Download - London - Transforming Primary Care
Open House Workshop
Transforming London’s Primary Care
17th June 2014
Challenges for London’s general practice
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Growing and ageing population
Increasingly complex conditions
Stark health inequalities and varying performance
Growing patient expectations
Financial pressures
A&E and acute services under strain
Infrastructure which is not fit for purpose
“It’s clear that we need to change the way we work. Transformation needs to be radical and long-term – tweaking around the edges won’t cut it this time.”
Dr Clare Gerada
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London voices are united on the need for change
GPs“We are dealing
with unprecedented levels of demand.““I’m worried about
the financial sustainability of my
practice.”“Patient
expectations are out of kilter with
what’s achievable.”
PATIENTS“A&E is faster than my
GP service.” “I can’t get through on
the phone.”“I need care that is
coordinated between NHS and social care services to keep me
well.”“At the most convenient
times of the day my surgery’s doors are
closed.”
CCGs“There are
significant variations in healthcare
resource consumption.”
“We need to strengthen primary care if we want to stop acute activity
from spiraling.”
ACUTE CLINICIANS“There is too much
pressure on A&E departments in
London.”“Community and
primary care services need to change so that I
can ensure patients aren’t kept in hospital
for longer than necessary.”
“There is too much variation in standards
of primary care.”
AccessibleCare
CoordinatedCare
ProactiveCare
Transforming Services
Improving primary care: New GP standards for London
Accessible Care Better access to routine and urgent care from primary
care professionals, at a time that’s convenient and with a professional of choice.
Coordinated CareGreater continuity of care between NHS and social
services, named clinicians, and more time with patients who need it.
Proactive Care More health prevention by working in partnerships to
reduce morbidity, premature mortality, health inequalities, and the future burden of disease in the capital. Treating the causes, not just the symptoms.
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What could London’s patients expect in future?
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“I don’t have to take time off work to access my GP practice. Appointments now fit my lifestyle.”
“I know my care is being coordinated by a team who knows me and my complex conditions, from one service to another.”
“I get the care and support that enables me to live the life I want to the best of my ability.”
“I can contact my practice by email, phone and online.”
“I’m clear about the ways I can improve my own health and wellbeing and the resources available to support me.”
Next steps for the GP development standards
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My General Practice
1. The things I really like about my practice are ……….
2. It would be great if my practice …………..
Patient groups Example service goals Example – how care will be different
Coordinated care
I may require......care coordination
...care from an extended care team
...more specialist care
Accessible care
I may require... ...rapid, urgent access
...convenient routine care
...continuity of care from a named GP
• Patients will have access from 8am-8pm, 7 days a week and 365 days a year
• Patients will only be asked to make one call or click in order to make an appointment
• Patients will be able to book 4 weeks ahead
• Same day response for urgent
Proactive care
• Patients identified for coordinated care will have:
- Involvement in their care planning- Named GP / lead clinician and team from which they routinely receive care - Multi-disciplinary reviews
“I will be supported to manage my own health with greater confidence, knowledge and responsibility”
“My care will be coordinated, rather than fragmented and transitions between services will be seamless”
“I will be able to book ahead with my GP, at least four weeks ahead”
“I will only have to make one call or click in order to make an appointment”
“I will be able to have consultations via telephone, email or skype”
I am ...self reliant
...socially reliant on others
...medically reliant
• Patients will be asked about their wellbeing, capacity for improving their own health, and their health improvement goals
• Co-design approaches to improving health and wellbeing building social capital
“I will have information tailored to my needs on when, where and how to access health and wellbeing support in my community”“My local practices will work with our local communities to discuss the population’s health needs and co-design new services in the community that support people to stay well
That service offered must be personalised & adaptable to patient needs as they change over the course of their lives
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