Innovations

Connected Care Partnership - NHS England Vanguard Programme

What is the Connected Care Partnership?Connected Care Partnership

As a GP partnership we are working together with other health and social care providers to create a consistent, joined-up service that puts patient wellbeing at its heart. This is known as the Connected Care Partnership and is based in the Sandwell and West Birmingham area.

This partnership includes Modality Partnership, Intelligent Commissioning Federation, Sandwell and West Birmingham NHS Hospitals Trust, Birmingham Community NHS Foundation Trust, Birmingham and Solihull Mental Health NHS Foundation Trust and works closely with Sandwell and West Birmingham Clinical Commissioning Group as well as other key organisations.

What is an NHS vanguard site?

We were selected by NHS England as one of the 14 test sites known as Vanguards. Vanguards were set up to test out new models of care, with the aim of creating efficiencies and providing holistic care that prevents future population health issues. They are a pivotal part of the NHS Five Year Forward View, aimed at making the NHS sustainable and fit for the future.

What is a MCP?

To do this we are working with the Connected Care Partnership to develop a Multi-Speciality Community Provider (MCP) model of care. As part of this new model, patients will be supported by a team of professionals including GPs, nurses, physiotherapists, health care assistants and social care professionals, who will meet as a team to discuss individual patient needs.

How will this new care model work?

Care Families – enhancing primary care

Through the new care model we are enhancing the way people experience primary care; that includes the way we organise our GP practices. Including redesigning the way our staff work and looking at better ways to make access to care easier, more seamless and of the highest quality. Our GP practices will be organised into care families where each family will look after a certain group of patients. This will mean that patients will be more likely to see the same doctor, nurse and even receptionist when they come to be seen. By doing this we aim to improve continuity of care, and also help to make sure you are seen by the right person, in the right place at the right time. You may not always need to be seen by a doctor, it may be that one of our team members can see and treat your needs instead.

Care when you need it and closer to home

Through the work of the Connected Care Partnership improvements to access for patients to GP appointments and care in the community are also being addressed.  We have increased the number of specialised services that are delivered in local communities and within GP practices. This includes but are not limited to community gynaecology, cardiology, and orthopaedics. This will mean people will spend less time making trips to hospital and will only go there if they need to. Working together, the Connected Care Partnership are providing more outpatient services in the community, reducing waiting times and increasing efficiency in the system. Patients can be seen close to home and treated quickly.

Care management – looking after you better

We are also developing specific care management programmes for patients with long term conditions such as diabetes, heart failure, asthma or for patients who are frail and need extra support. These programmes are providing patients with extra support and guidance necessary to better manage their health independently. Care management programmes look at a patient’s circumstances holistically, and are aimed at reducing deterioration in health and improving quality of life.

By being part of the Connected Care Partnership, Modality Partnership is working across boundaries and aims to develop a seamless, caring patient experience. As an organisation we then plan to share these learnings across all of our regions to help spread new ways of working and support the future of the NHS.