Business Plan 202324 PDF FINAL Compressed
Business Plan 202324 PDF FINAL Compressed
Business Plan 202324 PDF FINAL Compressed
Contents
Introduction
Cross-cutting priorities
Strategic Priorities
Financial Plan
Chair's Summary
CEO Foreword
Dr Andy Hilton
Chief Executive
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Some of the people who will benefit from this plan
Diane Priya Grace Yan
GP Partner Practice Manager Patient Allied Health Professional
I feel like there aren't enough I've been a practice manager for I have mobility issues that led to I'd like more professional
hours in the day to get everything 10 years and love my job. me having to take leave from my development opportunities and
done! On top of that it is really However, it is becoming job. Since then I have been to feel a sense of belonging to
difficult to attract new partners to increasingly difficult to fill team finding it harder to get out of the the team I work in and i need an
join the practice and to afford to vacancies and make sure our house and socialise like I used to. appropriate level of supervision. I
pay for the lease and employees have everything they That's making me feel isolated know that my skills can help busy
maintenance on the practice need to be able to work safely. and has made my mental health practices provide world class care
buildings. My biggest concern is Making sure we are achieving as problems worse. to their patients.
making sure my patients can many QOF points as we can is
access the care they need when very time consuming!
they need it!
Introduction
What we do
Primary Care Sheffield is a GP-led company set up and developed by General Practices in
Sheffield to provide support in delivering excellent patient care. We do this by supporting
practices and by working at scale when it makes sense. Together, across Sheffield, we
strive to provide high quality patient care which through innovation is responsive to
changing population needs. This has been highlighted by our collective response to the
ongoing pressures across primary care since the Covid pandemic, flexing capacity to
demand and rapidly mobilising new services at scale, from on the day capacity to home
visiting services and vaccine services, whilst supporting practices or PCNs to deliver their
core business.
What we do
Primary Care Sheffield is a GP-led company set up and developed by General Practices in
Sheffield to provide support in delivering excellent patient care. We do this by supporting
practices and by working at scale when it makes sense. Together, across Sheffield, we
strive to provide high quality patient care which through innovation is responsive to
changing population needs. This has been highlighted by our collective response to the
ongoing pressures across primary care since the Covid pandemic, flexing capacity to
demand and rapidly mobilising new services at scale, from on the day capacity to home
visiting services and vaccine services, whilst supporting practices or PCNs to deliver their
core business.
WE WILL...
continue this flexible, rapidly responsive approach in our ongoing delivery and development of
services; we know that the ongoing pressures alongside the cost-of-living crisis will place a
heavy need on the support we can offer.
Our Business Plan
Our annual business plan sets out PCS’s priorities for the coming year and is developed
with consideration of the national landscape for health and care through the engagement
of our shareholding practices, our PCNs and our staff. In doing so PCS ensures it
continues to meet the needs of its shareholders whilst remaining responsive to the
changing NHS environment.
The plan sets out to staff, shareholders and patients how, during 2023-24, we intend to
deliver, improve, and develop our services, our priorities for growth and further
partnership working and the way in which we will achieve this, from an inclusive and
transparent approach to measuring success.
We know that this will be a challenging year for our shareholders, our practices, our staff
and primary care and the NHS in general. We are committed to working together to find
innovative and ambitious solutions that offer primary care the best support for resilience,
staff the best experience and satisfaction in what they do and patients the best access to
the best quality care, outcomes, and experience.
Our vision, mission,
and values
Vision Mission
What ultimate success looks like for A high-level statement of how
PCS and its shareholders. we will achieve the vision
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Layers of Scale
The South Yorkshire ICS Primary Care Strategy is in the process of being refreshed, however we continue to recognise from the strategy the
value of the layers of delivery across primary care. These interdependent layers optimise our resources and maximise our shared impact on
patient outcomes and experience.
The Fuller Report describes the tension between the need for people to access same-day urgent care balanced against the need for GPs to be
able to provide continuity of care to those patients who need it most. For primary care teams to have capacity to deliver the continuous care to
complex, frail patients with multiple morbidity we need to create a resilient infrastructure that enables single episodic, same-day and urgent
care to be delivered at scale leaving practices and PCNs to deliver continuity and long-term condition management.
Every year we recognise the increased and greater pressures across the health system and this year is no different; Primary Care has never
been under more pressure than it is now and realising this strategy and the resources that are required to deliver it is a critical part of our
focus both by continuing to deliver and improve our existing services as well as working with commissioners and practices to design and
develop new ones. Primary Care Sheffield was established for exactly these reasons and the need as well as opportunities are greater than
ever. By working with practices and PCNs we can maximise our collective impact on the escalating pressures being seen across General
Practice whilst building models of care for the future that are sustainable and attractive to a future workforce.
