1. Online consultations Why? What? How?
Dr Robert Varnam Director of General Practice Development @robertvarnam
bit.ly/170419

2. Why?

3. Deliver the promise

4. Delivering the promise
General practice is great, but we can help it deliver more of its potential…
Access: easier for patients to get us when they need us
Comprehensiveness: biopsychosocial / holistic care
Population: systems and partnerships for wellbeing
Empowerment: systematic approach to enabling self-care
Appropriateness: right person doing the right thing

5. Delivering the promise
General practice is great, but we can help it deliver more of its potential…
Access
Comprehensiveness
Population
Empowerment
Appropriateness
Priorities for action:
workforce development
service redesign
self care
technology

6. How can technology help?
Accessibility for patients
Appropriateness
doing transactional things transactionally
signposting to right person
match consultation type to need
Self care
symptom checkers
signposting
information on conditions and management
self monitoring
Proactive care
reminders
automation
Population management
population health analytics
lifestyle checkers
Collaborative care
shared records
distributed team working
Productive work
business intelligence

7. If general practice fails, the whole NHS fails.
Simon Stevens

8. Innovations from around England that release time for GPs to do more of what only they can do.
bit.ly/gpcapacityforum

9. What?
Online consultations fund
bit.ly/gpfvonlineconsultations

10. Online consultations fund
From 2017/18
£45m over 3y, weighted capitation … average £0.80/pt
Allocation via CCGs, for procurement by practice / federation / CCG
Available for every practice
To pay towards costs of purchasing & using software to enable patients to consult their practice through an app/web portal
National support:
national commercial and procurement hub
resources to support patient uptake
Alignment: consider implementing alongside active signposting + phone consultations + flow redesign + document management

11. How?
Top tips

12. Top tips Cautions Engage patients from the outset
Help every member of staff promote it
Help every clinician make the most of it
Be wary about artificial constraints / one size fits all
Use implementation support (eg Time for Care)
Cautions
Don’t add unnecessary requirements (on software / practices)
Evidence shows very little uptake of video consultations
Releasing GP capacity is a top priority
Grow personal aspects of care, inc continuity

13. bit. ly/gpfvonlineconsultations www. england. nhs. uk/gpdp england
bit.ly/gpfvonlineconsultations
bit.ly/170419