1. Coping with change for a sustainable future
Nuffield Trust - June 2016
Large scale general practice: can we rise to the challenge?

2. Change is ever present Brings life Cements relationships
Teaches acceptance
Sustains growth
Develops learning
Is part of being human let alone part of being an organisation

3. Doesn’t stop it feeling horrible

4. Est April 2014
Merger of 3 practices on 4 sites
33,000 patients
125 staff and partners
PMCF Wave 1
Service Provider
Rapid Test Site for Primary Care Home – a new model of care

5. Our parables of change…… #1
Merger of three practices
Two on one site
Merged reception teams – 72 years collective experience
Change isn’t always seen

6. Our parables of change…… #2
20 partners across 4 sites
Responsive vs
Cohesive
Change happens every day
Wotter, duty, telephones

7. Key lessons Attitude – you are different, the world is different
Governance structure
Leadership, leadership, leadership
Staff engagement
Honesty and openness with patients
Written policies
Fairness and strong values
Resilience and GSOH
The change curve
Attitude – you are different, the world is different

8. No pain no gain Increased access to patient care Non-core funding +27%
Reduced secondary referrals by 70-80%, £1.1m out of acute system
New extended opportunities for clinicians
Renewed energy from GPs
Staff understanding their role and how it links to Beacons objectives +43%; feeling able to put ideas forward +72%; feeling recognised for a job well done +48%
Patient confidence in our Nursing Team +9% GP team +3%
Good, good, good

9. Staff said this transition had been handled well and had improved resources.
Patients told us they had been made aware of the changes but said they had not found the changes disruptive.
There was a clear leadership structure and staff felt supported by management.

10. A pep talk for change
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