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GPFV

7-May-19
  General Practice Forward View




Update

May 2019

Contents

Workforce ..............................Page 3-5

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Care Redesign ......................Page 6-9

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Workload ...............................Page 9-10

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Infrastructure ..........................Page 10-11

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Pharmacy Transformation .......Page 11-12

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Finance .....................................Page 12-13

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Reporting ...................................Page 13

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Events ........................................Page 13-14

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Case Studies ...............................Page 15

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Glossary of terms .........................Page 16

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Workforce

STP Workforce Plan Template

Background

The 2019/20 planning guidance Preparing for 2019/20 Operational Planning and Contracting includes a requirement for an STP/ICS level workforce submission and will need to be submitted via a nominated CCG Lead within each STP/ICS.  There is also a requirement for workforce plans to be included within Primary Care Strategies which must be in place by the end of June 2019.

Both the GPFV Workforce Reporting tool and STP workforce demand and supply tool have been updated to include December 2018 data and revisions to Dec 2017 and Sep 2018 data following changes to the estimation methodology. The tools have been uploaded onto the Future NHS Collaboration Platform and can be found forwarded at your request england.gpfvswn@nhs.net. Please email england.oicpcam@nhs.net with any comments or queries.

Update – There is no update this month  

GP Retention Scheme (Local and Intensive Support)

Background

NHSE launched the Local GP Retention Fund in 2018/19 to support GPs who might leave the profession to remain in practice. £10m was available in 2018/19, of which £3m was targeted to provide intensive support across 7 sites. The remaining £7m was made available to CCGs to develop local GP retention initiatives to address local workforce pressures. BNSSG CCG submitted a successful bid for Weston and Worle locality were selected to be an intensive support site receiving £400,000 to deliver the programme of change. 

Additional funding has been identified by the NHSE National Team for both the GPRISS programme and Local GP Retention Initiatives.  Gloucestershire, BNSSG and BSW CCGs submitted bids for additional funding under the Local GP Retention Initiatives of which all were approved.

The national team are working with the sites to produce an evaluation of the work and  The national team commissioned a series of videos to be made about GPRISS.  The first video – shot at the London launch event in November has been published.  The link to the video is below. We expect a second video to be published soon. https://www.england.nhs.uk/gp/gpfv/workforce/retaining-the-current-medical-workforce/local-gp-retention-fund/.

Update – Intensive Support Programme (Weston/Worle).

The programme was due to be completed by the end of March 2019, however there are still elements which will continue to be implemented into the new financial year.  All funding has been allocated.  An evaluation is underway with a further round planned for September 2019 as this will enable all new ways of working to be embedded into practices.  This will be led by the National Team across all 7 sites. This local programme has been selected as one of a few nationally promoted case studies. An application has been put forward for the NHS Parliamentary Awards – the outcome of this will not be known until the summer.

Reporting continues during April and May for the Local Retention initiatives to ensure that the additional funding has been utilised.  

Reporting ………. Jump to

Useful links

Overview of the Local GP Retention Scheme  Guidance on Local GP Retention Scheme 

Clinical Pharmacist in General Practice

Background

A successful pilot programme resulted in 450 full-time equivalents pharmacists working in general practice. The GPFV committed over £100 million to support an extra 1,500 clinical pharmacists to work in general practice by 2020. Including the pilot phase, as at September 2018, 810 WTE clinical pharmacists were working in general practice across 1,834 surgeries covering more than 15 million patients who now have access to clinical pharmacists in patient-facing roles as part of the multidisciplinary team.

Criteria changes for Clinical Pharmacist in General Practice Programme

From 10 October 2018, NHS England relaxed the criteria for the Clinical Pharmacists in General Practice programme to make it easier for sites to apply for co-funding. The criteria changes are:

  • Reduction of the current population from 1 WTE clinical pharmacist per 30,000 population, to 1 WTE per 15,000 population;
  • Permitting part-time clinical pharmacists of a minimum of 0.5 WTE.

A five-year framework for GP contract reform to implement The NHS Long Term Plan’ set outs reforms to the GP Contract over the next five years from April 2019. These include the

Additional roles reimbursement scheme: As part of the new Network Contract DES, PCNs will be guaranteed funding for additional staff to work alongside GPs by 2023/24. The scheme will meet a recurrent 70% of employment costs for additional clinical pharmacists, physician associates, physiotherapists, and community paramedics; and 100% of the costs of additional social prescribing link workers. Further information can be found at https://www.england.nhs.uk/publication/network-contract-directed-enhanced-service-des-guidance-2019-20/

Given these new, more advantageous, arrangements and the timing of the offer, the NHS England Clinical Pharmacists in General Practice Enhanced Service (ES) was withdrawn to new entrants with effect from 5pm on 30 April 2019.

