Reform has published A design diagnosis: reinvigorating the primary care estate. This report looks at financing options for GPs who wish to upgrade their estate and finds private sector finance can upgrade the estate at value for money for the taxpayer. It suggests GPs need to be well-informed on financing options and building design to ensure public-private partnerships deliver value for money and that STPs have a critical role in supporting GPs when they are interacting with estate developers.
Additional link: Reform blog
NHS England has announced additional funding for GP surgery-based clinical pharmacists. The funding will cover an additional 160 pharmacists. NHS England is encouraging applications to the next wave of the scheme which has a cut-off date of 19 January 2018.
NHS England has published the following case studies relating to general practice:
- Active signposting frees up 80 inappropriate GP appointments a week – Waterside Medical Centre, South Warwickshire reduced the number of patients seeing a GP with problems that could be dealt with by other practice staff or the wider heath economy
- A more sustainable general practice for the future – South Warwickshire GP Federation introduced quality improvement tools and techniques to their practices, encouraging collaboration between practices
- 26 days of practice nursing time released a year – Tinkers Lane Surgery, Wiltshire improved their nurse appointment booking process
The Royal College of GPs is asking patients to adopt a new three-step ‘mantra’ to help relieve pressures on GP services. 3 before GP refers to three questions patients should ask themselves before booking an appointment with their GP: can I self-care; can I use NHS Choices or similar reputable websites/resources; and can I seek advice/treatment via a pharmacist?
NHS England has published the following case studies illustrating efficiency improvements in general practices:
- Practice saves one day a week of GP time through better management of patient correspondence – Ilford
- Minor illness service has eased pressure on GP appointments – Manchester
- Demand-led appointment systems has reduced ‘did not attends’ to zero – Lincolnshire
- Introducing telephone consultations has improved access, continuity of care and patient and staff satisfaction – Suffolk
- New systems for document handling reduce GP time spent on letters – London and Surrey
- Using buddying to improve efficiency in telephone consultations – London and Surrey
Future-Focused Finance and the HFMA have worked together to produce this briefing on the current financial challenges facing general practice.
We asked general practitioners (GPs) and practice managers about the current financial challenges they are facing Their responses highlight a number of serious concerns about the issues facing general practice and in this briefing we make a number of recommendations to address some of the most pressing issues.
General practice is facing unprecedented pressures and, with GPs managing heavier and more complex workloads, uncertainty about a sustainable future in a rapidly changing landscape is understandable. In such a stretched environment general practice needs guidance and support to manage the status quo, let alone deliver the increasing expectations set out in Next steps on the NHS five year forward view.
Further information is available here.