A partnership between Pennine Care, Oldham Council, Primary Care Oldham LLP and the voluntary sector

Working in

for Oldhampartnership

A partnership between Pennine Care, Oldham Council, Primary Care Oldham LLP and the voluntary sector

The Partnership Board

A partnership between Pennine Care, Oldham Council, Primary Care Oldham LLP and the voluntary sector

Statement of intent

• Develop a shared vision for integrated primary and community care services

• Provide leadership, ideas and creativity to support the partnership and develop integrated models of care

• Establish a Partnership Board to oversee and drive the vision • Work jointly to promote and redesign services based on

integrated models and build community resilience• Work jointly on and agree a service offer for Oldham • Work together to deliver system change in Oldham and lead

transformation

Oldham care system

Integrated care model

A partnership between Pennine Care, Oldham Council, Primary Care Oldham LLP and the voluntary sector

Cluster working

• Cluster-based integrated health and social care teams wrapped around the Primary Care Medical Home

• Flexible and responsive to population needs • Provide high quality, personalised care with a focus on patients

with long term conditions• Aim to reduce emergency admissions, improve patient

experience and social and health outcomes • Fully in place by June 2014 • New cluster performance and development leads being

recruited

Practice operating model

A partnership between Pennine Care, Oldham Council, Primary Care Oldham LLP and the voluntary sector

Single point of access

• Urgent access to all community healthcare services is available through a Single Point of Access

• Staffed by a multi-disciplinary team of health professionals • Can also be used for general enquiries from GPs and other

professionals, and patients and carers. • Onward referral to social care can also be made