practice manager networking event

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General Practice Forward View

#GPforwardview

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www.england.nhs.uk/gp

england.gpdevelopment@nhs.net

#GPforwardview

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WelcomeWelcome and housekeepingContext settingYour priorities and questionsRunning the practiceThe importance of sharingManaging workload in the practiceShare challenges & solutionsProfessional developmentLeading primary care into the future - lessons so farOpportunities for sharing and developmentYour personal developmentNext steps

#GPforwardviewAims: provide updates, clarify information, answer questions .. ultimately, so you can plan yourself3

#GPforwardview

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pollev.com/gpfv

#GPforwardview

#GPforwardview

Poll Title: How much do you feel you know about the GP Forward View?https://www.polleverywhere.com/multiple_choice_polls/xrGPMK26SybWyuf6

Context-setting

#GPforwardviewPressures on general practice population consultations complexity costs relative funding relative workforce

#GPforwardview2% population growth /yr2.5% inc in consultations every year since 2007

GP numbers grown by 5,000 FTEs in past 10y - but hospital consultant numbers have roughly tripled8

www.england.nhs.uk/gp

#GPforwardview

Stabilisation AND transformationThe START9

www.england.nhs.uk/gpfv

#GPforwardview

Extra 33m included in 2016/17 contractRepeat winter payments scheme for OOH in 2016Already actioned

Out of HoursPayment to all practices in April 2017 and 2018 based on average indemnity increasesWork on new scheme for OOH support with BMANext steps

GP Indemnity Review Group to look at cover for new members of the workforceand other more radical optionsLonger term

In hours

#GPforwardview

Training for clerical & reception staff5 year fund: total 80p/patient (eg 8,000 for 10,000 list practice)2016/17 portion allocated to CCGs Sept 2016Full information: www.england.nhs.uk/gp/gpfv/redesign/gpdp/reception-clerical/

Online consultations4 year fund: total 80p/patient First portion in Apr 2017Full information:www.england.nhs.uk/gp/gpfv/redesign/gpdp/consultation-systems/

#GPforwardview

www.england.nhs.uk/gpfv

#GPforwardview

www.england.nhs.uk/gpfv

#GPforwardview

Make GP attractive againExpand the Medical Workforce5,000 Net WTE doctors in general practice by 2020/21Encourage Recruitment

Retention

Reduce workload Induction & refresher schemeBursaries in under-doctored areas Retainer Scheme Leadership training opportunitiesTraining HubsFlexible career schemesCareer coaching for senior GPsGP Health ServiceWork with medical schoolsIncreased training places250 Post-CCT fellowshipsMajor campaignsCSU Marketing support International recruitment

#GPforwardview

Increase in GP training places to 3,250 a year to support overall net growth of 5,000 extra doctors by 2020 (compared with 2014). Major recruitment campaign in England to attract doctors to become GPs, supported by 35 national ambassadors and advocates promoting the GP role. Major new international recruitment campaign to attract up to an extra 500 appropriately trained and qualified doctors from overseas. 250 new post-certificate of completion of training (CCT) fellowships to provide further training opportunities in areas of poorest GP recruitment.Attract and retain at least an extra 500 GPs back into English general practice

Develop the workforce5,000 additional staff by 2020/21

Major new practice nursing review underway15M to be investedNURSES

3,000 new mental health therapistsFocus on longterm physical conditionsMENTAL HEALTH

Training 1,000 physician associates by 2020Regulatory and indemnity enablers PHYSICIAN ASSOCIATES

6m of new support over 4 yearsExpanded national networkProfessional developmentPRACTICE MANAGERS

Current 31m to pilot 470 pharmacists in >700 practices, Plus new 112m for additional 1,500 pharmacists by 2020 (a pharmacist / 30,000 patients)Clinical pharmacists in 111 hubsPHARMACISTS

#GPforwardview

www.england.nhs.uk/gpfv

#GPforwardview

www.england.nhs.uk/gpfv

#GPforwardview

www.england.nhs.uk/gpfv

#GPforwardview

Simplify reporting and regulationStreamline payment systemsMove away from micro-incentivesGreater specialist supportSelf-help and GP Online

Better sign postingCare navigationSocial prescribingMinor ailmentsRemote triage/careOpen access AHPs

