1. David White
Strategic Lead: Primary Care & Public Health

2. Edinburgh’s Strategic Plan for Health & Social Care
People and organisations working together for a caring, healthier safer Edinburgh 2

3. Edinburgh – Primary Care
73 Practices/67 Premises
7,200 average practice size
c1400 patients per full time GP
£70M GMS
£70M Prescribing/£150 per citizen
Each patient visits GP X 6 per year
Support c20 Practices to ensure stability

4. Primary Care Instability
What’s the Problem?
Retention /
Recruitment Scheme
Workforce
Design
2017 Contract Uncertainty
Primary Care Instability
Culture & Dialogue/
Public
Interface
Risk Register
Public Interface
Workload/Patient demand
Infrastructure
IT Improvement

5. Edinburgh GP List Sizes
Year
Edinburgh GP List Sizes (As at April every year)
Estimated Total Population for Edinburgh ( Source: NRS)
% Difference
2009
498,566
463,240
7.08%
2010
505,193
469,940
7.5%
2011
508,472
477,940
6.4%
2012
513,776
482,630
2013
519,434
487,460
6.5%
2014
525,755
492,610
6.7%
2015
530,699
498,810
2016
536,016
503, 805
2017
543,249
TBC June -
2020
560,000
525,341
6.6%
2033
625,000
582,143
6.8%

6. GP Practices Restricted Lists
Number of practices
Predictions for 2017 and 2018 6

8. Difficulties discussed with Practice( early 2016)
Practice became 2C
Exploration of other local sites
Lease of premises agreed until 2017
Possible University accommodation identified
Further search – 4 options
Withdrawn
Discontinued
Other University Option
Lauriston
Marchhall
Conan Doyle
Negotiations Successful (Feb)
Decision supported by IJB (March)
Practice moved May 2017

9. Key Questions Why did we not offer a choice of Practices?
How can we continue to allow patients moving into the area to register at local practices, but block established residents who want to re register from Southside to another local practice?
Is this a permanent solution?
(Special arrangements were considered)

10. Future? Population increase - students
Practice size and sustainability is a national issue
New GP contract end of calendar year
Overall assessment of GP premises for the city now complete