Royal Wolverhampton NHS Trust
Vertical Integration - New Models
The NHS Five Year Forward view centres on the importance of New Care Models in order to tackle the challenges facing the NHS. Aligned to that work The Royal Wolverhampton NHS Trust launched its Vertical Integration project and Sedgwick Igoe provided the project support to deliver this innovative new model of service delivery.
The Trust believed that by bringing Primary Care and Secondary Care closer together it could better align services, reduce duplication and ensure that patients are healthier for longer.
The Trust did this through conversations with GP Practices interested in developing new ways of working and on the 1st June 2016 three GP Practices, across five sites, in Wolverhampton sub contracted their GMS contract to the Trust. Staff, including GPs, all became salaried staff of the Trust, contracts were novated over and workstreams bringing Primary and Secondary care clinicians were set up to facilitate the development of new ways of working. Other quick wins including the relocation of physiotherapy services into Practices and support from the Trust to recruit extra GPs and other staff to manage demand.
On the 1st January 2017 another Practice joined and SIA manage the acquisition of one more Practice on the 1st April 2017 - bringing the total number of patients over 30,000.
In amongst this new governance arrangements in the Trust were developed, including a Steering Group and Directorate Management team, and external assurance was provided to NHS England, Care Quality Commission and Clinical Commissioning Group.
Sedgwick Igoe & Associates' work:
SIA provided the project management from initial planning through business as usual for the first five practices. Specific outputs from SIA include:
- Design of new care model, including internal and external assurance structures.
- Project management of the acquisition of five GP Practices into the Trust including managing the due diligence process; Trust Board and Non-Executive Directors report writing; NHS England and CQC external assurance and legal, financial, HR and contractual acquisition.
- Development and recruitment of a Directorate Team in order to manage the project long term.
- Bid writing for new investment from NHS England for the relocation of one practice, for clinical pharmacists and acceptance for the Productive Primary Care Programme.