Reformed 111/Urgent Care

Collectiveworking and MCP contract

GP PRACTICE

Community services

Changes to Standard ContractHOSPITAL

Access hub

Demand Management

Practice Resilience ProgrammeTen High Impact ActionsDevelopment ProgrammeTools to measure & plan workReceptionist & clerical training

#GPforwardview

www.england.nhs.uk/gpfv

#GPforwardview

Where are we now?Investment secured and in planning guidanceIndemnity till April 2019 (OOHs ongoing)Induction & Refresher / Retainer Schemes20K Bursaries & 250 Post-CCT FellowshipsInternational Recruitment Pilots470 Clinical Pharmacists (Phase 2 soon)National GP Health Service from Jan 2017Practice Resilience SchemeGeneral Practice Development ProgrammeMedical Assistant and Care NavigationStandard Contract Changes / Interface GroupExpansion of capacity through Access HubsMCP Framework and voluntary contractGMC/CQC/NHSE joint workPipeline 800 of premises schemesGPFV Scrutiny and Architecture in placeMedical School places increasedVulnerable Practices SchemeLeadership Training Opportunities (400 pa)Training Hubs111 Online Clinical Assessment HubsPractice Manager Training ConsultationCapacity Planning Tools being rolled outBMA Approved Lease with package

COMMUNICATION

#GPforwardview

www.england.nhs.uk/gpfv

#GPforwardview

www.nhsalliance.org/making-time-in-general-practice/info@primarycarefoundation.co.uk

#GPforwardview

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Pressures from bureaucracy

#GPforwardview

Self-rating by GPs

5,128 consultations

info@primarycarefoundation.co.uk

#GPforwardview56 GPs rated 5,128 consecutive consultations to identify which might have been avoided.Outpatients: this includes patients re-consulting with the GP because they missed an appointment and were discharged automatically; outpatient prescriptions which were not issued by the hospital; and investigations and other follow-up activity included in the outpatient plan but which the GP practice were asked to undertake.26

Nationally

info@primarycarefoundation.co.uk

#GPforwardview56 GPs rated 5,128 consecutive consultations to identify which might have been avoided.Outpatients: this includes patients re-consulting with the GP because they missed an appointment and were discharged automatically; outpatient prescriptions which were not issued by the hospital; and investigations and other follow-up activity included in the outpatient plan but which the GP practice were asked to undertake.27

Typical practice 6,700 patients

info@primarycarefoundation.co.uk

#GPforwardview56 GPs rated 5,128 consecutive consultations to identify which might have been avoided.Outpatients: this includes patients re-consulting with the GP because they missed an appointment and were discharged automatically; outpatient prescriptions which were not issued by the hospital; and investigations and other follow-up activity included in the outpatient plan but which the GP practice were asked to undertake.28

www.england.nhs.uk/gpfv

#GPforwardview

Stabilisation AND transformationThe START29

What are the biggest challenges in running the practice productively?

What would you most like to learn from colleagues today? Your priorities

#GPforwardviewTalk til 1:15pm

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#GPforwardview

Poll Title: Your question / comment...https://www.polleverywhere.com/free_text_polls/7TNHD8mbBrSRGLa31

What are the biggest challenges in running the practice productively?

What would you most like to learn from colleagues today? Your priorities

#GPforwardviewTalk til 1:15pm32

#GPforwardviewTalk til 1:15pm

Poll Title: Your question / comment...https://www.polleverywhere.com/free_text_polls/7TNHD8mbBrSRGLa33

The importance of sharing ~The GP Forward View and Practice Manager Development ProgrammeWelcome!

15min to 1:30pm34

Practice manager developmentPractice managers are a vital resource in the NHS, playing a key role in maintaining a quality service and in redesigning care for the future. Yet they are also one of the most neglected parts of the workforce, receiving relatively little formal training or ongoing development. Many practice managers report feeling overburdened and isolated in their role, and it is often noted that the most efficient ways of working are slow to spread between practices.NHS England 2016

General Practice The increasing workload

Practice manager developmentWe want to share our wide experience as business managers with our colleagues in practice management and with others in the NHS. We want to promote excellence, provide practical support and identify examples of good practice. We will identify sources of expertise and encourage collaboration.We will champion the cause of practice management and the development of ever higher professional standards.Practice Management Network 2009

General Practice The increasing workload

Aligned to 7 health organisations10 high impact actions champions209 CCG lead opportunities7,500+ Practice Managers70,000+ Practice StaffThe Practice Management Network (initially supported b