1. General Practice Forward View (GPFV)
Denise Boardman
CCG Programme Director

2. General Practice Forward View (GPFV)
Presentation to cover:
Recap of GPFV
Work streams
Where the STP fits in
Opportunities for Nurses

4. Why? General Practice largest branch of British Medicine
Growing, aging population multiple health problems
Rising workload, growing pressures
Acknowledgment something needs to be done
This is our opportunity to turn this rising tide.

7. So, what does this mean for us?

8. What is the CCG doing?
Maximising the different funding streams to support investment in primary care – workflow optimisation, online consultation software, workforce opportunities, General Practice Resilience programme.
Meet the different needs of East & North Herts population.
Key primary care priorities are:
Access (£3.17)
Workforce
Infrastructure enablers – ICT & ETTF (7 schemes)
Non-recurrent investment monies - £1.50 php

9. Investment Investment Workforce Workload
General Practice Resilience Schemes
Pre-registration student placements
Supporting the development of training practices .
Workflow Optimisation & Care Navigation
Apprenticeships in General Practice & work with HEE
Workload
Investment
Primary Care Workforce Planning and Education Network
Primary Care Nurse Tutors and GP Locality Leads appointed in all six CCG Localities
Mentorship, First student nurse placement, Practice Nurse Development Programme, GP Fellowships, Physicians Associates
Workforce
Investment
Different Funding Streams - transformational support, ring fenced devolved funding , non-recurrent monies £1.50 per head pop.
Extended Access monies – 2018/19 - £3.17 & 2019/20 - £6.00
CCG Funding- e.g. Consolidated Funding Stream, Care Homes
Contract, Acute Visiting, Non-core GP IT

10. Models of Care Infrastructure
Technology and information sharing – Local Digital Roadmaps
Estates and Technology Transformation Fund– centrally funded primary care premises and technology projects over a three year period.
Localities using the same IT systems to share records.
Recruitment of a clinical IMT lead for Primary Care
Summary Care Record for Community Pharmacy Access
Pseudoanonymised GP data extraction
Models of Care
Practice Mergers- facilitated through the NHS England
Integrated Care Provider Boards – supporting Place Based Care
Workforce Planning Pilot
Learning from the Primary Care Home, Multi Community Speciality Provider, Super Partnerships.
Supported by infrastructure, estates and technology to deliver new models of care.

11. STP System Leadership Arrangements
DRAFT
STP System Leadership Arrangements
STP
Enabling Transformation Workstreams
Urgent and Emergency
Planned Care
Mental Health and Learning Disabilities
Cancer
Clinical Transformation
Workstreams
Prevention
Primary Care
Clinical Support Services
Workforce
Technology
Estates, Facilities and Capital
Women’s and Children
Task and Finish Groups
Communications and Engagement
Medicines Management
Procurement
Collaborative Commissioning
Back Office
POLCE and Exclusions
Population Based &
Integrated Care
Reduce Agency Spend
Frailty 6

12. STP Primary Care Workstreams
2017/18 Q1-4:
Working with NHSE GPFV “Time for Care Programme” to run 2/3 GPFV events during 2017.
All 3 STP CCG’s supporting all their practices to undertake Workflow Optimisation initiatives.
2017/18 Q2-4:
STP CCG’s to focus on NHSE online consultations requirements
ENHCG supporting the development of the Physician Associates scheme with University of Hertfordshire (UoH).
Consideration of International recruitment of GPs.

13. What Can you do?

14. GPFV - Multidisciplinary Team
“Wider members of the practice based team will play an increasing role in providing day-to-day co-ordination and delivery of care.
Greater use of skill mix will be the key to releasing capacity”
Page 7

15. Any Questions?