1. Development of the Federation

2. The Five Year Forward View Challenge
New models / pathways
MCP / Federations
Out of hospital
Integration - engage communities - manage networks
Prevention
Empower patients

3. 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)

4. 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

5. The Board Louise Ryan (O&W) Rysz Bietzk (MRH & Chair)
Gareth Chidlow (MRH)
Simon Vincent (B&L)
Anuj Chahal (MRH)
Nainesh Chotai (B&L)

6. 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

7. STP General Practice Delivery Plan
Models of care
Improving access
Workload
Workforce
Infrastructure
IM and T
Quality and outcomes
Engagement and communication

8. 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

9. Federation Development
Relationships
CCG
LMC
LPT
Secondary care
Local Authorities
Patient groups

10. 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