1. MDT Development : Challenges and Opportunities
Dr Grainne Doran
RCGPNI Chair

2. Delivering Together : case for change
The inability to meet the extraordinary demands and pressures created by an ageing population
The stark differential in health and social care outcomes between the most and least deprived areas
The current service delivery model being no longer fit for purpose
The challenges in attracting and retaining staff to prop up an outdated system

3. Aims of Transformation

4. Starting point for General Practice
Increasing demand from increasing population with increasing comorbidity
25.1% growth in over 65 population in 10 years to 2016
Falling number of GP practices in Northern Ireland
363 in in in 2018
Access to locum cover for backfill – holidays and training
Stressed system and stressed GPs

5. More GPs coming? 23.2% GPs aged 55 or over
GP Training places applications
2008 – 258 applications (for 65 places)
2015 – 185 applications (for 65 places)
2016/17 – 161 applications (for 85 places)
2015 – 100% of 65 places filled
2016 – 98.8% of 85 places filled
2017 – 91.8% of 97 places filled

6. Opportunities Need more GPs – work in progress on recruitment
Need to support and empower existing GPs
Need to explore new ways of working

7. Opportunities: Workload sharing
Autumn 2017 Data collection exercise from 43 practices spread across NI looking at case mix of GP appointments
28.1% of encounters were recorded by the GPs as being capable of management by non GP professional
Multidisciplinary support at practice level as a possible solution

8. Challenges of innovating MDTs
Capacity to train
to meet
to physically accommodate
Leadership to develop new roles
to adjust to new ways of working

9. Challenges of innovating MDTs
Communication Patient expectation
Within the GP Practice
Within “the system”
Using IT systems
Assessing Success Data collection
Patient Journeys
Staff “happiness”

10. Opportunities