Landscape of
General Practice
Lisa Drake
WLGPT
Mar 2015
GPs are in the dark about NHS reforms
Zara Aziz, Guardian 2012
• Do you feel ‘in the
dark’?
• What do you know?
• What do you want to
know?
• Why should you find
out more?
• How can you do
this?
Structural
Models of Care:
#5YFV - Vanguard sites
2 will affect you
MCPs
Organisations:
Horizontal Int = Federations,
Primary & community
Vertical Int = PACS
Health & Social Care
Act 2012
Assurance:
Inspection
Monitoring
Benchmarking
The 2022 GP
– A Vision for General Practice of the future
RCGP May 2013
GPs Being a ‘generalist and gatekeeper’ is no
longer sustainable for a GP
Zara Aziz Guardian 2015
GPs in charge: Leaders/Decision
makers/Commissioners/Providers
Skills, training & support – do you feel
equipped for this?
GPs as part of the team: ‘Culture will trump
the rules’ –Improving the safety of patients Don Berwick Aug 2013
#Devo Manc – A new settlement for
Health and Social Care?
Organisational Advantages
Benefits for patients
Risks
Governance
Barriers
How can these be overcome?
Patients - Who's health is it?
Young people
Multiple Illness & living
longer
People with LTC account
for:
50% of all GP appointments
64% of all OPA and over
70% all inpatient bed days.
As Partners
Empowered ?
Connected
Shared Decision
making?
Social Media #Patient
Memoirs, PPGs, Listening
events
In control of their own health –
meet Ingrid Brindle, ‘Our health is
our lifetime’s work. It’s the most
important project we’ll ever do’
Everything will be online…
All patient and care records will
be digital, real-time and
interoperable by 2020, with
clinicians in primary, urgent and
emergency care accessing
paperless records by 2018.
Personalised Health and Care 2020
There have been three major economic
transitions in human history – the
agricultural revolution, the industrial
revolution, and now the information
revolution.
In Britain 86% of adults use the internet but
only 2% report using it to contact their GP
NHSE 5YFV
Technology & Social Media
#SoMe, @WeCommunities
Direct entry to records - co-produced
Wearable technology
Risk stratification - Preventative rather than reactive
Learning & Sharing
Thanks To:
Pearls of wisdom @drsingletonsays:
We all have 2 jobs: do our work & to continuously improve our work - lets go!
The past tells us the 3 dimensions of quality really matter - still a way to go!
Data shows us that happy staff lead to better outcomes - still a way to go!
Patients tell us to listen to them more - still a way to go!
Policy says GP lead local services - still a way to go!
Berwick told us to become a true learning organisation - still a way to go!
@SeascaleHC
@DrRSingleton
@EastCumbriaGPTP
@RosalynHallewel
@BWMedical
Quiz
#5YFV
PACS
#SoMe
IWGC
FFT
SDM
PPG
LiA
#DevoManc
MCPs
thank you ☺