Northern England Strategic Clinical Network Conference 15 th
May 2015 Population health and Primary Care Pam Lee MPH Public
Health Gateshead
Slide 2
Why? General practice..has shifted to demand-led, reactive
health care provision,. losing the value of population health care,
wellbeing and empowerment Dr Charles Alessi, Reclaiming a
population health perspective (2013)
Slide 3
Why not? Challenges facing primary care demand from patients -
GP consultations + 75% 1995 - 2009 lack time to reflect on how to
provide and organise care more responsibilities
commissioning/reduce A&E attendances/admissions/integrate care
for elderly
Slide 4
Inequalities Each CCG whilst carrying out its functions must
have a regard to the need to reduce inequalities between patients
with respect to their ability to access health services, and reduce
inequalities between patients with respect to the outcomes achieved
for them. (NHS England, 2013)
Slide 5
Inequalities Inequalities in access to GPs exist despite new
contractual approaches Economically disadvantaged groups often have
access to smaller number of GPs
Slide 6
Key challenges tobacco, alcohol BMI are leading risk factors
for illness and disability
Slide 7
Opportunities Shift to CCGs practices can influence how funds
can be spent Registered list - take a population-based approach to
planning and delivering care for registered patients Locality
working (Gateshead) leadership to shift emphasis from reactive to
proactive not just about practices other partners innovation
funding but more than