Development of the Federation
The Five Year Forward View Challenge New models / pathways MCP / Federations Out of hospital Integration - engage communities - manage networks Prevention Empower patients
Challenges facing primary care Increasing visits to GPs Demographics / increasing complexity Workforce Premises issues Funding / sustainability 15/137 practices applied for Vulnerable Practice (10 supported) 42/137 practices applied for GP Resilience Programme (10 supported, 16 reserve)
Federation Purpose Facilitate and enable joint working between practices Supporting primary care sustainability and resilience Care local to patients Lead primary care innovation Deliver more integrated primary and community care Influence improvements in health outcomes
The Board Louise Ryan (O&W) Rysz Bietzk (MRH & Chair) Gareth Chidlow (MRH) Simon Vincent (B&L) Anuj Chahal (MRH) Nainesh Chotai (B&L)
STP Delivery Plan Federation driven actions supporting primary care at scale Delivery of primary care transformation strategy linked to primary care spend(£6/pt) Facilitation of an ELR GP Federation teaching academy Aiding recruitment and retention and new roles Federation led coordination of 7 day extended primary care and urgent primary care services Federated approach to project delivery, enabling and ELR-wide response to presenting challenges and opportunities
STP General Practice Delivery Plan Models of care Improving access Workload Workforce Infrastructure IM and T Quality and outcomes Engagement and communication
Federated working Large, diverse patch = ‘one size doesn’t fit all’ Scale – dependent on the ‘problem’ that you are trying to solve; Practice level – core business Local collaboration - care homes, education, pharmacists Locality level; joint clinics, community based services ELR wide; urgent care; back office / procurement
Federation Development Relationships CCG LMC LPT Secondary care Local Authorities Patient groups
Reviewed purpose Voice – democratic voice for our members Provider – where collective bidding makes sense, and facilitate delivery of local services Support resilience – sustainability – joint working / scale Transformation & innovation - GP FYFV