overview of the future of general practice mark purvis @purmj

Overview of the Future of General PracticeMark Purvis @purmjHealth Education Yorkshire and the Humber

• Over supply of secondary care specialists

• Undersupply of GPs and Practice Nurses

• Ageing GP population• Shift of work into the community

driven by both finance and technology

• Increased demand driven by population demography

• Funding gap

• 90% of all patient contact is in primary care• The NHS Budget is expected to grow by

0.4% a year for the next five years• Spending on primary care rose by 1.3% last

year compared to 5.1% for secondary care• 22% of GPs are aged over 55• 20% of Practice Nurses aged over 55• 10,000 GPs intend to retire in the next 5

years• Doubling in demand for consultations in

the next ten years

Daily Telegraph April 2013

GPs blamed for crisis in out-of-hours care

The failure of GPs to provide proper out-of-hours care has forced millions of extra patients to attend hospital accident and emergency departments, where they do not get the support they need, the Health Secretary....

Daily Telegraph April 2013

GPs blamed for crisis in out-of-hours care

The failure of GPs to provide proper out-of-hours care has forced millions of extra patients to attend hospital accident and emergency departments, where they do not get the support they need, the Health Secretary....

Daily Telegraph April 2013

GPs blamed for crisis in out-of-hours care

The failure of GPs to provide proper out-of-hours care has forced millions of extra patients to attend hospital accident and emergency departments, where they do not get the support they need, the Health Secretary....

www.hee.nhs.uk

www.hee.nhs.uk

www.hee.nhs.uk

www.hee.nhs.uk

www.hee.nhs.uk

www.hee.nhs.uk

“Our analysis of the available evidence on the demand for GP services points to a workforce under considerable strain and with insufficient

capacity to meet expected patient needs. There is a clear need to substantially lift workforce

numbers to more sustainable levels. However, we also note with concern the lack of

recent substantive evidence on GP activity and workload, a major gap in the evidence base which must be urgently addressed.”

Centre for Workforce Intelligence

www.hee.nhs.uk

www.hee.nhs.uk

www.hee.nhs.uk

Questions?

• Tackle supply driven care: collaborative and proactive

• The medical home and three dimensions of continuity

• New ways of working: skill mix and inter-professional working

• Collaborative approaches: integrated care• Harness technology, genome• Open data, empowerment and co-

production

Thank you – any questions for me?

@purmj