Tackling Health Inequalities
The impact of Health Inequalities across the city remains a significant and growing challenge, following what has been an incredibly difficult 2
years for people as we have simultaneously seen the impact of the Covid-19 pandemic and now the spiralling cost of living
disproportionately impacting on our poorest communities. The historic underinvestment in Primary Care along with fundamental flaws in
core contract that adversely impact on those looking after the most deprived, means managing shared resources in a way that recognises
the different needs of our populations across the city is more important than ever. Primary care and healthcare organisations cannot tackle
health inequalities alone– the solutions lie further upstream. However, through this Business Plan we ensure we embed processes and
methodologies that recognise them and as far as possible seek to reduce the gap in access to healthcare, putting people at the centre of
our service delivery and design.
WE WILL...
Use a range of tools and population intelligence to support us to deliver our services, allowing us to consider how best to engage different populations in
designing and accessing our services.
Furthermore, through our Research links we will keep seeking out opportunities for innovation in design and research on impact relating to delivery
models that are designed to engage and link with different populations, maximising people able to access our services and therefore providing greater
equality of access across practices.
Diversity
PCS is committed to delivering its services in such a way that does not disadvantage anyone, particularly individuals or groups that are
underserved or who have a protected characteristic as defined by the Equality Act 2010. Our Equality Impact Assessment process is
designed to ensure that equality and diversity is considered at all stages of service design, change, implementation, and delivery. In
implementing this approach PCS will ensure that its services, processes, and development are relevant to all, embedding a culture of
fairness, inclusivity, and person centredness.
WE WILL...
Look at initiatives that allow us to increase diversity in our decision making and create opportunities to secure greater involvement
from our staff, shareholders, and communities.
Managing risk and
Measuring Success
Our Risk and Performance frameworks are now in place and embedded. As part of supporting next year’s business plan, we will complement
our existing frameworks with a Programme Management Framework that will, in the face of a rapidly growing organisation, provide further
assurance that we are on track to deliver the commitments we have made.
The continued development of our frameworks will further facilitate the delivery of safe, high performing, high quality services that meet the
needs of our patients, practices, staff, and commissioners. The frameworks will promote our organisational values and a culture as a
learning organisation, encouraging continuous learning and improvement and empowering our workforce to develop through experience.
WE WILL...
Our Board and its Sub-Committees will be integral to the process, and we will develop clear benchmarking to understand how we
compare (to previous performance and, where applicable comparable providers) and to support a cycle of continuous improvement.
We will be developing and refining our performance reporting to help us keep practices and patients informed and involved in how
our services are performing.
Strategic priorities
The Business Plan sets out the following key priorities for this year:
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Strategic priorities
1. Practice|Care
a. PCS|Network Support
b. PCS|Resilience Team
c. Workforce Development
2. Patient|Care
a. PCS|Practices
b. Integrated Urgent Care
c. Mental Health Transformation
d. Elective Pathways
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Strategic priorities
1. Practice|Care 3. Future|Care
a. PCS|Network Support a. PCS|Research
b. PCS|Resilience Team b. Digital
c. Workforce Development c. Estates
2. Patient|Care d. Leadership
a. PCS|Practices 4. Home|Care
b. Integrated Care a. Homecare services
c. Mental Health Transformation 5. Developing PCS
d. Elective Pathways
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Practice Care
We support practices in Sheffield
to deliver the best care possible.
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PCS | Network Support
In response to practices and PCNs, last year we were able to put in place, through our established Cost Sharing Group, Cost
Sharing Agreements. These support PCNs access Human Resources and Financial Services.
WE WILL...
work with PCNs to further develop our menu of support to establish a development plan that ensures that practices and PCNs are
able to get the maximum support available through the PCS.
WE WILL...
continue to work through the SY Primary Care Provider Alliance to ensure that a proactive approach to practice and PCN resilience is
coordinated and resourced, and rescue support is rapidly available where necessary.
WE WILL...
continue our work with system partners to develop a longer-term shared workforce strategy. In the coming year we will:
Work with practices and PCNs to take forward the recommendations of the Natalie Jones report to release the full potential of
ARRS roles.
Alongside the South Yorkshire ICB Primary Care Provider Alliance, we will strengthen the links with the ICB workforce hub
developed through Primary Care Doncaster to ensure that Sheffield practices are able to access the full benefits of the support
available.
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PCS|Practices
We will continue our commitment to deliver safe, effective, and financially balanced services through PCS|Practices building
on the significant work to improve quality, patient experience and staff morale in recent years. Along with our new Clinical
Director we will work with our practices to harness their talent and expertise and ensure a supporting infrastructure that
allows them to be the best they can be for our patients. Where we innovate and develop more efficient ways of working, we will
share our learning with our shareholders.
WE WILL...
