Transcript Thank You For Inviting Us

Thank You For Inviting Us
SBS/AlmatyGPConference/Nov2014
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GP Conference, Almaty,
Kazakhstan
(17 to 18 November 2014)
GP Changes and
Developments in England:
Presentation to Introduce the
Discussion Paper
Dr Steve Collins (Learning and Change Consultant)
Botagaz Hopkinson (Public Health Adviser)
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Outline of Presentation and Paper
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NHS Historical Introduction (Steve)
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The Changing NHS today (Bota)
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Useful Management Models to understand
changes (Steve)
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Changing Role of GPs (Bota)
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Outline for GP Training Programme Steve)
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A Good Place To Start
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NHS History One – 1914-18
The Need for State Intervention
Limited Healthcare
Sector
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Fee for Service Doctors
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Endowed Hospitals
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Charities
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Voluntarism
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Growth of 'Homes for
Heroes' Concept
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NHS History 2 – Post 1945 –
Introduction of Welfare State
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Beveridge - Tackling the 'Five Giants' of Social
Deprivation
1946 NHS Created - Combining Existing Health
Provision for a 'State Service Free at the Point
of Entry'
GPs become 'point of entry
Also gradual Introduction of Social Security,
State Education System Council Housing,
Keynesian Economics - Create 'State Welfare
Net
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NHS History 3 – 'Thatcherism' –
Purchaser-Provider Model
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Welfare State an
efficient burden on
the economy – need
to 'roll back the
welfare state'
NHS – an expensive,
unchanging, 'ill-health
institution
Market Principles and
Business Practices
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NHS History 4 – 'Blairist Third Way' and
'Cameron's Coalition Compromise'
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NHS Executive Now NHS England
Strategic
Requirements
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NHS 'Brand' Objectives Include
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Raise Awareness
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Change Perceptions
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Work Towards Behaviour Change
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Enhance Service
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Share Experience, Skills and Expertise
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Access Consumer Insight
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Promote Campaign Message
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Increase Credibility and Extend Reach of 'A Message'
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Raise Event Profiles
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Raise Revenue
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Interactive Models Online
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NHS England
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Primary and Secondary Healthcare
Functions
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Old and Proposed Primary System
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Commissioning Cycle
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Commissioning Structure
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Previous NHS Before Reforms
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BMA View – NHS Structure 2013
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NHS Regulators and Watchdogs
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Care Quality Commission (CQC)
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Healthwatch England
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British Medical Association (BMA)
Human Fertilisation and Embryonic
Authority (HFFA)
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Nursing and Midwifery Council
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Human Tissue Authority (HTA)
Medicines and Healthcare Products
Regulatory Agency (MHRA)
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Royal College of GPS and other
Professional Bodies
Educational Regulators
Occupational Health and Safety
Commission
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Medical Research Council
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Monitor
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Civil Rights Commission
National Institute for Health and Care
Excellence (NICE)
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Equal Opportunities Commission
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Other Statutory Bodies
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Media and Press
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Professional Standards Authority
Public Health England
National Institute for Health Research
(NIHR)
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'The Times' - Current Headlines and Commentary
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'Patients told to go online in radical NHS Reforms'
(Thursday 13 November 2014)
'Doctors' surgeries must become treatment centres, says
NHS Chief'
'Your medical data has loaded...the doctors will skype you
now'
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'Smaller hospitals told to share their doctors on skype'
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Family doctors told to see patients seven days a week'
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'Surgeries need 20,000 new staff for seven-day opening'
(Friday 14 November 2014)
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'Online NHS' Reaction from BMA
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Virtual NHS consultations were insecure and
risked wastig doctors' time on 'IT savvy' rather
than those who were actually sick'
'..it is too 'simplistic' to expect big savings
through technology'
'Mr Hunt has arued that the NHS needs a digital
revolution to follow those in banking and budget
airlines but Dr Nagpaul dismissed that
comparison...'
(Friday 14 November 2014)
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Enfield's Joint Health and Wellbeing
Forum
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Click to add text
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Health and Wellbeing Forum – Information
Sheets
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Management Thinking – Learning
Organisation
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Management Thinking – Multi-Disciplimary
Team Building
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Management Theory – Vision Building
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Royal College of GPs – Euston Square
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Royal College of GPs – 2022 Vision
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RCGPs - Developing Community
Based Practice for 2022
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Promote greater understanding of generalist Care and its Value
Develop new generalist-led, integrated services to deliver
personalised, effective care
Expand the capacity of the GP workforce to meet population
and service needs
Expand he skills and flexibility of GP workforce to provide
complex care
Support the organisational development of community based
practices, teams and networks
Increase Community-based academic activity to improve
effectiveness, research and quality
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RCGPs – Enhanced Training
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Growth of General Practice
Management
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Most GP practices today employ a suitably
qualified GP Manager
Series of National Vocational Qualifications
(NVQs) have been developed by AMSPAR and
City and Guilds covering all support roles
including
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Practice Managers
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Medical Secretaries
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General Admin Staff
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Receptionists
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Enfield's GP Practices
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White Lodge Medical Practice,
Enfield
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White Lodge – Dr Neil Amin
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NHS History 5 – Greater Role for
GPs
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Increasing and enlarging clinical services previously
in hospitals
Closer Patient Interaction
Business and Service Development
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Public Marketing Role
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Learning and Change Management Agency
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Information Provision to Wider Public
Increased reporting back to new bodies
GPs made Central to all Systems with wider role in the
management of the new systems – Clinical Care
Commissioning and
Health and Wellbeing Forums
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Leadership and Organisation Development
Learning Thinking - Approach
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Learning Thinking – Proposed
Learning Programme
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Proposed Topics Areas
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Changing Clinical Practice
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Building a GP Practice Business
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Understanding the UK health and
social care system
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The Importance of Feedback
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Teambuilding
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Marketing Management
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Online Service Development
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Developing Quality Services
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Communications and Interaction
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Change Management
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Training and Developing Others
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Leadership
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Organisation Thinking
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Visioning, Strategy and Planning
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Corporate Social Responsibility
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Project Management
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Knowledge Management
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Cultural Difference
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Negotiation and Conflict Handling
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The Role and Function of
Management
Self Awareness and Development
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Possible Programme Outline
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Summary
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NHS has devolved eclectically and
remains bureaucratic
New reforms look to provide
improved, local services in the
wider context
GPs are central to recent reform
implementation
New NHS developments reflect
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Thank You
Do please contact Steve or Bota during the
conference if there is any issue you wish to
discuss or develop
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