Wave 8 applications: 5 new applications were received (4 – BNSSG, 1 - Wiltshire) and 2 extension applications (1 – Wiltshire and 1 – BaNES).  All applications were considered by both the Local and National Panel.

Update - Out of the 5 wave 8 applications to be submitted 4 were approved, applicants have been formally notified.  Both of the extension applications were also approved. In line with the withdrawal of the ES these practices are required to have signed contracts in place with CPs in order to receive funding under the old scheme. NHS E and CCG colleagues are working closely with practices to enable as many as possible to receive this funding.

All practices involved in the pilot and Waves 1-7 of the CP in GP scheme, including those who had raised draft application on the NHS England application portal have been notified of the withdrawal of the CP in GP ES.

The National Team has now issued the guidance with regard to the “Five-year framework – GP Contract”, this has implications for the CP in GP programme and the GPFV Team are working these through with CCGs.  A number of questions have been put forward to the National Team seeking clarity where the guidance is not clear.

A briefing on the potential implications of the new programme can be found here.

Useful links

Clinical Pharmacists in General Practice Programme

Briefing on Clinical Pharmacists and the Network Contract DES

GP International Recruitment

Background

From August 2017 there has been a change in recruitment numbers from 500 to 2000. National Team now leading on recruitment element with specific responsibilities assigned to regions.

It has been agreed with colleagues in the South West (South) that a joined-up approach will be taken to the implementation of the programme.  Three GPs who applied for the South West (South) have indicated they wish to work in Bath, Bristol and Gloucester; arrangements have been made with the CCGs to accommodate the requests and placement practices have been identified.

The BNSSG prospectus has been completed and approved, the versions for Gloucestershire and BSW are being finalised. NHSE SWN GPFV team are continuing to work closely with the South West South to ensure a joined-up approach to recruitment across the South West.

The first Steering Group was held on the 6/2 – draft Terms of Reference, STP Readiness Assessments and Action Plan/Risk Log were all approved.  The 3-day interview/job fair event will be held between the 19 – 21 June which is to be held at Marsh Farm, Swindon. The BMJ are holding a jobs fair in London on the 4 - 5 October, attendance is currently being considered by the Steering Group.  The prospectus for Gloucestershire ICS has been finalised, BSW will be completed by the 8th March.  NHSE GPFV colleagues will be attending the 3 day event in Plymouth to support the job fair and interview process being held with colleagues in South West South.

The third interview panel was held in Plymouth over the 28/2 – 1/3.  4 GPs were interviewed and all were accepted onto the scheme, one of which will be based in Weston, discussions are on-going with BNSSG as to which practice is best suited to provide the educational support.

Update – Planning for the event in Swindon between on the 19 – 21 June is   on-going, speakers have been booked and a draft agenda has been pulled together.  The Steering Group continues to meet monthly with good engagement from stakeholders.  Monthly meetings have also been arranged with CCGs to discuss in more detail the arrangements for the Swindon event.  A copy of the draft agenda is attached below: -

   

Following the interviews in Plymouth in February a GP expressed an interest to work in Weston-Super-Mare, discussions are on-going with a potential practice and a meeting has been arranged for the 29/4 for the GP to meet with the practice along with HEE.  

Practice Manager Development

Background

Funding has been made available to CCGs to commission / deliver transformation and quality improvement training to practice managers to support the roll out of GPFV initiatives. This is recognising the key role of practice managers in redesigning primary care for the future. The funding is targeted at practices that are harder to reach and involves working with local LMCs and Training Hubs to deliver networking, appraisals, coaching and mentoring opportunities for practice managers. Plans are currently being implemented by CCGs/LMCs.

The National Team is currently reviewing applications received via the Coaching and Mentoring National Scheme to match up applicants to national coaches/mentors, successful Practice Managers will be notified directly.

Update – There is no additional Practice Manager Development funding for 2019/2020   

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Care Redesign

Primary Care Networks

Background

The new guidance Preparing for 2019/20 Operational Planning and Contracting includes a requirement for an STP/ICS Primary Care Strategy which must be in place by 1st April 2019 to include a PCN development plan. The guidance also requires STPs/ICSs to ensure that Primary Care Networks, serving populations of at least 30,000 to 50,000, are provided with primary care data analytics for population segmentation and risk stratification, according to a national data set, complemented with local data indicator requirements, to allow Primary Care Networks to understand in depth their populations’ needs for symptomatic and prevention programmes including screening and immunisation services.

