CCG Mergers and Collaboration Masterclass
As the move towards developing Integrated Care Systems gathers pace, we are seeing a big shake-up of the commissioning landscape. CCGs are already working much more closely with their neighbours, sharing staff, setting up joint committees/governance structures and more recently a raft of CCGs have announced plans to merge with each other and/or to integrate heath and care commissioning. This trend will continue as CCGs align more closely with Sustainability and Transformation Partnership (STP) or Integrated Care System (ICS) footprints.
This conference stream will look at the practicalities and benefits for CCGs that are in the process of merging or collaborating more closely with each other and with commissioners of adult social care. You will learn from CCG leaders who have recently overseen a successful merger or are actively going through the process. Case studies will cover CCGs from relatively strong as well as troubled healthcare economies that are merging for economies of scale and/or to enable the development of a more strategic role in population health management. Our speakers from NHS and local authority backgrounds will take you through step-by-step how they planned and achieved a successful merger with practical advice about finance, HR, dividing up tactical and strategic commissioning functions, mitigating risk and avoiding pitfalls. There will be plenty of practical tips and tools on offer to support CCGs and adult social care commissioners looking to embark on a similar journey.
Next Steps for General Practice
Transforming general practice is viewed by most system leaders as key to solving the challenges facing local healthcare economies. Strong general practice as part of expanded primary and community care should be at the heart of every successful Sustainability and Transformation Partnership (STP) and Integrated Care System (ICS). NHS England/NHS Improvement set out clear expectations in ‘Refreshing NHS Plans for 2018/19’ for CCGS to support and invest in the development of primary care and to overseee implementation of the General Practice Forward View and the establishment of a comprehensive system of primary care networks countrywide.
This conference stream will take a practical look at how general practice is being integrated and embedded within new integrated care systems. You will learn more about the rapid testing and roll-out of population-health based models of primary care at scale such as the NAPC-led Primary Care Home. There will be step-by-step advice on how to build primary care networks and develop them to maturity as well as a look at how they are impacting on challenges around workforce, access and estates.
Prevention and Population Health
There has been a lot of talk about population health management within the NHS of late but what does it mean and how do you do it? This conference stream will look at how the NHS is collaborating with local authorities and other partners around prevention, reducing health inequalities and improving health outcomes for populations. With stretched finances and transformation funding going into stabilising the current system, there is a risk that prevention initiatives will be put on the back boiler but increasingly systems are taking the long-term view. Sustainability and Transformation Partnerships (STPs), Integrated Care Systems (ICSs) and new digital technologies all present important opportunities to take a more coordinated approach to improving the health of defined populations. Significantly, CCGs are working to develop a more strategic role in identifying and planning for the health needs across STPs and ICSs. In ‘Refreshing NHS Plans for 2018/19’, there is a call in particular for ICSs to take a population health management approach to integrating services around populations that are at risk of developing acute illness and hospitalisation.
In all of this, there are challenges outside the NHS’s control with cuts to local government and public health budgets to contend with. This stream will include examples of prevention and population health programmes at whole-system or locality level that are beginning to make a difference.
Rising to the Workforce Challenge
The NHS is working at full-stretch with 100,000 full-time equivalent vacancies increasing the risk of staff burn-out and patient safety failings. Developing a workforce fit to meet the demands of a 21st century health service is a major concern for clinicians and managers working right across the NHS. With a growing, ageing population and a greater focus on quality, the impacts of any increase in workforce over the past five years have barely registered in the GP surgeries or A&E departments on the NHS frontline. Social care and health together make up the largest workforce in the country, by comprising 13% of all jobs, yet NHS leaders acknowledge that we have not had a national strategy for recruiting, training and supporting them for over two decades. Now with a major consultation underway on the health and care workforce due to culminate in the publication of a workforce strategy in July, the problem is set to be tackled head on.
This conference stream will include best practice case studies, advice and innovative new approaches to tackling the workforce challenges in primary and secondary care. Highlights will include a talk by Janet Davies, Chief Executive and General Secretary of the Royal College of Nursing, on the crucial role of nursing staff in the development of sustainable health and care services. There will be stand-out examples of some of the most innovative ways in which hospitals are improving recruitment and retention, advice on reducing agency costs, investing in staff and developing multidisciplinary teams to support new primary care networks that lie at heart of evolving Integrated Care Systems.
Relieving Pressure on Hospitals
Hospitals are doing an amazing job of keeping the show on the road despite an incredibly tough financial climate, escalating demand and workforce shortages - but for how much longer can this situation be sustained? NHS Improvement’s Q3 data for finance, performance and workforce revealed that 5.6 million people visited A&E over the three month period, a quarter of a million more than the same period last year. Performance against the four-hour A&E standard was 89.5% at the end of December. These figures alone demonstrate why urgent action needs to be taken to relieve pressure on hospitals. Add to the mix 100,000 full-time equivalent vacancies in the NHS and a provider deficit of £931 million predicted for the close of 2017/18, and it is clear why the gap between demand and funding for the NHS is not closing.
This stream will share short and long-term ways in which commissioners and providers are working together to bend the demand curve for secondary care. Through discussion and case studies, speakers in this stream will share new approaches to relieve pressure on NHS trusts, from transforming elective care to reinventing outpatient departments and overhauling urgent and emergency care.