I would like to highly recommend the work undertaken by Scott McKenzie, representing SCW, with our emerging PCN. Scott led a highly informative and successful facilitated session with representatives from all layers of our PCN. We focused on two projects, enhancing uptake of immunisations for our population, and also how we can work more closely with the community teams. The feedback from our staff was very positive about the afternoon and everyone felt that the relationships between the practices were strengthened as a result. We took away some positive actions. Feedback from Dr Elizabeth Gill Clinical Chair of High Weald Lewes Havens CCG
SCW was commissioned to work with Mid Downs and Buxted Practices to bring them together in a collaborative way against the backdrop of the NHS Long Term Plan and the development of Primary Care Networks (PCN).
The Practices already deliver improved access to primary care together, peer review of referrals, and an enhanced home visiting service. The teams had not met each other before; only the GP partners and practice managers had met. All staff groups were to be represented, as integrated working was new to them.
SCW were asked to support the practices to develop a process for how they best work with community teams. They also wanted to identify how they could engage patients to understand that they do not always have to see a GP.
We facilitated the development of the PCN based upon local circumstances and the way the practices wanted to work. The work is unique to this PCN.
•The workshop started with a quick group exercise around the stages of change
•The session then moved to explore the motivations within the group
•A model for practice engagement that avoids top down ‘command and control’, and instead builds a community for change, was introduced.
•The teams from the different practices were quickly able to come together and start to share their thoughts and ideas
•They spent time discussing their motivations, what challenges them, and their reasons for being willing to make change happen
•The focus of the session was to discuss the development of two basic projects that were completely within their control to agree and implement. This resulted in a rapid route forward on how they would collaborate to deliver both projects
•The session finished with the PCN agreeing the implementation of their local projects, with timescales and leads in place to lead the development of how they best work with community teams and how they engage patients so they don’t think they always have to see a GP.