Voluntary and Community Sector Multi-Speciality Community Provider (MCP) Engagement Session Notes from session Date of session: Tuesday 7th November 2017 Time: 1-3pm Venue: DY1 Building, Stafford Street, Dudley, DY1 1RT Purpose of session Following the launch of the procurement process for Dudley’s Multispecialty Community Provider (MCP) in June, Dudley CCG recently announced the bidder that has made it through to the next stage of the procurement process. Since September 2017, Dudley CCG has been going through a dialogue process with a consortium involving four local NHS Trusts and local GPs. The four trusts are – Birmingham Community Healthcare NHS Foundation Trust, The Dudley Group NHS Foundation Trust, Dudley and Walsall Mental Health Partnership NHS Trust and Black Country Partnership NHS Foundation Trust. The new Multispecialty Community Provider (MCP) will bring together services in an integrated manner and will:
hold a contract of up to 15 years’ duration; manage a single, whole-population budget; transform the access to and delivery of community health and care services with Primary Care at the centre, and meet a defined set of outcome and performance measures.
As part of the dialogue phase, Dudley CVS hosted in partnership with Dudley CCG this engagement event for the voluntary sector with the potential consortia. This event enabled the voluntary sector to learn about proposed plans for the MCP and an opportunity to observe and engage in discussions on pre-set questions about how the potential bidder intends to engage with the sector over 10 – 15 years to meet the outcomes of the MCP. Format of session The format of the session included: Overview of the new care model vanguard journey and procurement timescales covered by Steph Cartwright – Head of Organisational Development, Dudley CCG Introduction about what the MCP is, why it is being established and what it intends to deliver on covered by Dr Gillian Love, St Margaret’s Well Ideas from the voluntary and community sector about what it can deliver on and the offer to the MCP covered by Paul Jaunzems Langstone Society and Kate Green Integrated Plus Manager, Dudley CVS Views and updates on proposed work and how the voluntary sector could be involved in the MCP going forward covered by Doug Simkiss and Mickey Griffiths from Birmingham Community Healthcare NHS Foundation Trust Q&A covering pre-set questions from voluntary sector representatives Requests from the voluntary sector about working together with the bidders if they are successful in securing the MCP contract going forward Notes produced by Dudley CV – November 2017
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Presentation slides about the MCP
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Presentation about the voluntary and community sector offer During the presentation it was emphasised that the voluntary sector is integral to the delivery of the MCP outcomes, in particular delivery of non-clinical outcomes. The voluntary sector feels that the MCP does need to actively engage and work with the sector. The presentation initially covered some basics about the makeup of the voluntary sector, the contribution made to society. Following this the benefits and approach about way of working in the voluntary sector was covered including areas such as: Facilitating self-help and mutual support The sector can communicate with people in a way that makes sense to them, we ask the right questions Notes produced by Dudley CV – November 2017
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As we are not statutory services, we can engage with people in grassroots communities. The sector does not solely deliver peer support and social activities but we deliver on professional services such as palliative, respite, sheltered housing etc. The voluntary sector has been around a long time, we have a lot of knowledge to offer and bring to the table. The sector can often get initiatives going quickly with flexibility and with less red tape.
More detailed information was communicated about the value and offer of the voluntary sector in the presentation below:
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Presentation on the children’s work stream Doug Simkiss – Birmingham Community Healthcare NHS Foundation Trust Doug Simkiss provided information at the meeting about the potential focus of work around children and young people going forward if the bidders win the MCP contract. Focus will be on the following: Looked after children Child protection Long term conditions Acute illness Complex health Severe acute illness Early Help Safeguarding Connected Care for children Coproducing a children’s model Children’s Multi-disciplinary team meetings Mental Health Focus Jacky O’Sullivan – Clinical Development Director – Dudley and Walsall Mental Health NHS Foundation Trust Jacky provided some information at the meeting about the potential focus of work around mental health is the consortia wins the MCP contract. Focus will be on the following: Mental health assessments/entry into services across 7 days Psychotherapies Hub – where more psychotherapies could be developed and offered Alcohol/substance misuse and the effects of this on mental health Mental health Multi-disciplinary team meetings Re-enablement – preventing people needing to come back into primary care eg supporting with housing issues, employment, tackling isolation etc Q&A – outcomes from discussions Notes produced by Dudley CV – November 2017
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Panel responding to questions: Steph Cartwright, Gillian Love, Mickey Griffiths, Dr Richard Bramble (The Links) 1. The MCP model will be about doing things differently and will have a strong focus on prevention. It is widely acknowledged that the voluntary sector delivers on prevention and early intervention. If you win the contract, what commitment or strategy will you have for working with and supporting the voluntary sector to help deliver on the MCP outcomes? Arwyn Jones (Beacon Centre for the Blind) Response NHS is under strain. Recruiting and retaining GPs is a challenge across the country. The MCP does require a different kind of workforce. The MCP will need to deliver services and respond to communities differently. Prevention and early intervention is key and we recognise this as a strength of the voluntary and community sector. We do want to engage with and work with the sector. Over the last 3 years we have developed our knowledge about how diverse the voluntary sector is through the Integrated Plus service. We would welcome ideas from the sector about how you would like to work with us going forward. If the bidders win the MCP contract there will be various work streams established focusing on mental health, older people, children’s, end of life, respiratory etc. We would welcome voluntary sector representation on these work streams. 2. What reassurance can you give us that residents of Dudley Borough won’t get just more of the same services? Jayne Sargeant (Phase Trust) Response The MCP will need to do things differently and we need to be innovative. We can’t have just more of the same but we need a change of culture. We would like to work collaboratively with the sector to help us engage with people and communities to help ensure people’s views are heard and people can influence a new way of working. 3. What would you like the voluntary sector to do more of to help achieve the MCP outcomes such as reducing isolation, enable people to better self-manage conditions? Caroline Webb (White House Cancer Support) Response We recognise that the voluntary sector provides a wide range of services and not just services that tackle isolation and loneliness. Going forward the MCP will need to deliver on helping people to better self-manage long term conditions, promote education, help improve life expectancy, enable the enhancement of peer support, encourage healthier behaviours and healthier lifestyles. We would like more befriending on a larger scale, for example, befrienders/peer support in say Alcohol Anonymous etc. We would welcome your ideas about how we could enable this to happen. We would encourage your ideas about what the sector can do and what it can’t do and about what capacity the sector has.
