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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