The Future of Primary Care Conference: General Practice
General Practice, an integral part of primary care, is under pressure. The British Medical Association’s April 2015 poll of more than 15,500 UK GPs found 93% said their heavy workload had negatively affected the care they provided, with 37% saying it was unmanageable. The strain is beginning to show, with 2014’s official GP survey carried out by Ipsos MORI for NHS England finding that on a number of key measures, including overall experience and ability to be seen, ratings have fallen.
The strain looks set to increase further in the short term, with the introduction of a 7 day NHS, and in the long term, with older people on course to predominate UK demographics. Join us for The Future of Primary Care Conference: General Practice, where delegates will hear different perspectives from the NHS and end users on the care challenges GPs and patients face, and the solutions offered by senior government and industry representatives.
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|Dr Shahid Ali||GP and Professor of Digital Health|
|Dr DJ Hamblin-Brown||Group Medical Director, Aspen Healthcare & Locum Consultant in Emergency Medicine|
|Aneez Esmail||Professor of General Practice, Manchester University|
|Graham Watt||Professor in General Practice and Primary Care, University of Glasgow|
|Dr Chris Jones||Programme Director, West Wakefield Health & Wellbeing Project|
|Kevin Roberts||Meda Pharmaceuticals Ltd|
|Dr Mohammed Jiva||GP, Peterloo Medical Centre, NHS England|
|Doug Scott||Digital Primary Care Strategy Lead, NHS England|
|Des Beattie||Regional Manager, INPS|
|Veronica King||Stakeholder Relations Manager - North, Alzheimer's Society|
|Fiona Moore||Chief Officer, Bury GP Federation|
|Luke Wyatt||Business Development Manager, MJOG Ltd|
|Sam Sherrington||Executive Member, National Association of Primary Care (NAPC)|
|Andrew Roberts||Director of Market Access & Communications at Napp Pharmaceuticals|
“There has been a systematic under-investment in general practice for at least a decade.” Simon Stevens, Chief Executive, NHS England, May 2015
In June 2015, Jeremy Hunt, the reappointed Health Secretary, made a speech offering ‘A New Deal for General Practice.’ In it, he proposed that if GPs accepted the 7 day NHS plans, and other responsibilities (such as assuming a social prescribing role), the government would increase the workforce by 10,000 by 2020 (5,000 GPs, and 5,000 support staff), use the £1 billion primary care Infrastructure Fund to improve facilities and support digital innovation in surgeries, and reduce bureaucracy for GPs. The proposals were cautiously welcomed by the Royal College of General Practitioners (RCGP), with its chair, Dr Maureen Baker, stating “What we need now is a clear and costed plan for turning this into a reality – and a timescale for how quickly this can be delivered.”
However, both the RCGP and the British Medical Association (BMA) appeared to be blindsided by David Cameron’s announcement during Conservative Party Conference week in October 2015, of a new, voluntary contract for GPs to deliver 7 day care for all patients by 2020. The RCGP said the government was “living in cloud cuckoo land” if it thought a 7 day NHS was possible within the current circumstances, while the BMA claimed that the proposal was a ‘diversion’ to tackling the relentless pressures on general practices up and down the country.
There have been similar calls for more realism in relation to the government’s funding for plans to shift the NHS’s focus from acute care to primary care, as outlined in the NHS’s Five Year Forward View Report, published in October 2014. As part of this shift, GP-led Clinical Commissioning Groups (CCGs) have been responsible for commissioning the majority of GP services since April this year. Dr Amanda Doyle, co-chair of Blackpool CCG, said, “Giving GP-led Clinical Commissioning Groups more influence over the wider NHS budget, will enable a shift in investment from acute to primary and community services and to enable money to follow the patient.” However, the RCGP again warn that the overall shift towards primary care is not being reflected in budgets.They calculate that the primary care share of the NHS budget requires an extra £3 billion. With NHS trusts in England having announced in October 2015 that they have racked up a £930m deficit, the government is unlikely to be in a position to allocate the requested levels of funding for primary care.
The longer term issue facing GPs is how to cope with an increasing ageing population who have complex health and care needs. In his A New Deal for General Practice speech, Jeremy Hunt, said that the strategic importance of general practice to the NHS cannot be overstated because, “Put simply, if we do not find better, smarter ways to help our growing elderly population remain healthy and independent our hospitals will be overwhelmed.
The NHS’s April 2014, Transforming Primary Care report pre-empted the minister’s concerns. It outlined measures to help ensure those with longer term conditions did not overwhelm the primary care system. Since September 2014, GPs have been required to create over 800,000 Proactive Care Programmes tailored to the needs of older patients requiring the most complex care. The government also hopes that improvements in information and technology will support people to take control of their own care, e.g. ordering repeat prescriptions online, allowing GPS to focus more on older patients who require more attention.
