Innovations

Connected Care Partnership - NHS England Vanguard Programme 2016-2018

What was the Connected Care Partnership?Connected Care Partnership

As a GP partnership we worked together with other health and social care providers on an NHS England funded programme to develop a consistent, joined-up service that puts patient wellbeing at its heart. Known as the Connected Care Partnership and based in the Sandwell and West Birmingham area.

This partnership was made up of a group of organisations including 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 and some other key organisations.

What was 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?

A MCP is 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 does this new care model work?

Care Families – enhancing primary care

Through the new care model we are enhancing the way people experience primary care. At Modality Partnership we have redesigned the way our staff work and identified better ways to make access to care easier, more seamless and of the highest quality. Our GP practices are organised into care families. Each care family looks 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

Connected Care Partnership introduced improvements in access to GP appointments and offering more care in the community.  We have increased the number of specialised services that are delivered within GP practices and closer to people's homes. This includes various specialities that traditionally would have meant a hospital trip such as Cardiology, Gynaecology, ENT, X-ray t name a few. This will mean people will spend less time making trips to hospital and will only go there if they need to. By providing more outpatient services in the community we are reducing waiting times and increasing efficiency in the local healthcare system. 

Care management – looking after you better

We are also developed and tested 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 have worked across boundaries and continue to be commited to providing an excellent patient experience. As an organisation we have shared these learnings across all of our regions to help spread new ways of working and support the future of the NHS.