1. CRANESWATER GROUP PRACTICE 28 th January 2015

2. Agenda Introductions Carole Cusack – The Big Picture What Does This Mean For Us Frequently Asked Questions Questions From The Floor

3. Introductions Dr Alice Emerson Dr Helen Harper Dr Richard Foord Dr Richard Garland Dr Amy Durnford Dr Nick Moore Doug Kershaw Julia Robinson Dr Jim Hogan Mr David Nixon Carole Cusack

4. Carole Cusack The Big Picture

5. The future of general practice Carole Cusack Director of Primary Care Wessex Local Medical Committees

6. 1987 – a typical practice 5 male GPs Start 8.30 20 patient surgery Coffee – post 2-4 home visits Lunch at home Surgery 4-6 Home by 7

7. Monday of last week Got to surgery 6.45 Paperwork – 45 blood results, 40 scanned documents 1st appointment 7.30 – 16 patients (10 min appt) 5 telephone consultations 11.30 – 3 home visits 1-2pm – meeting with community nurses Paperwork Surgery 15.00 – 17.30 Run out of appointments – sit and wait surgery Paperwork Left surgery 20.10

8. National Health Service How good are we? How does we compare with other countries? Have things improved?

9. The bedrock of the NHS Let’s not forget ! Workload – consultations in general practice –2004 240,000,000 –2009300,000,000 –2013 340,000,000 99% of population is registered with a GP 21m consultations in A&E per year

10. UK general practice The most cost-effective part of the NHS £130 patient/yr unlimited care vs £150 single OPD High patient satisfaction and trust Leads the world in cost-effectiveness and delivery Resilient, innovative, flexible, rises to challenges

11. What are the problems? Ageing population Frail elderly Increased demand More people with LTCs Rising emergency admissions Financial pressures Over dependency on hospitals General practice can’t recruit and retain

12. NHS Budget in billions

13. Spend on Healthcare

14. What are the issues? Ageing population –10 million people age 65 or more –Projected to increase to 15m within 20 years –1.3 million aged 85 or more More people with long term conditions –15 million people have LTCs The number of people with three or more long- term conditions is predicted to rise from 1.9 million in 2008 to 2.9 million in 2018

15. What are the issues? General Practice –90% of activity –7.7% of funding Hospital –10% of activity –50 – 60% of funding Need to reduce dependency on hospital based care Need a new model of care !

16. What Does This Mean For Us?

17. Frequently Asked Questions

18. FAQ’s Has the current surgery the necessary space/capacity to accommodate more doctors? In your estimation what impact would the merge have on the time allocated for an appointment? Will this mean we will still have access to our GP of choice, or more access ?

19. FAQ’s I see this as a positive move as I presume this will increase skill mix of all the GP's? I understand you are retaining both buildings, is this the case, and how do you see that working?

20. FAQ’s Will we still be able to ring the practice & get an urgent appointment on the same day if necessary? Will be still be able to make an online appointment for routine matters several weeks ahead? Will we be able to stay with our nominated doctor?

21. FAQ’s Will you still be offering walk-in emergency clinics? Will you still be offering travel clinics?

22. Questions from the Floor