As increasing numbers of practices seek to join the PCS family, we will work with our practices to develop our operational model to
take account of the rapidly changing context we are working within. We will strive to create an environment that engages and
empowers our staff in the work that they do as well as ensuring they benefit from the well-deserved rewards that they deserve.
WE WILL...
continue to innovate with workforce solutions that increase the range of care people are able to access and we are able to provide
through our integrated care.
In line with the Sheffield Health and Care Partnership our priorities for integration will be:
community diagnostics
referrals optimisation
integrated pathways starting with respiratory care.
WE WILL...
In partnership with the ICB and our Sheffield PCNs we will continue to work to develop and embed multidisciplinary working, ensuring full
recruitment and support to the ARRS roles, optimising the full MDT capacity for each PCN’s population and establishing agreed pathways for
wider mental health provision. The work will include:
Diane Grace
GP Partner Patient
Click to find out what it
will mean for me
Elective Pathways, Enhanced Care and Diagnostics
Sexual Health
WE WILL...
Having been able to work with commissioners to improve the contract in 2023/24 we will continue to develop the Sexual Health service
to increase access, with a particular focus on reducing inequalities in this area by targeting the populations who we would expect to be
accessing sexual health services more than they are and those most in need of access.
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PCS|Research
WE WILL...
Expand the research offer, working closely with practices and stakeholders to increase research activity in Sheffield Primary Care,
both via direct delivery in Clover and by supporting our shareholders in their patient recruitment.
Respond to the request from South Yorkshire ICB and support the Federations across South Yorkshire to become research active
Develop and bring to market, with our strategic partner, Artificial Intelligence for Planned Primary Care; improving practice
efficiency and improving patient outcomes.
Work with digital providers to develop a solution to measure primary care demand in order to quantify the level of pressure in
primary care and the scale of risk that is currently hidden from the national radar and associated action
form the infrastructure and produce a test environment for product development, progressing the resolution to form a Joint
Venture company. This will include integration with other providers and engagement with shareholders in our approach.
Diane Grace
GP Partner Patient
Click to find out what it
will mean for me
Estates
WE WILL...
If agreed by shareholder vote we will launch our joint venture vehicle for primary care estates, in response to significant interest from
our shareholder practices. We will offer a range of solutions to practices including consultancy and sale and lease back, and we will
develop and launch the PCS Estates Strategy.
Diane
GP Partner
Click to find out what it
will mean for me
Leadership in a transforming system
Over the last 6 years PCS has established itself as a key strategic partner within the Sheffield Health and Care Partnership as well
as within the South Yorkshire Integrated Care Board, in addition we are present in National forums. This allows us to channel the
feedback we receive through our shareholder practices and through our delivered services in order to influence local, regional
and national agendas and the resources that are allocated to primary care.
In partnership with practices, PCNs, LMC and ICB colleagues, we have worked hard to position Sheffield Primary Care in the best
possible place for the future. We will continue to build upon the strengthened ICB and HCP governance to ensure meaningful
engagement at every level of primary care scale.
WE WILL...
To realise this, we will continue to provide leadership in:
The emerging Sheffield Health and Care Partnership; including driving four key programmes of work: Mental Health, Primary Care,
Integrated Urgent Primary Care and Planned Care.
The South Yorkshire Integrated Care System including our role within the Integrated Care boards Primary Care Provider
Collaborative.
At a national level through a range of forums including our role with NHS Confederations Primary Care Network
Home Care
We help people live independent and
fulfilled lives in their own homes
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Homecare services
WE WILL...
We will continue to work with Sheffield City Council to develop new models of domiciliary care which work to improve the standard of
patient outcomes. We will grow and develop Serenta’s private business as part of our approach to sustainability.
Diane Grace
GP Partner Patient
Click to find out what it
will mean for me
Developing PCS
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PCS People Plan
PCS recognises the talent that we have in the people we have in our team. Nurturing and developing our staff is one of our most
important priorities for the coming year and as part of delivering this we will be working with staff to develop our first People
Plan.
This is important because as the organisation grows the way in which we value, support, and develop our staff involves every
person working with and for PCS; we are co-producing a plan that promotes our shared values and supports and develops
people to be the best they can be in a job that they enjoy.
WE WILL...
This year we will be working to continue the implementation of our People plan to ensure that the talented people working for PCS feel
the full benefit of it. The Plan will provide a strong background to looking at optimising the capacity of our primary care workforce, with
the right structures and support in place to secure that.
There are four priority areas within the plan:
1. Looking after our workforce: ensuring that everyone has quality health and wellbeing support and a workplace
environment that promotes it.
2. Developing our PCS culture: everyone will feel they contribute to a positive PCS culture. Staff will feel an ease in sharing
their ideas, their worries, and their reflections. Every member of staff is critical to the organisations and to delivering the
best care and experience to practices and to patients.
