Transcript GP Federation - Regal Chambers Surgery

GP Federation
Patient viewpoint
What is a Federation
Federations are groups of general practices that come together to
share responsibility for functions that can include:
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Ensuring sustainability of local General Practice
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The provision of extended care for patients with long term conditions
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The development of new forms of out of hours care
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Training and education
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Peer review and clinical governance
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Sharing clinical expertise to provide additional services to patients
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Sharing back office support eg telephone answering / administrative support
Structure
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Number of different options - varies according to the purpose of
the federation.
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Number of legal options defined by law / NHS pension rules (limited liability partnership, a community interest company, or
limited company).
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Governance arrangements require a formal approach where the
federation is assuming contracts for collective service delivery
across practices.
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Will typically comprise a joint management team funded by
constituent practices with a board of governance elected by GPs
and their teams.
Why Federate
Pressures in primary care
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Constrained funding growth / altered funding streams
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Workforce pressures / premises
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Rising patient expectations
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Competition and procurement law
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New medical technologies / IT developments
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Undertaking clinical commissioning
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Rising prevalence of chronic disease / ageing population
Local developments
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Collaborative working in the locality to co-ordinate
flu vaccinations to patients in nursing & residential
homes
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Enhanced framework to support patients in Nursing
& Residential Homes - East and North Herts CCG
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Community anti-coagulation clinic
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North Herts locality - 12 practices agreeing terms to
federate
12PointCare Ltd
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North Herts locality federation
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Project board of six agreed - covering business
planning, clinical governance, engagement.
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Supported by all 12 practices
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Covering 110 000 population
Initial Aims
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To provide NHS health checks to >45 year old population.
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To provide enhanced GP support over the Winter period
(winter pressures money available from the CCG)
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To support education and retention of staff
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To maintain viable local GP services
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To work with local stakeholders to improve care provision
in North Herts
What does this mean for you as a patient?
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Maintain and improve Local General Practice
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More local services
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Better access to high quality care
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Continue to support sustainable primary and
secondary care service locally