London Primary Care Quality Academy - Proposition Securing better value for citizens, reducing demand, and designing services fit for changing health needs. Executive Summary At the heart of primary care lies the collaborative relationship between local people and primary care professionals who understand the context of their community. This is where the ‘solution’ to the over-stretched primary care system lies – in enabling this core relationship to bring the capabilities of both into improving health. Using collaborative change practices, underpinned by data the Primary Care Quality Academy supports practices that increase satisfaction, reduce demand, and secure capacity to adapt to changing health needs. London’s primary care is operating under considerable pressure. At a time of financial constraint across the health and social care system it faces increasing demand, increasing complexity of case load, rising expectations from commissioners and patients and a need to transform and diversify its skill mix and range of services. The Five Year Forward view sets out a new vision of extended primary care with better access, coordinated care, personalised proactive care and new models of care with practices coming together to work at scale and provide population health to larger communities. Strategic Transformation Plans set out how defined geographies of services will work together delivering better quality, efficient and joined up health and social care. For the STPs the role of primary care in these plans cannot be underestimated. In order to deliver this transformation there will need to be a step change in the capacity and capability of primary care to lead and deliver the transformation required, in particular reducing demand. The Primary Care Academy sets out an approach to equip key staff with the leadership, organisational development, collaborative support and quality improvement skills, which these changes will require. The London Primary Care Quality Academy Overview Across London there are varying levels of support and development for primary care and for reducing demand. Across the UK there are examples of new models of primary care emerging. Primary care is struggling to provide the level of quality and access that is required. Where primary care has revolutionised how it organises there have been significant gains in terms of reduced demand, population health outcomes, better service quality, work-life balance for professionals, and better value (being able to deliver high quality primary care within budget). The London Primary Care Quality Academy is seeking to catalyse this across London.
12 Dr Rebecca Fisher National Medical Director’s Clinical Fellow The Health Foundation 1 13 Dr. Asiya Yunus Clinical Lead Healthy London Partnership 1 14 Dr. Imran Rafi Chair of CIRC (Clinical Innovation and Research Centre) Royal College of General Practitioners 1 15 Dr. Thom Tyson President Appletree Medical Group, Ottowa 1 16 Hannah Price Head of QI, CIRC Royal College of General Practitioners 1 17 Louise Proctor London CCG’s SRO for the HLP improvement programme Healthy London Partnership 1 18 Hilary Ross Director of Strategic Development and Operational Director - AHSN Integrated Cardiovascular Programme UCL Partners 1 19 Ian Jackson Director Bromley By Bow Centre 1 20 Jane Lindo Deputy Programme Director for Transforming Primary Care Healthy London Partnership 1 21 Jane McGrath CEO West London Collaborative Wecoproduce 1 22 Jemma Gilbert Programme Director - Prevention and Quality Improvement Healthy London Partnership 1 1 23 Jenny Cooke Lead on primary care transformation Tower Hamlets 1 24 Jessica Arnold Head of Primary and Community Care, NHS Bromley Clinical Commissioning Group SPG/STP 1 25 John Sanfey FRCGP Revalidation & Medical Adviser to NHS England, London. Landscape Editor London Journal of Primary Care Supplier to GP Resilience NHS England 1 1
Programme: The Renervate Collaboration 26 Judith Stanton Prederi Medical Director Other 1 27 Kathy Tyler Capacity Building programme Health Innovation Network 1 28 Katie Brennen Deputy Director of Financial Strategy Tower Hamlets 1 1 29 Matilda Sims Regional Engagement Manager - London & South England Royal College of General Practitioners 30 Miranda Dixon Development Lead, School of Integrated Solutions Bromley By Bow Centre 1 31 Mike Jones GP and Primary Care QI Lead UCLP and GP 1 32 Paul Thomas Editor in Chief at the London Journal of Primary Care Other 1 33 Paul White Associate Programme Director Our Healthier South East London SPG/STP 1 34 Preeti Sud Programme Manager UCL Partners 1 35 Prof Mike Roberts Clinical Academic Lead for Population Health and Programme Director for Education and Capability UCL Partners 1 36 Riaz Jetha GP South Lewisham Group Practice 1 37 Ruth Frost Provider Development Lead (Primary Care) Healthy London Partnership 1 38 Simon Ormerod RCGP Regional Ambassador for GP Forward NE London STP Footprint Royal College of General Practitioners 39 Sapana Agrawal independent consultant Tower Hamlets CCG 1 1 40 Soleman Begg NHS WANDSWORTH CCG SPG/STP 1 1
41 Suzi Griffiths Programme Manager LSBU Health Systems Innovation Lab 1 1 42 Tania Anastasiadis Practice GP Tower Hamlets 1 43 Tony Hufflet Associate - Data LSBU Health Systems Innovation Lab/ Data Syrup 1 1 44 Dr Victoria Tzortziou Brown RCGP London Chair, Academic GP, Tower Hamlets CCG Board member, Trustee HQIP RCCP/ Tower Hamlets CCG 1 45 Virginia Patania Jubilee Street Practice (NHS TOWER HAMLETS CCG) Tower Hamlets 1 1 45 Zoe Lelliott Director of Strategy and Performance HIN Health Innovation Network 1 Invited but not been able to join to date 1 Rachel Abraham Associate LSBU Health Systems Innovation Lab 2 Nav Chana Chair of the National Association of Primary Care Primary Care 3 Nick Downham Associate LSBU Health Systems Innovation Lab 4 Dr Michelle Drage CEO of Londonwide LMC's Other 5 Dr Nicholas Hicks Founder and the Chief Executive Other 6 Dr Anwar Khan Clinical Chair and Director of Research & Education NHS Watham Forest CCG 7 Martin Marshall Professor of Healthcare Improvement UCL 8 Delvir Mehet North West London CCG's 9 Shirlene Oh Interim Director of Commerce Imperial College Health Partners 10 Lis Paice OBE Independent Coach, Physician and former Dean of Post Graduate Medical Education Other
11 Penny Perieria Deputy Director of Improvement The Health Foundation 12 Dr Rebecca Rosen Senior Fellow in Health Policy at the Nuffield Trust Other 13 Dr Mark Spencer GP and interim London Region Medical Director NHS England Tower Hamlets 14 Chris Whittle Progamme Administrator UCL Partners 15 Dr Robert Varnam Head of General Practice Development NHS England 16 Liz Wise Director of Primary Care Commissioning and Transformation at NHSE London North West London CCG's Appendix Two Detail on levels of support Appendix 3: Examples of Great Practice 1. Know your demand – here is an example