The 2019/20 planning guidance also includes a requirement for an STP/ICS to commit £1.50/head recurrently to developing and maintaining primary care networks so that the target of 100% coverage is achieved by 30 June 2019 at the latest.  This funding builds on the £3/head for primary care transformation during 2017/18 and 2018/19 and the guidance stipulates the investment should be planned for recurrently and provided in cash rather than in kind.

NHSE is developing a PCN Reference Guide to support CCGs and GP practices with further advice and guidance on the vision for PCNs, including models being taken forward (Primary Care Home, Super surgeries, local care networks etc.); what the core characteristics of all networks should be; what PCN benefits could be; how they fit into systems and how they develop etc. The Guide will be supplemented with advice and guidance on the key enablers underpinning the effective development of PCNs, e.g. data, collaborative agreements and workforce planning.  A draft version of the Guide is currently available and has been shared with CCGs.The National Team continues to develop the guidance following stakeholder engagement events, this will be shared once finalised.

The National Team arranged an event for the 27 February in London aimed at Regional/Local NHSE Teams and CCGs. SWN held a successful event on the 27th March. Over 90 attendees including GPs, pharmacists, practice managers, nursing staff, commissioners and representatives from Healthwatch and Health Education England took part in the event. The aim to support STPs to develop strategies for wider conversations with stakeholders.

Update – Guidance on the “Five-year framework – GP Contract”, has now been issued. A link to the documents is detailed below:

https://www.england.nhs.uk/gp/gpfv/investment/gp-contract/

NHS England is continuing to host a series of national webinars with dates arranged until the end of July. Details can be found in events .

The following reporting timetable has been outlined for the reporting during the PCN  registration process

Return Release

Return Deadline*

Returns will include confirmation of:

16th May

21st May

  • PCN registration form completion
  • Initial network agreements

27th May

4th June

  • Finalised Network Agreements
  • Confirmed CCG PCN coverage

12th June

26th June

  • Extended access delivery coverage
  • Integrated Care System (ICS) discussion and support of PCNs


A meeting is being arranged between LPC, CCG and NHSE colleagues to discuss the on-going involvement of Community Pharmacies within the developing PCNs, following the SWN PCN event.

Useful links

NHSE have launched a Future NHS site to support the primary care networks programme and are in the process of inviting all those who attended the PCN regional events to join.

Requests for access can be sent to the following email address: P_C_N-manager@future.nhs.uk and an invitation email will then be sent. In order to access the site, colleagues will need to register on the Future NHS platform (if not already registered) and create a user name and password. The site is available at https://future.nhs.uk/connect.ti/P_C_N/grouphome

The site can be used as a place to share information regarding some of the PCN work happening in local areas, in particular, any case studies.

Improving Access to General Practice

Background

The Refreshing NHS Plans for 2018/19 required all CCGs to provide extended access to general practice to their whole population by 1 October 2018. This must include access during peak times of demand, including bank holidays and across the Easter, Christmas and New Year periods. Wiltshire CCG and BaNES CCG successfully implemented GP extended access from 1 October 2018 along with BNSSG CCG, Gloucestershire CCG and Swindon CCG who had already been providing this service since participating in the Prime Minister’s Challenge Fund (PMCF). 

The “Five-year framework – GP contract” highlighted that from 2021/2022 GP Extended Access will be delivered at PCN level.  The National Team has indicated that funding for 19/20 and 20/21 will continue to be included in CCG baseline allocations, and has now confirmed that the formula used will be the same as for the 18/19 funding.

Funding has been provided for practices identified on the Sustainability and reliability index to backfill a session per practice (at £400 for one session) for at least one GP lead to spend some protected time reviewing, using, testing the dashboard and providing feedback via the Kahootz platform. CCGs have been notified of the practices receiving funding. Selected practices were identified using from those receiving Resilience Programme support where (over 10% of) patients in the GPPS identified they have been unable able to get an appointment to see or speak to someone.

All CCGs across SWN reported on 4 April that they were fully compliant with the guidance on the 7 core requirements as at 31 March 2019 (with the exception where technical issues prevent meeting the requirement for NHS111 direct booking into GP extended access services). Work will continue to monitor the core requirements through the GPFV Monitoring Survey in 2019/20.

