Scottish GP Contract The Journey so far 2014-17 Phase 3 Government decides re national contract 7 December, 2018
7 December, 2018
Significant others! MOU between BMA Scottish Government Health Boards Integration Joint Boards 7 December, 2018
Changing population Why should Gov engage Elderly of the future cannot be the same as those in the past I will be one of these 70 yr olds Paasionate about the NHS working for your family & mine If not 70 will look after a 70 year old 7 December, 2018
Care at home Conclusion and evidence says this is the answer. 7 December, 2018
Is General Practice part of the answer? 7 December, 2018
Engaging the profession 4 National Conferences 15 SGPC meetings 3 years of roadshows (42) Email address for input over 3 years Regular emails to the profession BMA Website (36259 views Aug to December 2017) BMA Animation seen 3,974 times SLMC Special conference webcast Live webcast – 545 views , 2543 visits Consultation day with practices in different contexts Online Q&A 7 December, 2018
SLMC Special Conference December 2017 The contract framework addresses the issue of sustainability of funding 84% Agree or strongly agree The contract framework addresses the issue of risk for GPs and GP practices 79% Agree or strongly agree The contract framework addresses the issue of the attractiveness of general practice The contract framework addresses the issue of unsustainable workload 85% Agree or strongly agree 7 December, 2018
7 December, 2018
The Poll result January 2018 Yes 71.5% No 28.5% 7 December, 2018
£250,000,000 Extra, annually by 2021 7 December, 2018
Transforming primary care “new world” performance transition “old world” 2018 2021 time
Services handover New Staff Stabilise Practices Cluster development Professional time Recruitment 7 December, 2018
GP Role Expert Medical Generalist Undifferentiated Presentations Complex Care Leading teams to better outcomes 7 December, 2018
NO Loss of income to GP Profession Service Transition Prescribing service Vaccination service Treatment & Care service Acute Musculoskeletal Physios/Paramedics Mental health workers/Link workers NO Loss of income to GP Profession Fundamental concept is lomited medical hours – should do what a GP needs to do 7 December, 2018
Practice Financial Stability Scottish Workload Allocation formula – no reduction to any practice New Income and Expenses Guarantee (IEG) Uplifts to apply to IEG amounts 7 December, 2018
Practice Premises Interest free loans 20% of current use value every 5 years Health Board can take on leases 7 December, 2018
Joint Data Controller 7 December, 2018
Professionalism, Clusters and Quality Peer led , values driven Professional groupings (6-8 practices) Every practice has Practice Quality Lead Cluster Quality Leads Focus on improving outcomes for population Intrinsic role- quality in practice Extrinsic role – quality in whole system New expanded role for GP Sub (LMC) 7 December, 2018
Era 1 beneficent, self-regulating professionalism noble, 7 December, 2018
Era 2 Accountability Scrutiny Measurement Incentives market mechanisms 7 December, 2018
Era 3 stop excessive measurement abandon complex incentives reduce the focus on finance increase attention to quality of care reduce professional prerogative recommit to improvement science embrace transparency protect civility reject greed (it erodes trust) 7 December, 2018
7 December, 2018