There are 2 Neighborhood Care Networks (NCNs) in Monmouthshire (North & South) with registered populations of 53,701 and 47,353 respectively.
General Practices in Monmouthshire North
There are eight GP practices operating in the Monmouthshire North (NCN) Cluster area.
Monmouthshire as a whole has a total population of approximately 100,000 people residing across 850km2, divided into two Neighborhood Care Networks (NCNs), North and South. North Monmouthshire has a population of 53,701 (01.01.20 capitation report), a 4.2% upward shift since 2015. There are 8 GP Practices, 2 branch surgeries and 2 Integrated Health and Social Care teams serving the populations of Abergavenny, Monmouth, Usk, & surrounding areas. The NCN borders Torfaen to the East, Powys to the North and England to the West and as of 1st April 2019 there was a total of 4,747 people living in England registered with a North Monmouthshire GP.
The NCN has seen a 1.4% increase in population since 2017/18 and by 2036, it is projected that the number of people in Monmouthshire as a whole, aged 85 and over will increase by 147%, from approximately 13,000 in 2011, to 32, 0002. Further population growth is anticipated with new housing developments planned in North Monmouthshire, potentially enhanced by the removal of the Severn Bridge toll in December 2018.
Monmouthshire has for many years had perceived affluence, which can mask differences within and between communities. Wages in 2017/18 were some 10% below the UK average and only marginally above the Wales average. Some 34% of our working population were commuting out of county to earn a living1. We face many challenges as highlighted previously, especially around building resilient and sustainable community and primary care services. Our Health and Social Care system is stretched with new challenges in terms of difficulties in recruiting staff. We rely on Third Sector services to offer a range of support and these relationships are key when trying to deliver our three key priorities.
In terms of organisational structure, local governance and strategic links, the NCN is aligned to Aneurin Bevan University Health Board’s Clinical Futures and Care Closer to Home strategies, Monmouthshire Integrated Services Partnership Board (ISPB), the Greater Gwent Regional Partnership Board (GGRPB), and also The Well-being of Future Generations (Wales) and Health & Social Services Well-Being (Wales) Acts.
Sources: 1The Well-Being of Future Generations (Wales) Act – Monmouthshire County Council Well-Being Assessment 2017/ 2Monmouthshire SS&WBA Needs Assessment
The NCN has agreed 3 key priorities which underpins its 2020-23 Integrated Medium Term Plan (IMTP):
Undertaken a comprehensive needs assessment to inform our IMTP priorities over the next 3 years.