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Exchange

No Wrong Door Gateshead

A health-led place-based partnership (PBP), focused on improved health and well-being, including those who are traditionally digitally excluded by involving other partners that provide one-touch direction to the right services.

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  • Proposal
  • 2022

Meet the team

Also:

  • Susie Procter, PCN Strategic lead, Gateshead Outer West PCN
  • Sarah Gorman, CEO Edberts House, GenQ Fellow
  • Rachel Edwards, Digital and Access project manager (PCN) and Director, At Scale Ltd.

What is the challenge your project is going to address and how does it connect to the theme?

NHS reform focuses on the importance of place-based delivery and community-based approaches. For Gateshead Outer West, this means the PCN patient population of just over 31,000, with mixed deprivation levels and in a semi-rural location. Particular challenges include services often not being close to the population who need it the most, and digital poverty and digital literacy being recognised barriers to improving health outcomes. This has been evidenced through patient engagement and confirmed the limited impact and effectiveness of digital solutions as pathways often lack hands-on support for patients.

There are the beginnings of working between health, local government and third sector providers. But there remains a lack of clarity for local people on how to improve their health and well-being. Specific challenges will likely include brokering effective relationships, breaking down barriers between sector and providers and building shared organisations that have the capacity and resource to make a difference.

What does your project aim to achieve?

The start of a local partnership focusing on bridging any digital divides and building relationships between organisations who promote health through clinical and non-clinical approaches. Long term, through co-design with local people, it will bring health/wellbeing resources to local venues, equip local people to better manage their health and offer peer support in the use of digital approaches. This is building on co-design work that has already been done in the PCN on patient access and the digital interface.

We will aim to map all local providers, in particular looking at how to bring digital hardware and training to the people who need it most. The production of a business case will act as a ‘magnet for change’ by identifying funding sources to allow our place-based partnership (PBP) to operate. A place-base partnership brand will be developed for partner organisation use to encourage collaboration rather than competition.

How will the project be delivered?

The Project will be led by the PCN Clinical Director and assisted by the Health Equity team from Edberts House, a Gateshead based charity led by a GenQ Fellow, with a strong reputation for community development and social prescribing, working with the NHSE Personalised Care Team.  Utilising combined knowledge of local authority and VCSE provision, we will map and build relationships across our area, using an EBCD approach, actively listening to professionals and community members to create a network of accessible connecting places. This will give us a PBP through which we can support health and wellbeing in the community, and also build our qualitative knowledge of the needs of our population.  Matched with quantitative data, it will give us a fuller picture of how we can create an effective population health management plan and community training needs assessment.  We will establish clear project governance prior to commencement.

How is your project going to share learning?

We will document our processes and our experience so that others can learn from what we achieve. We have no doubt that this will be a challenging project and we will be transparent in sharing things that did not work as well as things that did. We will use the specialist interest group spaces to do this, in particular Bridging Networks and Primary care.

We will record all learning in a variety of ways including maximising online content to allow us to share learning widely. We will ensure that our project team are committed from the start to personally feeding back their learning in a number of ways including case studies, workshops and drop-in learning sessions. We believe that local dissemination will allow our model to be tested and we have already made contact with our neighbouring PCNs who have reacted positively to the proposed project.

How you can contribute

  • The Critical Friend: We seek rigorous and robust challenge from Q members on the aims and objectives of this project.
  • The Expert: We particularly welcome feedback on “one door” initiatives across the country that have been completed in the past, ideas and comments about how best to engage sectors that have not had a great track in collaborating, and how best barriers can be broken down between currently competing providers.
  • The Strategist: In respect of our focus on Place-Based Working, we would like Q members to identify 3-4 examples so we can quickly benchmark to maximise the chances of success of the project.

Plan timeline

15 Jun 2022 Regrouping and stakeholder engagement
12 Jul 2022 Formalising governance and workplan
17 Aug 2022 Goal setting and feedback cycles identified
31 Jan 2023 Project end with local sharing event

Comments

  1. Hi Sameena,

    This sounds like an interesting project that could have a positive impact on those living in Gateshead Outer West. It would be great to understand the digital element a bit more, you could also reach out to previous Q Exchange winners who have worked in co-production to learn from their insight - Redesigning outpatients through inclusive participatory co-design and  Making primary care accessible to women with experience of trauma have both done design work with different stakeholders.

    1. Thanks for your comment and I had a look at those links.  I amended the submission slightly to show we have done some co-design process already. This is 2 pieces of patient engagement work, one to understand the issues patients have with digital access and the other to understand what patients want out of our websites.  Our next steps need to implement some of the changes and look at internal processes to help that as well.

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