) 19/20 • First contact physiotherapist 20/21 • Physician Associate 20/21 • First contact community paramedic 21/22

8. Delivering new Network services • Structured medication review 20/21 • Enhanced Health in Care Homes 20/21 • Anticipatory care (frailty, LTCs) 20/21 • Personalised care 20/21 • Early cancer diagnosis 20/21 • CVD prevention and diagnosis 21/22 • Tackling inequalities 21/22

9. Questions?? • Next steps • This is delivered by practices • CCGs, with LMC support, will assist