1. Medical Secretary Worcestershire Local Medical Committee (LMC)
DR SIMON PARKINSON
Medical Secretary
Worcestershire Local Medical Committee (LMC)

2. Call for Action Why? GP Crisis is now accepted as fact
Key issue is core business/workload
“We must make the average GP day much more acceptable”
Redefine the GP Role? -
1. Managing complex cases
2. dealing with undifferentiated presentation
3. Team leadership

3. Time for Action 3 Strands:- Practice Resilience System Efficiencies
“Work Diversion” – Is this something an expert medical generalist should do?
The emphasis has to be first to support our core then to try and free up time for additional MCP work

4. LMC Call For Action Locality Hubs Nursing Home Medical Care
Baseline Funding
Social Prescribing/Navigation
Primary Care Academy
Reducing Bureaucracy
Data Sharing and Indemnity Issues

5. Locality Hubs Building extra capacity Practice resilience
Extended hours/access
Extending our teams – visiting service?

6. Nursing Homes Elderly care visiting
Joint working with other care services
Care for “Geriatric Hospitals”

7. Social Prescribing/Care Navigation
Is this something an expert medical generalist should do?
The default has to be stop being the GP
Self Help
Stop medicalising/treating social problems

8. Primary Care Academy
Make Worcestershire a place where people want to come to work in primary care
Support practices with training
Train new workforce:
HCAs
Practice Nurses
Advance Nurse Practitioners
Receptionists/Care Navigation
Physicians Associates
GPs

9. Reducing Bureaucracy “Why is it all so difficult?” One call…
Make our current systems work better!

10. Data Sharing and Indemnity Issues
Data Controller – personal GP Partner liability
Indemnity for cyber liability
Indemnity for additional MCP/Extended Primary Care Team Members
“When appointing new additional team members we must ensure they are trained and in practice willing and able to take full professional liability for their work”

11. Next Steps Doing nothing is not an option
What can we do in our practice?
Mutual support?
What might work for us?

12. Role of CCGs MONEY TIME/BACKFILL MANPOWER
EMPOWER GPs WITHIN PRACTICES AND IN LOCALITIES

13. Questions?