North Cardiff Cluster CPET Session Report Haydn Mayo GP Cluster Event Report

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.

5

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