Update – The national team have confirmed that CCGs will receive £6 per head to fund extended access services, based on the weighted populations originally published in the “The Technical Guide to Allocation Formulae and Pace of Change, for 2016-17 to 2020-21” (published April 2016). The weighted populations increase each year to reflect ONS projections. Details of these allocations have been shared with CCGs and are included in the documents below.

 

Responses to questions raised on drop in calls in February/March, which relate to extended access, have now been collated and are available below:

As set out in “Investment and evolution: A five-year framework for GP contract reform to implement The NHS Long Term Plan” NHS England will undertake a review of current extended access to general practice services for full implementation by 2021/22.  The access review has four main objectives as identified in the contract reform framework:

  • learn from the existing GP extended hours DES and CCG commissioned schemes, including evidence of the benefits and costs and impact on wider system including on inequalities;
  • take account of The LTP commitments to improve urgent care in the community and ensure it is joined up, including how PCNs work with Urgent Treatment Centres and GP streaming services provided in A&E;
  • seek to improve patient reported access and reduce variation in experience of long waits;
  • take account of digital advances, so that physical and digital access are considered together including by delivering via services such as the NHS App.

A key output will be the development of a single coherent “extended access” offer that primary care networks will make, for both physical and digital services as an integral part of the Network Contract DES to 100% of patients.  Further details will be available shortly.

Reporting ………. Jump to  

Useful links

https://www.england.nhs.uk/gp/gpfv/redesign/improving-access/

https://www.england.nhs.uk/gp/gpfv/redesign/improving-access/reducing-inequalities-in-access-to-gp-services/

Time for Care Programme

Background

The Time for Care Programme supports implementation of the GPFV by training and supporting GP practice staff to implement change management and quality improvement programmes at a local level. Support comes in the form of Productive General Practice Quick Start, General Practice Improvement Leaders Programme, Learning in Action and quality improvement opportunities, tailored to meet local need. The aim is to facilitate practices to deliver the 10 High Impact Actions to free up time for clinicians to deliver clinical services to patients.

The Learning in Action Programme is available for GPs to access and registration for the last planned rounds of the General Practice Improvement Leaders Programme (GPIL) has opened online for training programmes in Newcastle and London.

BNSSG, Glos and BSW STP/ICSs continue to work with their SIT Development Advisors to access funding schemes through this programme and to support GP practices in delivering projects to transform local primary care services.

The National Team has confirmed that the Sustainability Improvement Team will continue to support the programme during 2019/2020 and CCGs are encouraged to fully engage with the resource

Update – There is no update this month  Anchor

10 High Impact Actions

Background

The 10 High Impact Actions have been developed to help practices streamline their local processes to free up time in general practice. This means that there is more time for clinicians to see patients and GPs and other staff are at less risk of burnout and leaving the profession. The planning guidance for 2018/19 stipulated that all GP practices must deliver against at least two of the High Impact Actions.

NHSE will work with CCGs to highlight the achievements of GP practices in delivering change to local primary care systems. There is an offer to support the development of case studies to share good practice.

CCGs were asked to complete an Access, GPD and PCN stocktake. This included a review of practices that have been identified are not currently delivering 2 HIAs. All CCGs reported that all practices were delivering two HIAs by the end of February.

Update – There is no up-date this month

Reporting ………. Jump to

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Workload

Care Navigators and Medical Assistants

Background

Under the GPFV, money has been made available to CCGs over a 5 year period to train GP practice reception staff as care navigators. The aim of the programme is to signpost patients to the most appropriate person to meet their needs which may include community pharmacists, specialist clinicians, debt counsellors, housing advisors, third sector organisations etc. The scheme also focuses on training administrative staff to code clinical letters. It is expected that both parts of the scheme reduce the workload for GPs.

CCGs continue to roll out care navigation and clinical coding training to GP practices in each CCG area. There is an increasing focus on care navigation training, including linking services with care navigators working with other primary care service providers. Details of local and national providers are available from the GPFV team for local consideration.

Update – There is no up-date this month

Resilience Programme

Background

Funding for the 18/19 Resilience Programme has been shared with CCGs along with final guidance for the programme. CCGs will be required to submit a planning template detailing how the resilience funding will be utilised, upon receipt and agreement of the template by NHSE the funding will be released. Templates received from CCGs/ICSs and approved. Templated submitted to National Team on the 5 October.

The National Team has requested that 10 case studies be provided by the end of the programme,

4 have were submitted at the end of January with a further 6 at the end of March.

Additional funding has been identified by the National Team, utilisation plans have been received and signed off to enable the funding to be released. 

