Next steps on the NHS Five Year Forward View: Primary care

Next steps on the NHS Five Year Forward View - Primary Care
NHS England 31 March 2017

• Key improvements for 2017/18 and 2018/19
• Boost GP numbers. 
• By March 2018 at least 40% of the country will benefit from extended access to GP appointments at evenings and weekends. By March 2019 this will extend to 100% of the country. 
• More convenient patient access to GP services. From October 2017 practices who shut for half days each week will not be eligible the extended access scheme.
• Expansion of multidisciplinary primary care through increase the number of clinical pharmacists and mental health therapists in primary care andincentivising physician assistants to work in primary care.
• Modernisation of primary care premises.
• Changes will be implemented through:
• investment in GP services
• Practices will work together in ‘hubs’ or networks.with a combined patient population of at least 30,000-50,000. (The model does not require practice mergers or closures and does not necessarily depend on physical co-location of services.)
• Development of a successor to QOF.

Clinical Research network hosts announced

Host trusts for NIHR Clinical Research Network announced
NIHR, 30 October 2013

• The 15 NHS Trusts/Foundation Trusts that will host the local branches of the NIHR Clinical Research Network from April 2014 have been announced as:
• Barts Health NHS Trust (host for the Clinical Research Network: North Thames)
• Central Manchester University Hospitals NHS Foundation Trust (host for the Clinical Research Network: Greater Manchester)
• Guys’ and St Thomas’ NHS Foundation Trust (host for the Clinical Research Network: South London)
• Imperial College Healthcare NHS Trust (host for the Clinical Research Network: North West London) 
• Norfolk and Norwich University Hospitals NHS Foundation Trust (host for the Clinical Research Network: Eastern)
• Oxford University Hospitals NHS Trust (host for the Clinical Research Network: Thames Valley and South Midlands)
• Royal Devon and Exeter NHS Foundation Trust (host for the Clinical Research Network: South West Peninsula)
• Royal Liverpool and Broadgreen University Hospitals NHS Foundation Trust (host for the Clinical Research Network: North West Coast)
• Royal Surrey County Hospital NHS Foundation Trust (host for the Clinical Research Network: Kent, Surrey and Sussex)
• Sheffield Teaching Hospitals NHS Foundation Trust (host for the Clinical Research Network: Yorkshire and Humber)
• The Newcastle upon Tyne Hospitals NHS Foundation Trust (host for the Clinical Research Network: North East and North Cumbria)
• The Royal Wolverhampton NHS Foundation Trust (host for the Clinical Research Network: West Midlands)
• University Hospital Southampton NHS Foundation Trust (host for the Clinical Research Network: Wessex)
• University Hospitals Bristol Foundation Trust (host for the Clinical Research Network: West of England)
• University Hospitals of Leicester NHS Trust (host for the Clinical Research Network: East Midlands)
• NIHR Clinical Research Network is the clinical research delivery arm of the NHS. Operating across England through a national co-ordinating centre and local branches, it provides funding to hospitals and surgeries to pay for research nurses, scans, x-rays and other costs associated with carrying out clinical research in the NHS.
• Starting on 1 April 2014, the 15 hosts will be awarded five year contracts from the Department of Health, to act as the Network’s local branches.

Innovation through CCG leadership

Leadership of healthcare commissioning networks in England: a mixed-methods study on clinical commissioning groups 
BMJ Open 2013;3:e002112 doi:10.1136/bmjopen-2012-002112

• Through interviews, observation and surveys the researchers examines how clinical commissioning group leaders can act as relational catalysts across their healthcare networks as they seek to facilitate healthcare innovation in light of the recent reform in the healthcare sector in England.

Strategic clinical networks model

Single operating model for Strategic Clinical Networks
NHS CB, 12 November 2012

• The new model set to be in place by April 2013 brings together management support and clinical leadership for mental health, dementia, neurological conditions, maternity and children, cancer and cardiovascular services.

The first strategic clinical networks announced

The Way Forward: Strategic clinical networks 
NHS Commissioning Board, 26 July 2012

• The conditions or patient groups chosen for the first strategic clinical networks are 
• Cancer
• Cardiovascular disease (including cardiac, stroke, diabetes and renal disease)
• Maternity and children’s services
• Mental health, dementia and neurological conditions

• The Way Forward – Frequently Asked Questions.

Academic Health Science Networks – a briefing

Academic Health Science Networks – a briefing for Clinical Commissioning Groups
Anne Gray, Knowledge Officer, NHS Milton Keynes CCG

Academic Health Science Networks, Department of Health, 20 June 2012
An outline of the draft designation and establishment process to create AHSNs.

The core purpose of the Academic Health Science Networks (AHSNs) is to enable the NHS and academia to work collaboratively with industry. AHSNs will play a crucial part in the translation of research into practice and focus on the adoption and spread of innovative clinical practice.

AHSN will build on existing collaborations and bring together the commissioners and providers in the local NHS, higher educational institutions, and other partners, including public health and social care, to work with industry. Deliverables include:

• Ensuring and supporting adoption and spread of the national designated innovations (“High Impact and designated “push” technologies) and identifying others for prioritisation
•  Leading local work in the NHS on innovation
• Supporting knowledge exchange networks to support rapid evaluation and adoption of new innovations
• delivering research through the NIHR clinical research networks
• Supporting industry research using NIHR model agreements and processes
• Prime pumping innovation projects
• Running Small Business Research Initiative and similar competitions for SMEs.
• Applying the improvement and change model being developed by the NHS Commissioning Board.
• Providing advice on intellectual property management
• Supporting development of ideas
• Work with procurement teams

The designation of AHSN is taking place in parallel with a sunset review of all NHS/DH funded innovation bodies.

The six key functions and levers are:

• Research participation – there needs to be a direct relationship between the governance and management of AHSN and local research management systems.
• Translating research and learning into practice – Important links with NIHR Collaborations for Leadership in Applied Health Research and Care (CLAHRCs)
• education and training – through an active working relationship with Local Education and Training Boards (LETBs) through Health Education England (HEE) and the Leadership Academy
• service improvement – Building on the work of NHS Improvement and use the NHS change model to underpin work with CCGs and strategic clinical networks.
• Information – working together with CCGs, service providers and local structures within PHE to facilitate “added value” information (ie intelligence) services.
• wealth creation – AHSNs will become the single local mechanism to enable productive partnerships with industry and run transparent procurements.

Timetable:

The ambition is that all NHS organisations will have the opportunity to be part of an AHSN by end of March 2014.