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#GPforwardview #TimeForCare Releasing time for care Dr Robert Varnam Head of General Practice Development @robertvarnam

Worcestershire PC day, 10 Nov 2016 - time for care

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Page 1: Worcestershire PC day, 10 Nov 2016 - time for care

#GPforwardview#TimeForCare

Releasing time for careDr Robert VarnamHead of General Practice Development

@robertvarnam

Page 2: Worcestershire PC day, 10 Nov 2016 - time for care

#GPforwardviewwww.nhsalliance.org/making-time-in-general-practice/

[email protected]

Page 3: Worcestershire PC day, 10 Nov 2016 - time for care

#GPforwardview

Getting paid

Processing information

Keeping up to date

Reporting

Supporting patients

0% 5% 10% 15% 20% 25% 30%

Most burdensome areas of bureaucracy

www.nhsalliance.org/making-time-in-general-practice/[email protected]

Page 4: Worcestershire PC day, 10 Nov 2016 - time for care

#GPforwardview

Self-rating by GPs

5,128 consultations [email protected]

Page 5: Worcestershire PC day, 10 Nov 2016 - time for care

#GPforwardviewNationally [email protected]

Page 6: Worcestershire PC day, 10 Nov 2016 - time for care

#GPforwardviewTypical practice 6,700 patients [email protected]

Page 7: Worcestershire PC day, 10 Nov 2016 - time for care

#GPforwardviewwww.england.nhs.uk/gpdp

Page 8: Worcestershire PC day, 10 Nov 2016 - time for care

#GPforwardview

10 High Impact Actions to release time for careSpreading knowledge of innovations that release GP time and improve care for patients. Practical evidence from practices throughout England who have demonstrated ways to make better use of staff time.

• 24 regional GPFV roadshows• 30 local High Impact Actions showcase events• Web resources (60 and growing)

• Fortnightly webinars• Network of experts

www.england.nhs.uk/gpdp

Ongoing programme to identify and capture robust and practical case studies, adding to the evidence base and implementation guides.

Page 9: Worcestershire PC day, 10 Nov 2016 - time for care

#GPforwardview

Time for Care programmes• Bespoke 9-12 month programmes to support groups of practices to

implement innovations that release time for care.

• Open to all 7,800 practices in England. Registrations received from practices in 35% of CCGs in first 3 months. Expected total of 200 local programmes to run over three years.

• Evidence indicates most practices can expect to release 10% of GP time through programme.

• Each programme designed to align with existing local initiatives.

www.england.nhs.uk/gpdp

Time for Carechange programmes

Can be aligned with new transformational funding:

• Training for reception and clerical staff, for active signposting and document management (£45m over 5 years).

• Funding towards purchasing online consultation systems (£45m over 4 years, from 2017).

• CCG transformational support (£171m over 2 years, from 2017).

Page 10: Worcestershire PC day, 10 Nov 2016 - time for care

#GPforwardview

General Practice Improvement Leaders programme• Training for clinicians and managers in service redesign and

change leadership. Creating at least 400 free places a year for three years.

• Focus on techniques for designing and implementing improvements within the practice rapidly and sustainably.

• Learn-while-doing approach gives immediate as well as longer term benefits.

• First two cohorts (60 staff) launched Oct 2016, next four almost full. Supporting staff from LMCs, federations and practices.

Fundamentals of change and improvement (2-day session)

Human dimensions of change (2 x 1-day sessions)

Facilitation skills (2 x 1-day sessions)

Primary care improvement community

Learn-while-doing

• Funding the RCGP Supporting Federations Network. 750+ members, 3 national events a year, 6 webinars, growing library of online resources.

• Funding NHS Collaborate (NAPC & NHS Alliance) network for leaders of at-scale primary care. Bi-monthly face-to-face networking, aiming to grow to 200 members in next year.

• Funding facilitated peer networking for managers of all 7,800 practices, with support to develop professional skills.

www.england.nhs.uk/gpdp

Page 11: Worcestershire PC day, 10 Nov 2016 - time for care

#GPforwardview

PreparationAligning plans, federation

development, local champions

Online consultation systems [approx £0.80/head] (from 2017)

Reception & clerical staff training [approx £0.80/head] (from 2016)

Lear

n &

plan

Cha

nges

Lear

n &

plan

Cha

nges

Lear

n &

plan

Cha

nges

Lear

n &

plan

Cha

nges

Launch event

Development Advisor Support

Learn from innovators

General Practice Improvement Leaders Programme

CCG investment & supportMin £3/head 2017-19 + MCP + £6/head access roll-out

Your Time for Care programme

Showcase event

Productive General Practice

Page 12: Worcestershire PC day, 10 Nov 2016 - time for care

#GPforwardview

General Practice Improvement Leaders programmeAim: Skills development

Build capabilities and confidence to support colleagues in implementing change in practices

To ensure every locality has a local improvement facilitator who can access both local and national resources in the future

Fundamentals of change and improvement (2-day session)

Human Dimensions of change (2 x 1-day sessions)

Facilitation skills (2 x 1-day sessions)

Primary care improvement community

Your own change project

Page 13: Worcestershire PC day, 10 Nov 2016 - time for care

#GPforwardview

PreparationAligning plans, federation

development, local champions

Online consultation systems [approx £0.80/head] (from 2017)

Reception & clerical staff training [approx £0.80/head] (from 2016)

Lear

n &

plan

Cha

nges

Lear

n &

plan

Cha

nges

Lear

n &

plan

Cha

nges

Lear

n &

plan

Cha

nges

Launch event

Development Advisor Support

Learn from innovators

General Practice Improvement Leaders Programme

CCG investment & supportMin £3/head 2017-19 + MCP + £6/head access roll-out

Your Time for Care programme

Showcase event

Productive General Practice

www.england.nhs.uk/gpdp

Where to start?

Measure somethingDiscuss opportunities

Page 14: Worcestershire PC day, 10 Nov 2016 - time for care

#GPforwardview

www.england.nhs.uk/gpfvwww.england.nhs.uk/gpdp

www.nhsalliance.org/making-time-in-general-practice/england.nhs.uk/ourwork/gpfv/gp-indemnity/

england.nhs.uk/ourwork/gpfv/resilience/bit.ly/MCPframe1

[email protected]@nhs.net