1. May 2019 The Strategic Programme for Primary Care
Sue Morgan
National Director and Strategic Programme Lead for Primary and Community Care

2. The Primary Care Model for Wales
Setting the Direction (2010)
Primary Care Plan for Wales ( )
A Healthier Wales (June 2018)
Strategic Programme for Primary Care (Nov 2018)
Cluster Working
“A cluster brings together all local services involved in health and care across a geographical area, typically serving a population between 25,000 and 100,000.
Working as a cluster ensures care is better
co-ordinated to promote the wellbeing of individuals and communities”

3. Key Messages Get better at measuring what really matters to people
Greater emphasis on wellbeing
Health and Social Care will work together…... joined up and scaled up
Work as a single system, everyone working together
Invest in new technologies
Shift services out of hospitals into the community
Implement the Primary Care Model for Wales

4. Primary Care Model for Wales
Pacesetter Programme ( ) – 24 projects on ‘once for Wales’ basis
Multidisciplinary teams working at cluster level are the way forward
Safe & effective systems to direct people to the right person / team at the point of contact
Integrated teams ensure a holistic approach to care - physical, mental and social well-being
Services must work well across in- and out-of-hours to ensure seamless care
Success also depends on an informed public who have access to a range of community services

5. The Transformation Required
The most cost effective way of improving health and well-being to the practice population is no longer the traditional GP model
Role of ‘high street’ needs to grow – change from business to service
Wider community infrastructure – health and social care
Place based care

6. ALL WALES WHOLE SYSTEM APPROACH
Empowered Citizens
Motivated professionals
Informed Public
Stable Primary Care
Promotion of Healthy Living
Integrated, Whole Systems Approach
Increased
citizen
wellbeing
Improved
access to
quality
care
Sustainable Community Resources
Sustainable Models of Care
New Cluster Models
Accessible Resources
Complex & Specialised Care in Community
Support for Self Care
Increased Community Resilience
Reduced preventable & avoidable ED/hospital admissions
Wide Range of Community
Resources

7. Components of the Primary Care Model for Wales
Informed Public
Empowered Citizens
Support for Well-being, Disease Prevention and Self Care
Community Services
Cluster Working - Cluster planning, Integration, Sustainability, Cluster Development, Evaluation, MDT Working
Call-handling, Signposting, Clinical Triage / Telephone First Systems
Urgent Care and Out of hours & In hours
Shifting Resource
Complex Care in the Community
Infrastructure to support Transformation

8. Strategic Programme for Primary Care
‘Primary Care response to A Healthier Wales’
1. Six Key Work Streams (…and business as usual)
Prevention and wellbeing
24/7 Model
Data & Digital Technology
Workforce & Organisational Development
Communication, Engagement
Transformation Programme and the Vision for Clusters
2. Seamless Working
3. Primary Care Contract Reform

9. Action to date & delivery mechanism
Socialising the programme:
Soft launch of the Strategic Programme
National Primary Care Conference November 2018
30+ meetings / workshop presentations across Wales (Oct ‘18 - April ‘19)
Leadership: DPCC Lead and ‘expert’ Co-Lead assigned to every work stream
Programme Support:
Programme Manager appointed (March 19)
Initial scoping meetings

10. Strategic Programme for Primary Care
Reporting Lines
National Primary Care Board
(via Strategic Programme Arrangements)
Work Stream
1. Prevention & Well-being
2. 24 / 7 Model
Areas in Scope
Information to citizens
Social Prescribing
Compassionate Communities of equivalent
Prevention in clinical and non clinical settings
Population segmentation and risk reduction
Maximising opportunities to support national programmes
Telephone first / Sign-posting / Triage Urgent Care
Escalation Processes
Self-Care and Wider Primary Care Contractor Professions
Services in the Community
OOH (Peer Review)
111 Roll out
Management of Rising Risk

11. Strategic Programme for Primary Care
Reporting Lines
National Primary Care Board
(via Strategic Programme Arrangements)
Work Stream
3. Digital & Data
4. Workforce & Organisational Development
5. Communications & Engagement
Areas in Scope
Systems – current & new
Information – data availability & data sharing
Technology – enabling an agile workforce, assistive technology
MDT review
Workforce planning & modelling
A good place to work
Role development
Education, training and skills
Sharing best practice
Phase 1 – general awareness inc user friendly articulation of model & raising public awareness
Phase 2 –behavioural / culture change
Engagement at local level

12. Work with Regional Partnership Boards and sub-committees
Work Stream
6. Learning from Transformation Programme & Vision for Clusters
Areas in Scope:
Identify barriers for clusters to develop at pace
Work with external stakeholders to identify areas of alignment
Alignment with national programmes (eg Transformation Programme, Clinical Plan, Value Based Healthcare)
Seamless Working
Welsh Government internal working group established spanning departments
Work with Regional Partnership Boards and sub-committees
Health Board or Executive Team development sessions
III. Contract Reform
Lead – Welsh Government & ‘buddy’ DPCC HD HB: Jill Paterson

13. Awaiting endorsement at the National Primary Care Board – 9 May 2019.
On the basis that the deliverables are approved, the full Programme Management Office approach will launch.
What does this mean for the RPB….
- how is the national programme reflected in local actions?
- how will local actions influence national programme?