Current & Future State of General Practice in Edinburgh Jim Cowan GP Clinical Lead South West Locality Edinburgh Health and Social Care Partnership

Current situation

The Answer ?

The next 3 years – reduce demand

The next 3 years – increased capacity

Care & Treatment / Vaccinations 4% -one per cluster - 1.5WTE TRN + 1.0 Phleb per 10,500- Dedicated (city?) Team delivered by schedule in practice Care & Treatment / Vaccinations 4% Mental Health Support in each locality - 1.0 CPN embedded in each practice team per 8,000 Mental Health 8% All practices supported by max social prescribing (6%) - Linkworker 1.0 per 5,000 depr, 0.2 per 1000 +75 Linkworker/Social Prescribing 8% Each practice 1.0 WTE per 10,000 patients for all practices - embedded Clinical Admin 2% -1.0 WTE embedded in practices +10,000 - 1.0 WTE per 10,000 in treatment centre for cluster MSK 3% 1.0 WTE practice based for +8,000 patient practices operating as team team for cluster at treatment centre Pharmacotherapy 8 % 1.0 practice based Anp per 10,000 -1.0 cluster ANP for CH/Domi per 10,000 Urgent Care 5% MDT

The next 3 years – Equality/Equity ?

Where we want to be in 3 years