Transcript new models of working

5 Year Forward
New models and new ways of working
Food for thought
HE NHS England October 2014
Future changes in 5 Year Forward some of the key concepts
Published October 2014
Multispecialty Community Provider Model (MCPS)
Target people
with complex
needs
Renewable energy of
carers, voluntary,&
service users accessing
hard to reach & new
ways to changing
behaviours
Funding may be
delegated NHS
budget & or
H&HSC
responsibility
Federations
Networks
Single practices
Digital
technology
Provide OPD
services in
community & AC
Expert
generalist
Expanded
Leadership AHP
Pharmacy, HCS
nurses
Run local comm.
hospitals &
expand
diagnostics
Employ
consultants as
partners & or
non med senior
practitioners
Credentialing
GPs direct
admission rights
to acute services
OOH inpatient
care supervised
by new role
resident
hospitalists
Primary and Acute Care (PACS)
Single organisation to provide
NHS list based GP & hospital
care with MH & community care
A range of options will permit a new
variant of IC allowing single
organisations to provide NHS list
based GP, Hospital Services, MH
and Community Care services
The leadership required for
these vertically IC PACS may
vary in different localities
One option such as in
deprived urban areas where
GPs under strain hard to recruit
– hospitals will be permitted to
open up own GP services with
lists
Other circumstances next stage
in development of MCSP could
be that it takes over running
main DGH
Most radical PACS take
accountability for whole health
needs of reg. list under capitates
budget similar to Accountable Care
Organisations in USA, Spain &
Singapore
Urgent and Emergency Care networks
Evening & Weekend access
to GP’s or nurses in
community bases with
increased range of tests &
treatments
Ensure hospital patients
have access to 7 day
services where this
makes a clinical impact
on outcomes
Ambulance services able to
make more decisions, treating
patients, referrals & greater use
of pharmacists
Proper funding of mental
health crisis services
including liaison
psychiatry
New ways of measuring
quality of urgent & emergency
services
Develop networks of linked
hospitals so most serious
needs get to specialist
emergency centres
A strengthened clinical
triage & advice service
linking systems together &
help patients navigate the
systems
New funding arrangements &
new responses to workforce
requirements to make new
networks possible
Workforce implications – some thoughts
• New accountabilities
• New partners
• New teams
• New skills
• New ways of working
• New roles
• New culture
• New concepts
• New geographies
• New opportunities – staff, local
people
• Generalist and specialist
changes
• New & or additional knowledge
& skills
• Changing public relations
• New career options
• New ways of learning
• Flexible workforce