Scottish GP Contract 2017 “We have listened, we have reflected and now our plan is…..? Primary Care Division Scottish Government

Scottish GP Contract 2017 What next - looking forward to 2020: What we have heard ? SGPC vision ? What next – looking forward to 2020 for GP Contract in Scotland ? What is your reaction to the shape for the future?

Scottish GP Contract 2017 What have we heard  Recruitment and retention issues  GP workload  GP morale and burn out  GP practices in difficulty  Patient demand  Access  GP training/ trainees  GP locums

Scottish GP Contract 2017 SGPC Vision  GP as the “Expert Clinical Generalist” in the Community  Complex Patients  Treating undifferentiated presentations  GP role in Quality, Management and Leadership  Based on GP practice list and practice teams  Role of the wider PHCT  GP Clusters  Role in developing Health and Social Care Integration

Scottish GP Contract 2017 What next – looking forward to 2020 Care delivered by the person with most appropriate skills The journey out of hospital is planned and straightforward People only admitted to hospital when they need to be

Scottish GP Contract 2017 What next – looking forward to 2020 GP will be expert medical generalist in community GP will be involved in making decisions about the best use of local services Planning and delivery of undifferentiated and complex care - core GP services, leadership and quality at a local level Patients will be seen first time by the most appropriate health or social care professional Requires an increase in staffing across all health care New types of healthcare professional may be needed Planning and delivery of more routine/chronic services - seeing the right person first

So how might this work?

Scottish GP Contract 2017 How will we know that we’ve succeeded? Clear stabilisation for the GP system Patient confidence Reducing the inflow to hospital based unscheduled care

First steps – 60m investment Testing, demonstrating and developing new models – at least ten areas New pharmacists Mental health IT developments Leadership for integration Pachymeters for optometrists GP recruitment and education Scottish School of Primary Care

Scottish GP Contract 2017 What is your reaction to the vision for the future?