4. How will the voluntary sector be involved in helping to redesign specific patient pathways eg frail elderly, end of life, mental health, learning disabilities etc? Chris Notes produced by Dudley CV – November 2017
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Szygowski (AgeUK Dudley) Response As mentioned above the potential bidders are proposing to set up a number of new work streams to help redesign and explore patient pathways. If the bidders win the MCP contract we would welcome involvement and representation from the voluntary sector at these. 5. How will the VCS current contracts with Dudley CCG be managed through the MCP? Julie Duffy (the What? Centre) Response Current contracts held between Dudley CCG and voluntary sector organisations will move into the MCP. These contracts will be rolling forward for up to 2 years, initially. Dudley CCG and the bidders would welcome discussions with the voluntary sector organisations who hold contracts about how these contracts could possibly be redesigned going forward. Request from the voluntary sector on collaboration going forward In light of the discussions held during the session it was emphasised by the voluntary and community sector that it would welcome the following:
Regular formal engagement with the MCP over the next 10-15 years To be part of any new work streams established To be part of discussions which help to redesign patient pathways eg mental health, frailty, end of life etc A possible ring-fenced budget to develop services and activities that help to meet the MCP outcomes eg peer support, befrienders, self-management programmes etc.
Details about potential future work streams of the MCP Workstream
Scope
Whole population management and prevention
As the name suggests this is taking the medium to long term view of the health of the Dudley population and includes both the analysis of trends and the interventions to promote a healthier population
Single Point of Access/Frailty
This is about streamlining access and the mechanics of people and staff contacting the services within the MCP. It also includes all services and support for the frail elderly (incl dementia)
Long Term As the name suggests this cover long term conditions such as Conditions respiratory (COPD), diabetes, MSK, CKD etc. It’s focus will be those Management/Primary services that could/should be seen as community delivered. It will also & Secondary Care link with other conditions that require more specialist hospital input. integration Direct Access to Services including locality hubs Notes produced by Dudley CV – November 2017
This covers diagnostics, physio, MSK
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Primary Care Operating Model
This is the redesign of both district/community nursing and the medium term opportunities for primary care at scale.
End of Life and Palliative Care
As the name suggests
Mental Health
As the name suggests. It also covers specialist dementia services (memory assessment).
Adults Children and Young People (including children’s mental health and learning disabilities)
Everything to do with children and Young people prior to adulthood (which will vary between 19 and 25 yrs depending on individual’s needs.
Learning Disabilities
This ensures adult LD needs are covered and is linked to all age LD through links to the CYP workstream above.
Adults
Actions: Action Information to be circulated about new work streams that may be established if the bidders win the MCP contract.
Who Mickey Griffiths
Compile a list of possible interested VCO representatives for the new work streams and circulate to Mickey Griffiths
Kate Green
Host further engagement sessions in 2018 with the voluntary sector on MCP progress. Provide Dudley CVS with any information about any meetings/sessions that focus on redesigning patient pathways so ideas can be sought about how the voluntary sector could be involved (this maybe through the work streams).
Dudley CVS
2018
Dudley CCG/bidders
December 2017 To be completed
Voluntary sector to continue to maintain dialogue about its offer, new ideas and capacity through events/sessions.
Dudley CVS and voluntary sector
2018
To be completed
Bidders to consider a ring-fencing a budget from the MCP to support voluntary sector delivery on non-clinical outcomes and meeting gaps in services and/or delivering on new innovations
Bidders of MCP
December 2017/January 2018
To be completed
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When Status November 2017 Completed – work stream information provided above November/Dec To be ember 2017 completed To be completed
that support MCP priorities. Information to be circulated to the bidders on current Dudley CCG contracts held with the VCS Dialogue to take place, if bidders win MCP contract, with VCOs, Dudley CCG and the MCP providers about the current contracts and future arrangements
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Dudley CCG
December 2017 To be completed
Dudley CCG/MCP providers/VCOs with contracts
February/March 2018
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To be completed