CCGs have submitted 6 case studies to the National Team at the end of March.

Update – There is no up-date this month

Reporting ………. Jump to  Anchor

Group Consultations

Background

Group consultations are ways of delivering healthcare services to a group of patients meeting together. They can help improve quality and outcomes for some groups of patients e.g. patients with diabetes and they can also save time for GPs and clinicians who can deliver more focused help and advice across a group of patients.

Group Consultation training sessions are under development to include how to set up schemes, hearing from GPs who are already implementing Group Consultations in their practices and opportunities to develop practice implementation plans.

Three training sessions are being held in April/May 2019 to support practices who wish to implement Group Consultation, one to be held in each STP area.  Venues and speakers have been confirmed and a formal invite was sent to CCGs in March.

Formal invites have been sent out and are requesting that at least one GP, Practice Manager and Practice Nurse attend from each of the interested practices.  The events are looking to support approximately 8 – 10 practices each.  

Update – The first of the three events were held at Cheltenham Racecourse on the 25 April, the feedback from which has been very positive. A full evaluation will be undertaken once all three events have been completed.

Events to support practices who wish to implement Group Consultations are to be held on: -

  • 16th May – Double Tree Hilton, Bristol
  • 23rd May – Marsh Farm, Swindon

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Infrastructure

On-line Consultation

Background

Support from National team for online consultation systems for patients to connect digitally with their GP and NHS 111 Online and integrated urgent and emergency care systems. National guidance issued around both of these initiatives and the specification for online consultations now released. Some CCGs have drawn down a proportion of the 17/18 allocation to support project costs etc.  The remaining funds from 17/18 will be available later in the programme. 18/19 allocation has been released to CCGs to support delivery of scheme on assurance of plans by NHSE.

All CCGs have submitted their planning templates to the Regional Team, and CCGs are working with the NHSE Procurement Hub to deliver an offer to their patients.

The Procurement Hub is working with CCGs to finalise specifications for online consultations and carry out mini competitions to select providers having consulted with GP practices and other stakeholders. This is ready for roll out at end Mar 19.

The Regional NHSE Team are undertaking a stock-take on the implementation of programme, to ensure that CCGs are progressing within the required timescales.  A programme of work has been agreed to extend the support provided by CSU, this will commence on the 25th February. 

Update – On-going support from CSU to BNSSG STP and Gloucestershire ICS is on-going. A number of documents have been produced to support the on-going implementation of the programme.  

Useful links

Procurement Hub

In place to support procurement through Dynamic Purchasing System mini competitions, estimated 15 days to procure services using this method. This service will continue to be available for STPs to use until at least Mar 19. Attached is a briefing which provides further clarification

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Pharmacy Transformation

NUMSAS Pilot

Background

Aim is to reduce the burden on urgent and emergency care services handling urgent medication requests. NUMSAS toolkit for pharmacy staff has been produced with the co-operation of stakeholders and PSNC. Still issues with NHS Digital providing shared nhs.net email addresses, this has delayed implementation. This programme has gone live in all of the CCGs. The pilot has been extended until March 2019 to enable a formal evaluation to be completed.

Awaiting formal confirmation from National Team if pilot is to be extended beyond March 2019.

The National Team has confirmed that NUMSAS pilot will be extended until the 30th September 2019  

Update – There is no up-date this month

Pharmacists into IUC/CAS

Background

Supporting mobilisation, innovation and development of 60 WTE prescribing pharmacists in the IUC/CAS virtual contact centre environment across England. Pharmacists will be required to be fully integrated members of the clinical MDT. Possible models; Pharmacists located in the IUC/CAS, Pharmacists in a face to face role with patients within IUC/CAS and Pharmacists supporting the IUC/CAS remotely.

Guidance has been issued and shared with UEC Leads directly by the National Team.

The BSW STP bid is progressing; all 3 pharmacists have been recruited and have enrolled on the Derby University training pathway.

Update – There is no up-date this month

Medicine optimisation and pharmacy integration for Care Homes

Background

This programme will support residents who have access to a clinical prescribing pharmacist in every care home as part of the MDT, to deliver all elements of the Medicines Management in Care Homes NICE guideline, to improve patient outcomes, to increase use of technology and data.

Programme was launched in mid-March 2018, applications were received from all 13 STPs across the South, Regional moderation panel approval gained end of April. BNSSG STP – MOU currently being agreed ahead of funds being released. BSW STP – MOU signed and commencing recruitment Gloucestershire ICS - MOU signed and commencing recruitment.