3. New ways of working and delivering care: we will ensure that we use the full range of people’s skills and experience
creating opportunities within roles and across services. We will celebrate diversity in every aspect of our workforce and
harness it to enable creative and innovative solutions to the way in which we work and the way in which we deliver care and
support.
4. Growing our workforce for the Future: we will be an organisation that attracts, retains and welcomes back people to
our team. We will ensure a good package of training and development, a flexible approach to working and we will empower
our workforce to be the best that they can. Job satisfaction will be key, with staff and patient experience and outcomes at
the heart of the way we work.
Expanding our services
WE WILL...
Explore developing new services either through tender or contracting opportunities where these align with our strategic goals
Engagement
WE WILL...
Make constant improvements in the impact that engagement feedback has on the design/development of PCS services and
initiatives.
Increase the representation of service users, with representation from the diversity that exists within them, to maximise their direct
input / involvement in decision-making and development of PCS services and initiatives.
Work towards implementing as many long-term partnerships as possible (rather than short term questioning/input) with
community groups / organisations.
Ensure full engagement with shareholders at an early stage as services or initiatives are developed. So adequate opportunity is
built in, and we are able to factor in any developments based on their feedback.
WE WILL...
Continue our Commitment to Host:
Primary and Community Services Operational Group; a group attended by PCN Clinical Directors, PCN Managers, PCS Operations
Team (Physical and Mental Health), STH Community Services and relevant HCP transformation leads
The Network Managers Huddle
The PCN CD Operational Meetings
Re-establishing the PCN Learning Network (formerly referred to as Neighbourhood Learning Network)
Patient Engagement
In the last year PCS has made significant progress with direct engagement with our patients and the communities in which
they exist. Working directly with all the Sheffield GP Practices, we obtained detailed feedback from over 8500 patients on their
views relating to the future of Enhanced Access. We also engaged directly with a number of community groups on specific
primary care research projects, some of which targeted specific seldom heard ethnic populations.
WE WILL...
In the coming year we will work with our partners across primary care, to build on these strong foundations. This will include an
agreed programme to engage with community groups on an ongoing basis, so we actively hear their voice, and are able to engage
more deeply as opportunities present to develop services, undertake research, or progress other activities. PCS is committed to
having patient input from across all our communities in Sheffield, with their varying needs, being ever better understood and
factored into everything that we do.
Communications
WE WILL...
Launch a new and improved website and intranet site
Increase the number of people accessing information about PCS services.
Ensure more people are aware of the opportunities available to take part in co-design of services.
Meaningfully connect our staff and shareholders to the work of the Sheffield HCP and the South Yorkshire ICB.
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Financial Plan 2023/24
Any annual business plan needs to be underpinned by robust financial planning which takes into consideration
current contracts and services and our longer-term commercial strategy for growth. We will work with our most
significant Commissioners – the ICB and Sheffield City Council to determine the level of investment into our
services based on their commissioning intentions and the future of individual contracts along with the evolving
needs of the local population.
We are committed to ensuring that our financial planning supports high performing quality services and the
ongoing development of a sustainable primary care workforce. We will continue to put in place at scale
solutions to support the health system in Sheffield whilst remaining committed to ensuring practice income
streams are maintained. In agreement with our shareholders we will continue this approach and, by delivering
via practices, a significant proportion of activity and therefore income will be directed to practices participating
in delivery.
Our future financial sustainability will be a balance between growth in scale and scope of our contracts,
maximising shareholder income streams and efficient use of corporate overheads that minimise the cost of
contract management, payroll, and clinical, corporate and system governance. We will always work with our
shareholders and PCNs to design the most appropriate and cost-effective solutions for each service or activity.
Chair's Summary
In my first year as Chair of PCS, on behalf of everyone, I would firstly like to pay tribute to John Boyington,
retiring Chair. During the last six years, he has presided over the transformation of PCS, from a fledgling
organisation to one of significant leadership and influence in Sheffield & South Yorkshire.
As the pace of change increases and the South Yorkshire Integrated Care Board establishes new governance
arrangements in Sheffield, our business plan demonstrates our ambition to grow our influence still further and
remain at the forefront of Primary Care leadership, innovation, and collaborative partnership in the city.
At a time of unrest and uncertainty, both in the NHS and wider economy, we need to build better resilience in
our environment through appropriate and innovative ‘at scale services’, investment in the development of our
people, research as well as both the digital and physical infrastructure that is key to delivering our services.
Growth & Sustainability for PCS and our partners are key to establishing our vision of building world class
primary care provision and I hope that together this business plan helps us make another step in that
direction.
Grace Patient
Better engagement will help me by...
...really giving me a say in the way that
services are designed and delivered. That means
that the services will meet my needs better and
improve my ability to access them