The vanguard and the people it serves
Wakefield district has an estimated population of around 333,759 (367,370 people are registered with the district’s 38 GP practices).
Under the national New Care Models Programme, Wakefield was chosen as the only district nationally to take forward two vanguard programmes which operate under the partnership-led Connecting Care programme and deliver the Five Year Forward View locally.
Connecting Care delivers one of 14 Multi Multispecialty Community Provider (MCP) Vanguards in the country and aims to provide a wide range of health and social care services to people in their homes and communities. It focuses on moving specialist care out of hospitals while also:
- Redesigning care around the health of the population, irrespective of existing institutional arrangements
- Focusing on prevention
- Improving health and wellbeing
- Reducing avoidable hospital admissions and elective activity
- Unlocking more efficient ways of delivering care.
What is changing?
During 2015 to March 2017, West Wakefield Health & Wellbeing, a federation of six GP practices, piloted the MCP model in GP practices in the West of Wakefield to test and deliver different models of care.
West Wakefield created a “blueprint” of new ways of working for becoming an MCP, and has shared this with other health and social economies. This has included the development of services such as:
- Physio First; allowing patients to get a direct appointment with a physiotherapist without having to see the GP first
- Pharmacists in General Practice; medicine-related services being delivered by pharmacists including medication reviews
- Care Navigation; Local people being helped to access the care they need by more than 100 ‘care navigators’ based in GP practices. These are mostly support and administrative staff who have the first contact with patients when they come into or call the surgery, and they are trained to direct patients to the most appropriate care
- More ways for people to access healthcare digitally; through an online directory of local services and a library of helpful health apps including one designed by primary school pupils
- Extended operating hours for GP services; with plans to roll this out to the other GP networks linked to the vanguard.
There have been many successes from the West Wakefield pilot, with the vanguard spearheading a great deal of transformation across Wakefield.
From 1 of April 2017, Wakefield Connecting Care partners, under the leadership of NHS Wakefield Clinical Commissioning Group, will take the learning from the West Wakefield pilot and start the process of rolling-out a district-wide MCP model of care, under the Connecting Care programme.
- Patients are helped to access the right care at the right time; from April 2016 to September 2016, the Care Navigation model helped to signpost over 9,500 patients to other health, care and community professionals, aside from the GP, to receive the right care quicker
- Increasing the number of ways to access services will support better self-management of health and wellbeing
- Improved technology for sharing patient information as needed to prevent hospital admission and support earlier discharge.