Mixed recruitment progress across all STPs, those in post making good progress.  A combination of recruitment delays and employment notice period has delayed full recruitment.

Update – There is no up-date this month

Digital Minor Illness Referral Service via NHS111 (DMIRS)

Background

DMIRS is an enhanced Pharmacy Service pilot via referral from NHS111 to reduce the burden on UED services for patients requiring low acuity advice and treatment.  It aims to ensure that patients have better access to care closer to home and self-care emphasis.  Provision of the service reduces the number of referrals to GPOOH and other UEC clinicians.  The referrals from NHS111 to Community Pharmacies further integrates Community Pharmacy into the IUC network. 

The service is currently being piloted across 4 geographical areas, for the South this is Devon.

Update – There is no up-date this month

General Practice Digital Minor Illness Referral Service (GPDMIRS)

Background

DMIRS is an enhanced Pharmacy Service pilot via referral from NHS111 to reduce the burden on UED services for patients requiring low acuity advice and treatment.  A further development of this model GP DMIRS aims to test digital referrals for patients with minor low acuity illness from General Practice direct to Community Pharmacy.  The pilot aims to demonstrate reduced burden on General Practice by electronic referral to Community Pharmacy settings.

9 pilot sites have been agreed nationally including the following sites across the South West Region – Dorset, Gloucestershire and Devon. Gloucestershire and BNSSG have been identified as pilot sites and are working with NHSE to agree next steps

Update – BNSSG and Gloucestershire are working with NHSE to implement, Gloucestershire has produced an action plan and the first meeting was held on the 17/4.  A meeting in BNSSG is being arranged at the end of May

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Finance

The 2019/20 planning guidance also includes a requirement for an STP/ICS to commit £1.50/head recurrently to developing and maintaining primary care networks so that the target of 100% coverage is achieved by 30 June 2019 at the latest.  This funding builds on the £3/head for primary care transformation during 2017/18 and 2018/19 and the guidance stipulates the investment should be planned for recurrently and provided in cash rather than in kind. 

The National Team has indicated that funding for 19/20 and 20/21 will continue to be included in CCG baseline allocations, however the weighted populations are being re-profiled and the expected impact will be between -5% and +10%.  The impact and calculations are expected to be shared by the end of February

Update - Funding for the following four GPFV areas: Retention, Online Consultations, Reception and Clerical Staff training (which is part of the GPD programme) and GP Resilience Programme is changing for 2019/2020.  Instead of individual budgets, funding will be combined in to an overall pot, giving more flexibility on how this is spent according to local needs (and in line with CCGs Primary Care Strategy). This has been done in response to feedback received from GPFV leads over the past couple of years, specifically that ‘siloed’ funding was not helpful. Guidance will be sent out soon from the Central Project Management Office (PMO).

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Reporting

Local Retention Scheme

  • Monthly reporting against initiatives, reporting template to be shared once agreed
  • 31 May – End of year review  Back to Retention

GPFV Monitoring Survey

Also known as Strategic Data Collection Service (SDCS)

Timing

The main change to the GPFV MS is that it will run on a quarterly basis, which is a change from the current monthly survey. The first 2019/20 collection will open 1st – 15th July. This will report data (for the previous month) as at 30th June 2019 in the same way as the current survey. Below is a table of the provisional key dates.

 Quarter

Period data reported

CCG collection window

Analysis & reporting

Q1 – June

30th June 2019

1st – 15th July 2019

w/c 5th August 2019

Q2 – Sept

30th Sept

1st – 15th October

w/c 4th November

Q3 – Dec

31st Dec

2nd – 16th Jan 2020

w/c 3rd February 2020

Q4 - March

31st March 2020

1st – 16th April 2020

w/c 4th May 2019


If you have any concerns about the changes to the GPFV Monitoring Survey please mailto:england.gpfvswn@nhs.net

AnchorBack to IndexAnchor

Events

Weekly Primary Care Transformation Drop In Call

NHS England have scheduled a weekly primary care transformation “drop-in” call with the national team. For clarity, these will be informal and provide anyone with an interest in these areas the opportunity to ask questions and engage with the national team directly. The aim is to develop a two-way communication and help people address any queries they have in a timely way.  

Dates: -

01 May 2019               11:00 – 12:00

09th May 2019             14:00 – 16:00

21st May 2019 13:00 – 14:00

05th June 2019            13:00 – 14:00


Dial in Details

UK Freefone:              0800 917 1950

Participant passcode:             97794653 then #


Primary Care Network Webinars


NHS England is continuing to support the development of primary care networks through a further series of webinars aimed at those working within primary care and the wider NHS.


