1. The evolution and revolution of Primary Medical Care

2. The essence of General Practice
Hinckley and
Bosworth: 121,783
North West Leicestershire:
99,611
North Charnwood: 76,991
South Charnwood: 75,792
48 practices covering a population of 370,000
Average funding
Deliver high quality care – local and national benchmarks
Urban and rural population
General Practice has been around since the NHS started
Individual business units – “corner shop”
Based on a patient registered list – av 7000
Practice Team – GPs practice managers, practice nurses, admin staff
National cor contract 16/17 = £76.44 per head
48 practices covering a population of 370,000
Average funding
Deliver high quality care – local and national benchmarks
Urban and rural population

3. But …..General Practice is under pressure
Ageing Population
Care homes
Housing developments
Increasing demand
Financial situation
Long Term Conditions
Premises
Practice workforce
Ageing
The population is projected to grow by 10% over the next eight years, with 60-84s growing by 19% and the over 85s growing by
42%. This will bring associated increases in complex and multiple long-term conditions (LTCs) such as dementia, cardiovascular disease
and Alzheimer’s, often compounded by frailty.
Care homes
In West Leicestershire there are currently 22 nursing homes; 77 residential homes; 2 combined nursing /residential homes and 3 learning disability homes. Together they provide care to over 1500 people.
Housing developments
An estimated 3,500-4,500 new homes per annum for
Increasing demand
The CCG has lower than typical admissions and prescribing rates, but is nonetheless facing pressures of rising demand and increasing cost.
Long term conditions
High numbers of smokers, alcohol related and obesity contribute to our higher rates of cancer
Financial situation
Faces a 21% funding gap between income and expenditure by 2018/19
Practice Workforce
Of a total practice workforce of 970, 250 (26%) are aged 55 or over
Premises
More than two thirds believe their premises limit the GP services and community services they can provide.

4. What we want to achieve in the future
Increase the proportion of care provided in local communities and people’s own homes, reduce the care currently provided in an acute hospital
Reduce inequalities in care both physical and mental
Increase the number of people reporting a positive experience of care
Optimise the opportunities for integrating services
Achieve financial sustainability
Develop our workforce and develop new capacity and capabilities

5. Our model

6. The revolution has started
Our ambition- that our emerging federations provide the opportunity for general practice to be delivered at population scale providing many of the tests, investigations, minor injuries and minor surgery currently only provided within the hospital setting.
North Charnwood GP Community Network Ltd
Dr Anu Rao
Hinckley and Bosworth Medical Alliance
Dr Will Priestman
North West Leicestershire GP Ltd
Dr Kirk Moore & Dr Nick Rushman
South Charnwood GP Network Ltd
Dr Trishal Darji

7. New innovative ways of working
North West Leicestershire GP Federation – where GPs are working innovatively for the benefit of patients and to support primary care
Consistency of care for all patients in North West Leicestershire
Reducing unnecessary trips to hospital and the amount of travel and stress for patients
Patients to benefit from swifter treatment
Significant NHS cost savings will be made

8. Consistency of care in action
One computer system for all Federation practices
Easy access to all patient notes
Joint orthopaedic injections pilot service
Patients can now benefit from the same treatment
Reduction in hospital trips and patients seen between 1-2 weeks.
25% cost saving to NHS
Dermatology pilot service
Patients seen within a week
Reducing the need to travel to hospital
Gynaecology pilot service
Reducing the need to visit family clinics or hospital
Treatment within 2 weeks, compare with up to 8 week hospital waits
Time and cost savings for local NHS

9. Value of the GP Federation to patients
Similar patient offer in practices
Treatment near to home
Shorter waiting time
Lower cost

10. Giving patients a voice to improve care
Locality PPGs working together with GP Federations
All PPGs are invited to send a representative
Act as patient voice to the GP Federations
Locality rep could be on GP Federations pilot test bed or board

11. Patient involvement in pilot test bed
Providing a patient perspective and a patient voice
Well run, with can do culture
Benefits - Equal patient access to services
- Less patient travel
- Lower waiting time
- Reduced costs

12. Questions?

13. Thank you