Presentation to GP practices in South Cheshire CCG, 19.12.13. Examining issues of our Purpose for change, the need for a new approach to Partnerships and Proactivity, and details of a proposed national development programme to build Possibility.

1. Purpose & Possibility
Dr Robert Varnam
robert.varnam@nhs.net

3. What to do?

4. What to do?

5. What to do?

6. What to do?

7. What to do?
Nottinghamshire villages
• Frail older people with acute illness threatening ability to
cope at home.
• Volunteer visits within an hour. Keeps GP updated.
 Improved satisfaction
 Fewer check-up visits
 Saved £200,000 in first year of roll-out.

8. What to do?
Diabetes – hypos & high Hba1c
Moderately severe depression
BRC volunteer visited:
• relationship breakdown, debt, lost ID
• chaotic life & chaotic diet
• alcohol+++

9. Four peas

10. 1. Innovation spread
Release capacity
Learning
networks
2. Capability-building
Service improvement
Leadership
Legal & financial
3. Business development
Workforce
Management
Peer networking
• rapid dissemination
• support & challenge
• action learning
Innovation hub
• open platform
• ideas, experience,
evidencee
• social networking
National support centre
• strategic linkage & oversight
• partnership building
• expert design
• support teams
• evaluation

11. Four peas
Dr Robert Varnam
robert.varnam@nhs.net