1. Successful PMCF Bid
Hambleton, Richmondshire and Whitby
Federation.

3.  Phase 1:
◦ 5 practices in the Whitby and Esk Valley area with
27k patients.
 Phase 2:
◦ Total of 22 practices in Ham, Rich and Whitby with
142k patients.
 All practices members of Ham, Rich, Whitby
Federation.

4. ◦ Desire to win back control of own destiny and influence
patient experience
◦ History of close cooperation between practices in
Whitby-Esk Valley in OOH and Hospital
◦ Awareness that if we don’t do something, change will
be imposed from the centre
◦ Difficulty recruiting GPs
◦ Loss of MPIG
◦ Wanting to ‘grasp the nettle’

5.  Applied for £5.6 M
 Awarded £2.4 M

6.  HRWCCG
 NYCC
 North Yorkshire and Humber CSU
 Technology Partner (? EMIS)

7.  To improve health of the community through
better integration of services and the
breakdown of artificial barriers between
organisation involved in a patient’s care.
 From the bid: – “this proposal will focus on
seamless, accessible and integrated care,
delivered by primary care in a new way, with
new contract mechanisms to deliver more
care outside of hospital, strongly supported
by local patients.”

8.  Improved Access 8-8
 Work-up bids as a Federation to compete in
commissioning process to be providers of:
◦ Community Services (including Whitby Hospital)
◦ OOH
 New technology such as Skype (Dr to patient
and Dr to specialist)

9.  5 Practices
 All EMIS web from June 2014
 Shared access of records and access from
Community Hospital Hub (MIU and OOH PCC)
 One practice open ‘till 8 each week day night
available to see any patient
 3 hour block of 15 min appoints for Dr and
PN on each Saturday, Sunday and BH.
 Integration into our existing Eskdoc rota

10.  Become providers of Comm Services, Hospital
and OOH
 Fuller integration between 8-8 GPs, Comm
Nurses, MIU, Hospital and OOH

11.  Funding beyond PMCF
 Scepticism from colleagues
 Finding suitable partners