Greater Manchester

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Greater Manchester Sexual Health Network Dr
Ashish Sukthankar Neil Jenkinson Clinical
Lead for the Network Network Director
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Greater Manchester

• Population served 2.5 million
• Health budget 2.5 billion
• 28 NHS Organisations, 10 Local Authorities.
• Network and Director post established in July
  2003.
• 1st Year joint funded by Greater Manchester
  Strategic Health Authority and 14 Primary Care
  Trusts. 2nd and 3rd years funded by 14 PCTs.
• Greater Manchester is seeing the largest rise in
  STIs and new HIV cases outside London.

Rochdale
Bolton
Heywood Middleton
Bury
Oldham
Ashton, Leigh And Wigan
Salford
North Mcr.
Tameside and Glossop
Trafford North
Central Mcr.
South Mcr.
Stockport
Trafford South
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• Networks are about
• Delivering quality by linking the people who
  deliver the patient journey
• Harnessing the skills and knowledge of many
  rather than a few
• Creating a collaborative or partnership
  advantage, common goals and aims.

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• Networks are about
• Breaking down boundaries
• Cross-organisational working
• Focussing on the needs of the patient and the
  whole journey
• Satisfying patients and carers

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• Network Development - Moving Forward
• Stage 1
• Setting up the Network (from July 2003)
• Stage 2
• Setting the direction and building consensus
• Stage 3
• Formal establishment of the Network (May 2004)

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• Scope of the Network
• Holistic Sexual Health Services
• - Health, Social Services, Education and
  Community Voluntary Sector Agencies
• - GUM, Teenage Pregnancy, Family Planning,
  Contraception, Conception, Sexual Dysfunction,
  Abortion, Promotion and Prevention, HIV services.
  
• - plus support services, pathology, pharmacy,
  psychology, counselling.

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Holistic Sexual Health Services
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What does the Sexual Health Network do?

• Strategy and Management
• Clinical Governance Quality Assurance
• Care Pathways
• Best Practice
• Commissioning of Services
• Multi-agency Working
• Information Management Technology
• Workforce Development Education
• Patient and Public Involvement
• Communications

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Greater Manchester Sexual Health Network Sectors
and Areas
North East Greater Manchester Sector
North West Greater Manchester Sector
Central South Greater Manchester Sector
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Greater Manchester Sexual Health Network
Priority Action Group Arrangements
MACRO
Whole Population
MESO

Sector Population
MICRO
Locality Population
Groups under development Group 7 Workforce and
Group 8 PPI
NRJ/GMSHN/Project/working groups/Sept2004
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Board Representation

• Health Advisor
• Teenage Pregnancy
• GUM Clinical Leads
• Family Planning/Contraception
• Tertiary HIV Specialist
• Promotion Lead
• Prevention Lead
• Commissioning Lead
• Local Authority Lead
• Partnership Lead
• Education Lead

• Lead Chief Executive
• Lead Director of Public Health
• Network Director
• General Practitioner
• Health Protection Agency
• Strategic Health Authority
• Workforce Confederation
• Patient/Carer Representative
• Pathology Lead
• Pharmacy Lead
• Nursing Leads

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Developing a future service model for Greater
Manchester
RIDU - NMGH
e.g. GUM, Pharmacy, Pathology, Abortion,
Obstetrics Gynae
Reducing Number of Patients
Cost of Health Care Treatment
e.g Gen Practice, YP Services, Pharmacy, Family
Planning, Midwifery, School Nursing, LGF, GHT,
Barnardos, BP, BHA, Drugs Alcohol, Social
Services, Prevention Promotion, Counselling
Services, Brook, etc
Public Awareness, Prevention, Promotion,
Education and Information Services
Good Health Model
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Six Key Priorities

• Improve equity of access to services and set a 48
  hour access target for urgent GUM and Family
  Planning services.
• Improve the access to pregnancy termination
  services
• Improve IT systems for data collection,
  information monitoring and surveillance, and
  intelligence
• Increase the integration of services through
  Network development
• Create clear patient pathways for commissioning
  HIV prevention, treatment and care services
• Work with key partners to establish clear
  guidelines for Sex and Relationships Education
  and links to Personal Health and Social Education
  in schools, colleges and universities.

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Communications

• Quarterly newsletters, banners, posters, etc.
• Information Packs - Baseline Review, Contact
  lists, Structure etc.
• Best Practice
• Formal Launch - Clinical speakers from all
  disciplines
• 14 PECs, 8 PCT Boards, AGMA, 20 Local Groups
• 200 1-1 meetings .
• 6 National Conference Presentations
• North West Regional Sexual Health and HIV
  Conference
• DoH and 28 SHA Leads
• National Standards for Networks with
  Medfash(BMA)
• Baroness Gould/Derek Bodell IAG (House of
  Lords)

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Key Issues

• Political Buy in
• Local Clinicians (HIV, FP, GUM, TP, GP)
• Chief Executives (PCTs and Acute)
• Directors of Public Health
• Association of Greater Manchester Authorities
• Strategic Health Authority
• Voluntary and Community Sector
• Commissioners

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Early Wins

• Network formally established
• 338k recurrent GUM Monies
• 180k Development Pilot
• 344k Nucleic Amplification Testing
• 2.5m Capital Bid
• 125k Abortion Bids (6 PCTs)
• Priority for AGMA Forum and PCTs
• Additional posts across system
• Service development/modernisation
• Voluntary Sector Partnerships
• National development of networks

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Network Learning 18 Months On!
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THEORY?

• Change Management
• Motivation
• Leadership

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Positive describing words
 

• Pulls everything together
• Team work
• Avoids duplication
• Formalises the informal
• Communication
• Spiders web

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Waste of Time and Money
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Emperors New Clothes
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Another Layer/Tier of Bureaucracy
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Individual and Organisational Tensions
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Fears!

• Loss of Power
• Loss of Control
• Loss of Autonomy

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• Personal Agendas
• Memories
• History
• and Baggage

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Here we go again! Heard it all before!
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Financial and Political Tensions
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Big Question?
How is the Network funded? Local PCTs, SHAs,
National???
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• Geographical area to big
• Needs different
• Expectations different
• Local services
• Rolls Royce versus Mini

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Martin Jones
Sexual
Health
Cardiac Cancer Mental Health Renal etc..etc
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Key Learning (0 4 months)

• Build engagement mechanisms
• Early presentations on concept
• 1-1 meetings vital
• Find out what motivates
• Source key players/stakeholders

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• Explain perceived benefits
• Cross-organisational working
• Sharing practice
• Sharing expertise
• Avoids duplication
• Potential quick wins
• To PCTs/SHA dedicated post

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negatives
positives
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Key Learning (4 8 months)

• Working Group (Key Players)
• Options for model and structure
• Formal consultation process
• Accountability arrangements
• Political Buy-in

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Key Learning (8 - 12 months)

• Organisational development work
• Share vision
• Determine Priorities
• Determine indicators
• how making a difference
• Quick Wins national and local

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My Key Learning Points
Attention Profile Resources People
Motivation Momentum Network
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KEY MESSAGE!


Youve got a National and Local Strategy for
Sexual Health Standards for Sexual Health, HIV,
Family Planning, and Teenage Pregnancy How do
you support, implement and monitor these? A
Network provides the vehicle!
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www.sexualhealthnetwork.co.uk
Go-Live date May 2005