The webinars will focus on a range of topics, such as how to best use technology to develop services and the role of pharmacy within PCNs and will include examples of work already in progress across the country with a chance to ask questions and find out more about next steps in relation to the development of primary care networks.


Current webinar dates and themes are as follows, there is no need to register in advance, simply click on the link below at the start time.


Engaging with people and communities:

24 May 2019, 3.00pm – 4.00pm

25 June 2019, 10.00am – 11.00am

23 July, 10.00am – 11.00am


Working with pharmacy:

29 May, 1.00pm – 2.00pm

18 June, 3.00pm – 4.00pm


Using digital to develop services:

23 May, 10.00am – 11.00am

24 June, 4.00pm – 5.00pm


Using the wider workforce:

6 June, 2.00pm – 3.00pm

3 July, 12.00pm – 1.00pm


Estates:

15 July, 2.00pm – 3.00pm


To see slides and presentation used on previous webinars, please email england.PCN@nhs.net for access to the primary care networks section on the Future NHS platform.


Future dates will be published on the NHS England website:

https://www.england.nhs.uk/gp/gpfv/redesign/primary-care-networks/events-and-webinars/


Back to PCN


Group Consultations 



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Case Studies


New selection for May 2019


Relates To:

Source

Added.

Practice Management Development

Brant Road and Springcliffe Surgeries

15.10.18

Brief Description: Brant Road and Springcliffe Surgeries in Lincoln have four GPs (3 part time partners and one salaried GP) and approximately 10,000 registered patients serviced over the two practices. The volume of correspondence GPs were receiving each day was overwhelming, leading one GP to do something about it. To get some help and direction on how to address the issue the GP participated in the General Practice Improvement Leaders programme

Further infohttps://www.england.nhs.uk/gp/case-studies/a-better-way-to-manage-correspondence/


Relates To:

Source

Added.

Improving Access - Group consultations

www.sloughccg.nhs.uk

05.07.18

Brief Description: Group consultations replace routine one-to-one appointments for diabetic patients, resulting in a GP or a practice nurse practitioner being able to see up to 12 patients in 40‐60 minutes.


Further info: https://www.england.nhs.uk/gp/case-studies/diabetes-slough/



Relates To:

Source

Added.

New Care Models

THANET CCG, SE


05.07.18

All practices were given the opportunity to choose from any three elements of Time for Care; Learning in Action, Productive General Practice (PGP) Quick Start and the General Practice Improvement Leaders programme.  The CCG supported each practice to backfill one GP, practice manager and a member of staff who would work together to test and implement changes in their practice.  Practice teams finally had the ‘head space’ and time to participate in a programme that would help them deliver change and improvement.

Further info: NHS England » Time for a better working life for practice teams – Thanet CCG, South East



For additional case studies, please contact; england.gpfvswn@nhs.net, with your request to access library of case studies. 



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GLOSSARY OF TERMS

BaNES


Bath and North East Somerset

HEE


Health Education England

BSW


BaNES, Swindon and Wiltshire

ICS

Integrated Care System


BNSSG


Bristol, North Somerset and South Gloucestershire

IT


Information Technology

CAS


Clinical Assessment Service

IUC


Integrated Urgent Care

CCGs


Clinical Commissioning Groups

KPI

Key Performance Indicators

CP


Clinical Pharmacist


LMC


Local Medical Committee

CP in GP


Clinical Pharmacist in General Practice

MDT


Multi-disciplinary Team

CPPE


Centre for Pharmacy Post Education

MOU


Memorandum of Understanding

CQRS


Calculating Quality Reporting Service

NHSE


National Health Service England

CSU

Commissioning Support Unit

NICE


National Institute for Health and Care Excellence

DCO


Director of Commissioning Operations

NUMSAS

NHS Urgent Medicine Supply Advanced Service

DMIRS

Digital Minor Illness Referral Service

PCN

Primary Care Network

DRC

Disability Rights Commission

PSNC


Pharmaceutical Services Negotiating Committee

ES


Enhanced Service

Q&A


Questions and Answers

FAQs


Frequently Asked Questions

SDCS


Strategic Data Collection Service

G


Gloucestershire

SI

Serious Incident

GP


General Practitioners

STP


Sustainability and Transformation Partnerships

GPFV


General Practice Forward View

SWMHCN


South West Mental Health Clinical Network

GPD

General Practice Development

SWN

South West North

GPDMIRS

General Practice Digital Minor Illness Referral Service

SWS

South West South

GPOOH

General Practice Out of Hours

UEC


Urgent and Emergency Care

GPPS

General Practice Patient Survey

UED

Urgent and Emergency Department

IGPR


International General Practice Recruitment

VEAT

Voluntary Ex Ante Transparency

HIA


High Impact Actions

WTE

Whole Time Equivalent

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Consent form for the disclosure of medical records to solicitors

