The nature of the STP – composed of all of the health and care organisations within Hampshire and the Isle of Wight, with a focus on partnership working – means that we need to be as streamlined as possible. The work of the Partnership is focused on things that benefit from being done at scale. There are a small number of priority areas where we work together to deliver improvements and transformation, supporting rather than duplicating work that is taking place in local communities.
As a result, our approach has been a pragmatic one which encourages joint planning and working and recognises that there are different levels of decision making, different relationships and different ways in which organisations work and collaborate.
Moving forward, in order to achieve the ambitions set out in our Strategic Delivery Plan, we are changing the way organisations work together in Hampshire and the Isle of Wight in order to enable even greater collaboration. Establishing the Hampshire and Isle of Wight Integrated Care System (ICS) will create shared leadership to deliver our vision and ambitions, and to enable organisations to work more effectively together to redesign care, improve health and tackle the challenges we face.
Detailed below are the main components of our system and the ways in which we plan and deliver care.
This is the term we give to areas of approximately 30-50,000 people. They have teams made up of a range of different health and care professionals including those based at your GP practice. These teams work to support the local population, with a focus on prevention and keeping people well.
Our name for a larger geography of approximately 250-500,000 people in size. At this scale, we work with local councils and boroughs to join up health and social care to keep people well and to ensure local services are the best they can be.
This is the name we give to the Hampshire and the Isle of Wight area. Within it we serve 1.8 million people, working on topics that benefit from larger scale such as our workforce and technology. As a system we have collective responsibility for implementing strategy and managing health and care resources.
What are we working together to do?
Integrated Care System
The core components of the Hampshire and Isle of Wight ICS will be:
42 Primary Care Networks
Our primary care networks are the foundation of the Hampshire and the Isle of Wight Integrated Care System, where general practices work together in networks and with statutory and voluntary community health and care services to meet the needs of the local population. Delivering integrated mental and physical health and care, primary care networks proactively manage the health needs of the population they serve. Each primary care network has a clinical director. The average population served by one of our PCNs is 45,000 people.
A single commissioning function for Hampshire and the Isle of Wight
CCGs are working together to establish a single commissioning function for the Hampshire and Isle of Wight ICS.
Integrated planning and delivery in each health and wellbeing area
Our four upper tier local authority areas will continue to be the focus for place-based planning (undertaking population needs assessment) and for aligning health, care and other sector resources to deliver improved outcomes for local people. Partners work together to further improve wellbeing, independence and social connectivity through the wider determinants of health including housing, employment, leisure and environment.
Four Integrated Care Partnerships
Integrated Care Partnerships bring together NHS providers, CCGs and local authorities to co-ordinate and improve the delivery of health and care in partnerships based around the populations served by our acute hospitals. Working together, partners are able to integrate healthcare delivery across PCNs, community, mental health, acute and social care services to better meet the needs of their population, and to support improved operational performance, improve quality and financial delivery.
Primary Care Networks
Over the last few years, GP practices have been under significant pressure due to rising demand and limited staff and financial resources. As a result, there has been a national call to consider different ways of working to ensure people receive the care they need when they need it.
As NHS England note:
“Many people are living with long term conditions such as diabetes and heart disease, or suffer with mental health issues and may need to access their local health services more often.
To meet these needs, practices have begun working together and with community, mental health, social care, pharmacy, hospital and voluntary services in their local areas in primary care networks.
Primary care networks build on the core of current primary care services and enable greater provision of proactive, personalised, coordinated and more integrated health and social care.”
For Hampshire and the Isle of Wight, this has led to GP practices identifying themselves as part of one of 42 networks and beginning to explore how this can benefit their clinical practice, their patients and the colleagues and organisations with whom they work.
A Case Study from October
Carisbrooke Medical Centre and Dower House Surgery commenced their formal merger on 1st October 2019. GP partners at both practices and the Isle of Wight CCG strongly believe that the mergers is in the best interest of patients at a time of growing demand and pressures on primary services with people living longer - including many with more complex long-term health conditions.
Both sites will remain open and there are no threats to any staff jobs. A key aim of the merger is to ensure that patients are offered a bigger pool of clinical skills and staffing resources and far greater resilience, with more robust cover for staff holiday leave and sickness.
Other benefits will include a better range of appointments, with patients being offered appointments at either site, the ability to be able to develop new services and a better ability to recruit and bring in a range of GPs who have other skills, such as dermatology and mental health.
The two practices are already working closely together, and the merger will help build on existing relationships. In 2018, they joined forces to launch a new minor illness service to help meet the demand for same-day appointments and commissioned a musculo-skeletal service (MSK) and piloted a prescription ordering service.
For more information on our strategic approach for primary care services, including our vision and ambitions across Hampshrie and the Isle of Wight, our primary care strategy is available here.