Releasing capacity, North Stafforshire LMC

Presentation about the need to release capacity in general practice, and introduction to the 10 High Impact Actions.

1. Releasing Capacity in General Practice @robertvarnam bit.ly/160421gp Dr Robert Varnam Head of General Practice Development

2. The founding principles of UK primary care are admired the world over, and rightly so. General practice is a jewel in the crown of this country. Right now, general practice feels in a bad place. Constrained, hemmed-in and, to some, marginalised. Whatever the state of things in your part of the country, in general, I think it’s fair to say that, at the very least, general practice is currently constrained from delivering its full potential. We need to see increases in funding, a growth in the workforce, and improvements to premises. Without those, existing services may not be sustainable. How will we find the time?

3. www.nhsalliance.org/making-time-in-general-practice/

4. The study Quantitative survey of practice managers (250) audit of GP consultations (5,128 with 56 GPs) Qualitative interviews, focus groups, round table with NHS Providers & GPs Review & solutions steering group: BMA, RCGP, NAPC, NHS Alliance, FDA, PMN

5. Self-rating by GPs 5,128 consultations

6. Nationally (149m GP appointments / year)

7. Typical practice 6,700 patients (~28,000 GP appointments / year)

8. National. Action is needed to support general practice Local. Practice.

9. Clear message…

10. Clear message… Struggling practices Workforce Funding Premises & I.T. Practice development Burdens

11. It’s too easy to approach challenges just by thinking we need more. The NHS has a well established habit of this – new initiatives, new challenges or opportunities are usually met by us talking about more. More money, more staff – or both. And, we know that, in general practice, we do need both more money and more staff. BUT – and it’s a big but – just doing more of the same is simply not going to cut it any longer. Not just more of the same

12. 10 high impact actions to release time for care

13. 10 High Impact Actions

14. bit.ly/ gpcapacityforum

15. bit.ly/ gpcapacityforum

16. I don't get to hear about innovations Innovators are 'special' Not invented here Innovation saboteurs

17. It wouldn't work like that in our context It won't work for every patient It won't deliver 100% of the change we need We’ve tried it and it didn’t work Innovation saboteurs

18. Capabilities for building up primary care Interdependent capabilities for leaders & organisations