2024/25 programme
NHS Greater Manchester (NHS GM) and Greater Manchester Primary Care Provider Board (GMPCB) have partnered with the national CLEAR programme and Peak Health Coaching for the second year running to provide a support package for up to 30 PCNs in Greater Manchester to develop proactive care for cardiovascular disease (CVD) and diabetes in their local populations.
This latest cohort follows a successful first wave of the programme which took place in 2023/24 and focused on dementia, frailty and high-intensity users.
PCNs taking part in the programme choose to focus on either CVD or diabetes and will be supported to develop person-centred approaches based on the specific needs of their local population.
The 2024/5 programme runs from June 2024 until March 2025 through a mix of face-to-face and online workshops, together with several months of practical work in their chosen topic, supporting PCNs to:
- understand the specific needs of each PCN population and raise awareness of the most effective support options (medical and non-medical)
- capture and utilise local data to support decision making and Quality Improvement (QI) work
- develop skills and confidence of PCN leaders and their teams to deliver proactive person-centred care
- make the best use of Additional Roles Reimbursement Scheme (ARRS) roles in primary care, such as link workers, care co-ordinators and health coaches, as well as wider stakeholders to deliver person-centred care
- design and deliver a specific QI project enabling PCNs to put learning into action and stimulate further proactive person-centred care work in each PCN
- network with other PCN leaders and teams, encouraging each other, sharing learning, and building networks for future collaboration
Further details can be found in the proactive care welcome pack.
Proactive care is an NHS Long-Term Plan commitment focused on the provision of care in the community for patients living with long term conditions such as frailty and comorbidities, who would benefit most from integrated, evidence-based care. The aim of this type of planned, co-ordinated and personalised care is to help people live well and independently for longer, especially those with multiple long-term conditions.
Proactive care places a strong emphasis on preventing health issues before they occur with pre-emptive measures to maintain and improve an individual’s wellbeing. It is also an opportunity to address health inequalities by using data that’s available to identify specific groups of patients. The transformative potential of this work on proactive primary care in Greater Manchester is significant.
For further information about the programme, contact Andrew Binnie, Programme Manager for Proactive Care: Andrew.binnie@nhs.net
