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

Once agreed, the standards will be rolled out for implementation over the next 3 - 5 years.

On-going work to scope the costs and route map for securing delivery of the standards across London.

Publish draft standards for wider public engagement later this year, with a growing consensus around what London needs.

Test the ambition of the standards with a wider clinical, patient and charity audience. This is taking place over the summer.

Work on developing draft GP Standards was led by expert GPs, building on the national vision for primary care.

Transforming primary care: General practice – A Call to Action was published to start a debate.

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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 …………..