3-Dec-18
The BMA and Law Society have updated the joint template consent form for the disclosure of medical records to solicitors (for use in England and Wales). The template has undergone a refresh so that it reflects the General Data Protection Regulation. The aim of the template is to help improve the process of seeking consent and to ensure that patients are well informed about these disclosures. You can access the template form here and it is also available within the BMA's guidance on access to health records, and as part of the ethics A-Z - under C.

Supreme Court judgement in Darnley v Croydon - lessons

15-Nov-18
The full details are at https://www.crownofficechambers.com/2018/10/24/darnley-v-croydon-health-services-nhs-trust/ which concerned a patient who suffered severe disability as a result of receiving inaccurate information about how long it would take the triage nurse in A&E to see him.

The Supreme Court overturned the judgements of lower courts and held that:

  • A patient is owed a common law duty of care from the moment they are booked in - before even they are triaged or treated. 
  • This duty applies to medical and non-medical staff alike, although non-medical staff will not be judged to counsels of perfection but to the more reasonable standard of "that of an averagely competent and well-informed person performing the function of a receptionist at a department providing emergency medical care".

Thus, those providers who operate services for patients presenting to emergency departments, urgent care centres, minor injuries units and walk in clinics will need to review their current operating procedures.  Where there is a procedure in place for triaging those patients, patients should be informed of that and the likely timeframe within which that triage will take place. That information could be provided either orally by reception and other 'first contact' staff, by leaflet, or by displaying a prominent notice.  In whichever way, that information must be accurate.  As ever, clear documentation of the advice given to patients about likely timescales to be seen would be extremely valuable in the event of subsequent complaints or claims.

Addressing of correspondence

5-Jun-18
It is important that communications from the hospital go to the right GP.  Usually the reply to an appointment request, test results or discharge summaries should go to the GP who arranged for the appointment, test, or course of care.  Note, however, that when a locum GP makes such a request the locum GP should state on the referral etc the name and contact details of the GP to whom a response should be sent.  

Homely remedies in care homes

5-Jun-18
Some practices are reporting that they are receiving increasingly detailed requests from care homes about 'homely remedies', requesting a GP to sign a form for the administration of these remedies.  The GPC Prescribing Policy Group's advice is:

"We approve of patients in residential homes or other such environments self-caring or receiving over-the-counter (OTC) medicines as all other people do, although we recognise that their frailty does bring special problems. Many care homes are introducing these policies, sometimes with the approval of local medicines management schemes, and GPs are being asked to complete the paperwork as an alternative to receiving inappropriate prescription requests.  The main problem, however, is that there is no guarantee that the circumstances that were present when the form was signed still apply when the OTC medicine is to be used, and there is a real danger that these forms will not be updated when patients' circumstances change.

Therefore, it is safest if OTC medicines are available to care home residents after the input of a community pharmacist, where possible from the same pharmacy that supplies the patient's normal medication. This is an appropriate use of a pharmacist's skills, within their competence, and is in line with the low value medicines agenda."

That said, these forms are non-contractual, unnecessary and exist solely as a result of the nursing home's policies. They are thus both excessive and unfounded and so may be refused or charged for. To sugar the pill practices may wish to take the line, 'This is unsafe because... but you could do ...'

GP Leadership Development Programme

5-Jun-18
NHS England South Central is introducing a new GP leadership programme, NHS@2030, to support the development of primary care leaders.  Change at a system level starts with change at individual level, so the programme is designed to grow individual confidence, courage and the conviction to transform care and establish a system of continuous quality improvement for patients and primary care teams alike.


Any GP who is interested in becoming a leader in primary care, both now and in the future, should consider applying for this programme.

Further information and full details, including the application form, are here.

Membership of the LMC

2-May-18
We are very conscious that more and more GPs are taking up sessional work.  Nearly a fifth of GPs working in the county are now locums.  Currently we only have one sessional GP (Dr Jethro Hubbard) on our Committee but would be interested in hearing if other sessional GPs might wish to be involved.  If you are then do contact the LMC Office.

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