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John Tacchi is the Programme Director for Integration at North Staffordshire Combined Healthcare NHS Trust, a provider of mental health, social care and learning disability services in the West Midlands. In this episode John talks about his role leading the Trust’s Primary Care Integration Strategy which offers GP practices a range of benefits from full integration into the Trust to the provision of back office functions. John explains how the integration is working and the benefits that the new service driven model and locality working is delivering for GP teams and for the Trust.

Show Notes

John joins North Staffs Combined to do Primary Care Integration (0:52)

John explains the distinctive differences in the North Staffs model (01:59)

The GP partners hold the contracts and have a contract with the Trust for delivery (2:50)

Removing (or reducing) GP liability (3:58)

A service driven model to engage practices; a range of options (4:34)

The Trust’s relationship with the local federation of 76 practices (5:48)

The benefits of this model to GPs; a future for staff and eliminating “last man standing” (7:12)

Back office functions and moving from silos to a geographic focus (8:10)

What’s in it for the Trust? (10:00)

A plan for future opportunities; providing mental health services and integrated pathways (11:00)

Locality teams and integrated care teams (12:11)

How do you ensure this works and isn’t seen as a takeover? (12:57)

Reflecting on the journey; developing a new clinical model (14:44)

Providing mental health services in the integrated out of hospital offer (16:42)

New governance model at the same time as a “hot” and “cold” split (17:18)

Engaging the practice leadership team and developing new leadership roles (18:08)

Thinking big with a population focus (19:27)

The Combined Healthcare website is available here