1. Overview on Primary Care Networks (PCNs)
Karen Large, Primary Care Networks Manager, South Tyneside
Sam Hood, Portfolio Manager, Newcastle & Gateshead CCG
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2. Context for PCNs Aims of the long-term plan
Everyone gets the best start in life
World class care for major health problems
Supporting people to age well

3. How will this be achieved?
Primary care networks as the foundation for Integrated Care Systems
Preventing ill health and tackling health inequalities
Supporting the workforce
Maximising opportunities presented by data and technology
Continued focus on efficiency

4. What is a PCN?
PCNs will comprise groupings of clinicians and wider staff sharing a vision for how to improve the care of their population and will serve as service delivery units and a unifying platform across the country:
Groups of Practices working together and with other local health and care providers( including primary care, community services, social care and voluntary sector), to provide co-ordinated care through integrated teams
A defined patient population in the region of 30,000-c50,000, based around natural local communities
Providing care in different ways to match different people’s needs, including flexible access to advice and support for ‘healthier’ sections of the population, and joined up care for those with complex conditions

5. What will PCNs do?
Focus on prevention and personalised care, supporting patients to make informed decisions about their care and look after their own health, by connecting them with the full range of statutory and voluntary services.
Use of data and technology to assess population health needs and health inequalities, to inform, design and deliver practice and population scale care models; support clinical decision making, and monitor performance and variation to inform continuous service improvement.
Making best use of collective resources across practices and other local health and care providers to allow greater resilience, more sustainable workload and access to a larger range of professional groups.

6. PCNs South East West PCNs in South Tyneside Total population 157,721
21 Practices

7. Locality Map

8. Network Member Practices
PCN South - 55,993
Network Member Practices
Practice’s registered list size (as at 1 January 2019)
Central Surgery
19665
Colliery Court Medical Centre
7929
Dr Thornily, Walker & Partners
6591
Imeary Street Surgery
3,283
Marsden Road Health Centre
13,353
Whitburn Surgery
5172

9. PCN East - 53,871 Network Member Practices Farnham Medical Centre
Practice’s registered list size (as at 1 January 2019)
Farnham Medical Centre
17,405
St George’s Medical Centre
6619
Talbot Medical Centre
7987
Trinity Medical Centre
6447
Wawn Street Surgery
8084
Wenlock Surgery
4539
West View Surgery
2790

10. PCN West - 47,103 Network Member Practices Albert Road Surgery
Practice’s registered list size (as at 1 January 2019)
Albert Road Surgery
3083
Dr Dowsett & Overs
5139
East Wing Surgery
3918
Ellison View Surgery
6229
Mayfield Medical Centre
9368
Ravensworth Surgery
5590
The Glen Medical Group
10,600
Victoria Medical Centre
3176

11. Network Structure

12. Wider system alliance PCN JCU NTW FT Social Care Public Health CCG
Community Services FT
NTW
JCU
Clinical Directors
& PCN Manager
PCN

13. Benefits for patients
More co-ordinated services where they do not have to repeat their story multiple times
Access to a wider range of professionals in the community, so they can get access to the people and services they need in a single appointment
Appointments that work around their lives, with shorter waiting times and different ways to get treatment and advice including digital, telephone-based and face-to-face
More influence when they want it, giving more power over how their health and care are planned and managed
Personalisation and a focus on prevention and living healthily, recognising what matters to them and their individual strengths, needs and preferences

14. Benefits for the whole health care system
Co-operation across organisational boundaries and teams to allow better coordination of services
Wider range of services in a community setting, so patients don’t have to default to the acute sector
Developing a more population-focused approach to systemwide decision-making and resource allocation, drawing on primary care expertise as central partners
More resilient primary care, acting as the foundation of integrated systems

15. Sam Hood, Portfolio Manager, Newcastle & Gateshead CCG
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16. Oxford Terrace / Birtley 31,841
Inner West 45,192
Oxford Terrace / Birtley 31,841
East 30,272
Glenpark 9,146
Sunniside 3,308
Teams
5,542
Whickham 15,987
Chainbridge 11,264
Oxford Terrace 15,750
Birtley
16,091
Crowhall 6,262
Longrigg 10,688
Pelaw
5,183
St Albans
8,139
Clinical Director: James Taylor Management Lead: Gail White / Helen Sangster
Clinical Director: Peter Young / Jeremy Watson Management Lead: Anna Knighton / Sheinaz Stansfield
Clinical Director: Andrew Porter Management Lead: Alison Sample
Gateshead Networks – 30 practices population 209,448 at Jan 2019
Outer West 31,798
Central /South 70,345
Blaydon 2,320
IJ Healthcare 4,699
Millennium 3,793
Bridges
5,298
Central Gateshead 10,629
Metro Interchange 3,504
Second Street
3,572
108 Rawling Road
1,578
Bensham 4,216
Bewick Road 6,252
Beacon View 4,752
Wrekenton 10,856
Fell Cottage 8,232
Fell Tower 7,629
Crawcrook 6,913
Chopwell 2,498
Grange Road 3,852
Oldwell
5,170
Rowlands Gill 6,346
Clinical Director: Sameena Hassan Management Lead: Sue Jennings
Clinical Director: Linda Nutting / David Roberts Management Lead: Sue Harrigan / Tracey Atkinson

18. Health Foundation Trust
Gateshead Health & Care System A Place based approach to Integrated Health & Care
Collective and best use of Gateshead £
Primacy of Gateshead Place
Newcastle Gateshead CCG
Planning as a System
Gateshead Local Authority
Public Health
Gateshead GP Federation/CBC/PC Networks
NUTH
NTW
Priority areas:
Children’s wellbeing & mental health
Multiple & complex needs
Frailty
Transformation Programmes
Community services
Intermediate care
Falls
Deciding Together, DT (MH)
Community Model - LD
End of life care
Gateshead
Health Foundation Trust
Blue Stone Consortium

20. Workforce Opportunities
Funded Roles per PCN
From
Clinical Director – one day a week per PCN
July 2019
Clinical Pharmacists
Social Prescribing Link Worker
Advanced Practice Physio Therapist
March 2020
Physician Associate
Paramedics – Advanced Paramedic Practitioner
March 2021

21. Delivering New Network Services
Meeting the NHS Long Term Plan
7 Specific national service specifications under the network contract DES
Focused on areas where Primary Care Networks can have significant impact on the ‘Triple Aim’:
Improving health and savings lives
Improving the quality of care for people with multiple morbidities
Helping to make the NHS more sustainable

22. Service Specifications
From April 2020:
Structured Medication Reviews
Enhanced Health in Care Homes
Anticipatory Care (with community services)
Personalised care
Supporting early cancer diagnosis
From April 2021:
Cardio-vascular Disease Case-finding
Locally agreed action to tackle health inequalities

23. Any questions

24. Sam Hood, Portfolio Manager – Gateshead, NGCCG
Thank you
Karen Large, Primary Care Networks Manager (Interim) – South Tyneside Health Collaboration
M: , E:
Sam Hood, Portfolio Manager – Gateshead, NGCCG
Tel: , E:
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