Primary, Community & Intermediate Care Division North and West Cardiff Locality Team
North Cardiff Cluster CPET Session All Nations Centre, Cardiff on Tuesday 7 February 2017
More information: Haydn Mayo, N Cardiff Cluster lead, Haydn.Mayo@wales.nhs.uk
Summary report, ‘visual minutes’ and visual facilitation materials by Fran O’Hara and the Scarlet Design International Limited team, wwwFranOHara.com.
CONTENTS
PRIMARY, COMMUN ITY & INTERMEDIA TE CARE DIVISION NORTH AND WEST CARDIFF LOCALIT Y TEAM North Cardiff Clu ster CPET Session
• Page 2 Contents and Agenda
Tuesday 7th Febru ary 2017 @ All Nations Ce ntre 1.30pm Registratio n – 5pm Close
• Page 3 Session Process • Pages 4 & 5 ‘Visual Minutes’ map of the presentations - created by Fran O’Hara
Agenda
•
1.30pm
Refreshments/Reg
•
2.00pm
Introduction
Dr Haydn Mayo
What’s working in your Cluster?
• Page 6 Primary Care Plan feedback exercise • Page 7 Influencing our future choices: key issues
§
Cluster … plans an d progress
§
Frailty ... & our PC NOP service
§
Clinical Pharmacist s
Matt Wyatt Dr Haydn Mayo Dr Dafydd Rees Gethin Morgan & Nic hola Williams
So what do you thi nk......? §
• Pages 8 - 17 Influencing our future choices: group exercise & discussion
•
3.00pm
•
3.15pm
•
2
istration
3.45pm
•
4.45pm
•
5pm
Responding to the Primary Care Cons ultation
Matt Wyatt
Comfort break & ca tching up The Future - Peop le, Plans, Policy.... .. and Practicalities § Understanding & Developing our Workforce Rhian Bond § An Emerging Vis ion for Primary Ca re in Wales Dr Jane Harrison Group exercise & discussion • Knowing where we are.... the risks & challenges? • Exploring the so lutions ... what do we need to change • Working togeth ? er..... time to explo re new models? Agreeing actions Evaluation and Co nclusion
Dr Haydn Mayo Cluster CPET meeti ng – Tuesday 9 th May 2017 – All Na tions Centre
Session Process
3
NORTH CARDIFF CLUSTER CPET SESSION
© SCARLET DESIGN INT. LTD 2017 MAPS: WWW.FRANOHARA.COM
‘Visual Minutes’ map of the presentations, (left side) created by Fran O’Hara
Visual Minutes Map by Isabel Vander and Fran O’Hara, Scarlet Design Int. Ltd.
4
NORTH CARDIFF CLUSTER CPET SESSION
© SCARLET DESIGN INT. LTD 2017 MAPS: WWW.FRANOHARA.COM
‘Visual Minutes’ map of the presentations, (right side) created by Fran O’Hara
Visual Minutes Map by Isabel Vander and Fran O’Hara, Scarlet Design Int. Ltd.
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NORTH CARDIFF CLUSTER CPET SESSION
Primary Care Plan feedback exercise Completing sheets with their responses to the primary care consultation. The templates were then displayed in a gallery. The information has been fedback and used to create the wordle below.
6
NORTH CARDIFF CLUSTER CPET SESSION
Influencing our future choices: group exercise & discussion
• 10 minute appointment • 5 year success of stable pc • access - 20 minute appointments? 24/7 care?
• OOH - regional rates • OOH - sending patents to hospital inappropriately - creating work for other GP's - due probably to lack of staff/ time to see patients • patient numbers and ageing population
• ageing > care in community
• population change responding to new demographics (new housing)
• ageing population
• population growth (LDP)
• cap locum costs
• premises
• complexity > (transient, ageing) lifestyle > proactive not reactive
• premises
• education - how?
• Prescribing - limited formulary patient to fund 'extras' e.g. soluble, 'off formulary' - signing of scripts - why are we still signing repeats? communication regarding new systems
• free service that gets abused • GP choice to be salaried us becoming a partner • increased patient expectation
• premises - fit for purpose - expandable
• increasing locum fees
• providing resources art a cluster level strategic planning
• integration of social care
• QOF
• is the current partnership model viable?
• recruitment - GP's - PN's - PM's - staff locums
• IT - different systems - some slow some unstable - PT demand for e-advice from GP
• recruitment & retention - GP's, nurses etc.
• IT > access > not synching Adastra. Paris. Vision. Emis. Outdated server?
• recruitment and retention
• lack of workforce is going to prevent Dr Harrisons plan
• responsibility & ownership
• LDP growth • managing patient expectations • no standardised 1* care nursing programme > funding for training/ investment to attract to 1* care
7
• obesity epidemic and the demand on healthcare
• recruitment/ retention • retention • retirement & recruitment • scaling up our successes (PCNOP's pharmacists) • seeing the right person
NORTH CARDIFF CLUSTER CPET SESSION
• sharing ideas
ceeSS oiic ho ch REE c UR TU UT R FFU UR OU cee O nc ueen nffllu kee//iin ak ma dm nd an ra or ree ffo ar pa reep pr op to o,, t do od to gss t ng T hiin Th RTH F NO R CARDIF CLUSTE RK NETWO eting 7 me 201
Related Issues: CLUSTER Level
ry
• shift
rua -7 Feb
DescrI BE WHERE we aRE NOW...
• solve the locum issue .. Future Choice. DESCRIB E ONE
• sustainability • training structure for practice managers especially if from outside general practice • using IT to/ for education (e.g. Catherine Scott's idea) • who will run general practice? • workforce
want to be? to where we how DO we get
DO IT? WHO NEEDS TO HAPPEN & WHEN? WHAT NEEDS TO
Related Issues: Practic e Level
Ltd. 2016, www.franohara.com
Each table group defined 4-6 key future issues and then chose 1 or 2 of these to discuss in great detail using the planning template.
• nursing home workload increased
© Scarlet Design Int.
KEY ISSUES
Influencing our future choices: group exercise & discussion
8
NORTH CARDIFF CLUSTER CPET SESSION
Influencing our future choices: group exercise & discussion
9
NORTH CARDIFF CLUSTER CPET SESSION
Influencing our future choices: group exercise & discussion
10 NORTH CARDIFF CLUSTER CPET SESSION
Influencing our future choices: group exercise & discussion
11 NORTH CARDIFF CLUSTER CPET SESSION
Influencing our future choices: group exercise & discussion
12 NORTH CARDIFF CLUSTER CPET SESSION
Influencing our future choices: group exercise & discussion
13 NORTH CARDIFF CLUSTER CPET SESSION
Influencing our future choices: group exercise & discussion
14 NORTH CARDIFF CLUSTER CPET SESSION
Influencing our future choices: group exercise & discussion
15 NORTH CARDIFF CLUSTER CPET SESSION
Influencing our future choices: group exercise & discussion
16 NORTH CARDIFF CLUSTER CPET SESSION
Influencing our future choices: group exercise & discussion
17 NORTH CARDIFF CLUSTER CPET SESSION