Whether a new deal for GPs can be reached, a 7 day NHS achieved, and how a shift towards primary care and an older population can be best managed, will all be discussed and debated at The Future of Primary Care Conference: General Practice.
Opening Remarks from Chair
Dr Shahid Ali, GP and Professor of Digital Health
Dr Mohammed Jiva MBE, GP, Peterloo Medical Centre, NHS England
In 2008 Dr Jiva opened the UK’s first GP practice based at a supermarket in Sainsburys at Heaton Park. After a successful pilot the scheme was rolled out nationwide, with GP or nurse-led surgeries now placed in 35 Sainsburys stores across the UK. Last year the Middleton-based doctor spearheaded an ‘innovative’ scheme which granted patients out-of-hours and seven-day access to GPs.
Professor Graham Watt, Professor in General Practice and Primary Care, University of Glasgow
Professor Watt comes from Aberdeen where he qualified in 1976. He is the Norie Miller Professor of General Practice and was also Head of the Department/Section of General Practice from 1994 to January 2009.
Refreshments and Networking
Kevin Roberts, Meda Pharmaceuticals Ltd
Meda is the 48th largest pharmaceutical company in the world. At the end of 2013, Meda had 3,062 employees.
Dr Chris Jones, Programme Director, West Wakefield Health & Wellbeing Project
‘Multi-specialty Community Provider Vanguard Programme’
Des Beattie, Regional Manager, INPS
‘Actual Interoperability in the Real World’
Veronica King, Stakeholder Relations Manager - North, Alzheimer's Society
‘Responding to the Dementia Challenge’
Reflecting on the progress we have made in primary care and the challenges and opportunities ahead around dementia care. This session will look at how we keep dementia diagnosis rates up; ensure there is the right post-diagnosis support available; and how partners can work together to provide the best possible journey for those affected by dementia.
Lunch and Networking
Doug Scott, Digital Primary Care Strategy Lead, NHS England
‘The Fundamental Role of Technology in Transforming Primary Care’
Fiona Moore, Chief Officer, Bury GP Federation
Originally Non-Executive Director for Bury GP Federation John became Chairman in June this year to bring an independent perspective to the role. He is also Lay Member - Governance and Vice Chair at NHS Sheffield Clinical Commissioning Group. John spent 42 years working in health services both in the NHS and Civil Service. He originally trained as a nurse and has held chief executive posts in NHS Trusts and at Bury PCT.
Professor Aneez Esmail, Professor of General Practice, Manchester University
Aneez Esmail is Professor of General Practice at the University of Manchester and Director of the NIHR Manchester Patient Safety Translational Research Centre. Between 2005-2014 he was the Associate Vice President for Social Responsibility and Equality & Diversity and oversaw the development of the equality and social responsibility strategy for the University of Manchester
Refreshments and Comfort Break
Andrew Roberts, Director of Market Access Communications, Napp Pharmaceuticals Limited
Currently there are around 1250 PPGs affiliated to N.A.P.P. Research carried out by the NHS Information Centre in January 2009 revealed that 40% of English practices had a PPG. There has been significant growth and the latest estimate suggests that the figure is around 75%
Sam Sherrington, Executive Member, National Association of Primary Care (NAPC)
The NAPC is a values driven organisation that fosters and encourages productive relationships within primary care to deliver change and spread innovation.
Luke Wyatt, Business Development Manager, MJOG Ltd.
‘How to deliver patient centred communications in a digital age’
Conference Close from Chair
Dr Shahid Ali, GP and Professor of Digital Health (Invited)
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- Implementing ‘A New Deal for GPs’
- The success of government initiatives to retain current GPs and return retired ones to work
- What the reorganisation of primary care structure means for GPs and patients
- How to improve patient satisfaction
- The impact of CCGs taking on responsibility for commissioning the majority of GP services will mean
- Whether a 7 Day NHS for GPs is practical
- How technology can be used to make surgeries more efficient, allowing more time for care
- The financial implications of a shift from acute care to primary care
- The impact of Proactive Care Programmes on patients
- How to prevent GP surgeries being overwhelmed by demographic changes
Who should attend?
General practitioners, integration leads, heads of commissioning, heads of adult social care, long term condition leads, directors of public health and community services, heads of service development, ccg chief officers, chairs, commissioning project managers, heads of commissioning, primary care and clinical leads, strategic commissioners, chief finance officers, directors of public health, general practitioner consortiums and will be drawn from clinical commissioning groups (CCGS), health and wellbeing boards, local authorities, and the voluntary and private sectors.