Population Health Management

Population health management (PHM) is a is a way to improve the current and future health and well-being of people within and across a defined local, regional and national population while reducing health inequalities.

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An extra pair of hands

PCC is helping practices, primary care networks (PCNs) and CCGs with the must dos that are not getting done with the current pressure on staff. Areas we are increasingly being asked to support includes contract reviews, estate strategic planning, supporting practices to review and update business continuity plans and embed new patient pathways.

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Supporting your development

Helping individuals and organisations to achieve their potential and deliver the best care to their communities is at the heart of what we do.

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Practical support for practices

The Coronavirus pandemic has changed the way that general practice works, but the finance, workforce, estates and other issues that are fundamental to general practice and were concerns before the pandemic have not gone away.

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Three ways to motivate your team through uncertainty

This slideshare shows our top tips to motivate your team through uncertainty.

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Three ways to be resilient through change

This slideshare shows our top tips for to be resilient through change.

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A day in the life of Helen Simmonds

Hello, my name is Helen Simmonds and I am one of the advisers working at PCC. I have been with the organisation in my current role for nearly four years, having previously worked as an associate providing specialist support since 2008.

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Collaboration has been one of the buzz words in Primary Care for several years now. The NHS Long Term Plan mentions it over 20 times and the current white paper “Integration and innovation: working together to improve health and social care for all”, over 50 times. But what does it really mean in practice and how does it actually happen? Collaborating across a number of organisations brings with it numerous challenges including dealing with different values, organisational ‘jargon’, and system drivers along with the ever complex issue of forming positive new relationships. All organisations involved need to work together to establish new forms of governance for their relationships which focus both on the collective responsibilities and behaviours required to make their collaborative arrangements a success.

In the following case study, we get to find out how one place based system rapidly put these new collaborative relationships to good effect to improve the way in which care was delivered across several organisations at a time when all our attention was focussed on dealing with a worldwide pandemic.

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Listen, gain trust and co-operate

Collaboration is one of the words we are hearing most often as integrated care systems are starting to take shape. But how can you help this to happen? One of the themes in the Long Term Plan and strengthened by the White Paper is that organisations should work across the system – not just considering their own targets or financial position, but those of the system. To start with – who to collaborate with? Although the White Paper outlines who should be on the boards, for practical collaboration to improve the health and care of the population there is a need to collaborate at the right level, with the right partners for the changes being considered. This won’t always be the same group of people and organisations. For some areas this may be at ICS level, but more likely to be at place or PCN level. Involving health partners (Trusts, PCNs, GP practices, community services including other primary care services) local authorities, patients, voluntary, community and social enterprise partners and community groups will be important depending on the area being considered. To successfully collaborate and keep the relevant partners on board win-win solutions will be needed – but how to get there?

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Using population health data to inform ARRS recruitment

At PCC, we have been delivering workshops on the development of the additional roles reimbursement scheme (ARRS) with clinical directors, PCN managers and practice managers and listening to their different experiences of expanding their workforces under the scheme.

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The potential for case finding patients with cardiovascular disease in a dental setting

The NHS Long Term Plan set out the case for early detection and treatment of cardio vascular disease (CVD) and is one of the key aims. The case finding does not need to sit within general practice alone. Following the commencement of a pilot scheme in a pharmacy setting, the Office of the Chief Dental Officer (OCDO) for England understood the possibility of the impact of case finding in a dental setting. Whilst patients generally only attend a medical or pharmaceutical setting when they are feeling unwell, patients attend the dental practice on a more regular basis.

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Improving the primary care estate

The pressures facing general practice such as increased workload, an ageing population, responding to the pandemic and the need to extend access to primary medical services has put significant strain on existing infrastructure including premises. The introduction of primary care networks (PCNs) and the additional roles reimbursement scheme (ARRS) which is incentivising a rapid expansion of the primary care workforce, is putting extra pressure on the availability of fit for purpose premises from which to deliver modern primary care services.

PCC recently supported a clinical commissioning group (CCG) in the North of England to improve their governance processes to receive, validate and consider applications from GP practices for funding support for the development and improvement of their premises.

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Do we have the leadership for the world of integrated multi organisations?

Following our chief executive Helen’s piece on Integrated Care Systems (ICS) and thinking of our excellent product the Confident Leader, my mind turned to what is needed to more than meet the aspirations of Simon Stevens’ bequests to us. Simon has been for me an excellent NHS CEO and thus difficult to replace. My fear is the NHS will revert to a hospital focussed CEO who favours ‘big beasts’ with only the traditional lip service to primary care, localness and the community’s health. I would be more than happy to be disabused.

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Support your practices to succeed

Everyone needs some extra capacity from time to time, PCC has a team of experts in primary care who have a track record in supporting both GP practices, primary care networks and federations to develop and grow. Our experts include those with a track record in growing GP services, supporting practice managers with HR, management of clinical and back office functions, investigating incidents, ensuring premises compliance, mergers and practice turnaround as well as setting up federated models. When you need some extra help contact enquiries@pcc-cic.org.uk.

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