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Something different this week; the tables are turned with Ben Gowland in the hot seat explaining the importance of the new GP contract. Ben, presenter of the General Practice Podcast and Principal Consultant for Ockham Healthcare, explains why the new GP contract is a huge opportunity and gives him optimism for the future. He describes the way that the additional £2.8bn attached to the contract will flow, how primary care networks will be developed and how they will be staffed. He also gives practical advice to practices about what they should be doing now, in preparation for the year ahead.

Show Notes

How significant is the new GP contract? (0:43)

More impactful than the GP Forward View and the most important GP document since the 2004 contract (1:44)

A five year contract with £2.8bn attached – and most of it going direct into general practice (2:24)

Tackling financial problems; indemnity and pensions (4:05)

Moving away from individual practices to networks; a restructure of general practice (4:54)

Networks of GPs to facilitate integration (6:12)

Appointments available to 111 – no practice is an island (7:08)

Why are these networks different to the Primary Care Home for instance (8:05)

Money is coming to support networks and for non-GP clinical staff (9:00)

The networks will be responsible for delivering services (10:09)

Where are these extra staff coming from? (10:58)

The process for establishing networks (12:24)

Decisions by the end of April (13:36)

Practices who don’t wish to take part will lose the money (14:35)

What should practices be doing now? (15:34)

Optimism for the future (16:37)

If you’d like to contact Ben email him ben@ockham.healthcare

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Robin Miller is a Senior Fellow at the Health Services Management Centre of the University of Birmingham. Robin is heavily involved in research into the transformation of primary care. In this episode he shares some of the lessons that have emerged from this research including a study of the Aspiring for Clinical Excellence programme developed by a CCG in Birmingham. He looks at what transformation means, how innovation can be encouraged, how practical is the expectation that transformation will save money and how GPs and CCGs need to change their mind-sets if transformation is going to work.

Show Notes

What do we mean by the “transformation of primary care”? (0:39)

The Aspiring to Clinical Excellence programme (1:17)

Trust model versus traditional “pay for performance” (2:31)

Freedom for local primary care to come up with answers (3:51)

£10 per patient and a competitive process for groups of practices (4:21)

Flexibility to innovate (5:51)

Resentment from those missing out (6:42)

Action learning sets of pioneers and the CCG (7:29)

Lessons learnt from the process (9:00)

Was this programme a success? (9:50)

Did it save money for investment into primary care? (10:46)

Transformation has to be sustained (12:08)

Wider lessons – changing the perception of the role of the GP (12:55)

Shift to multi-disciplinary teams with a leading practitioner (14:51)

Changing the GPs’ perceptions of themselves (15:55)

Funders also need to change their mind-set (17:08)

Local ownership is essential (18:50)

Motivation general practice to change – evidence with data (19:54)

Structured programmes with methodologies (21:22)

Accessing Robin’s research (23:53)

Robin can be emailed at r.s.miller@bham.ac.uk

The two papers Robin refers to in his podcast can be found here:

https://www.ijic.org/article/10.5334/ijic.3044/

https://www.emeraldinsight.com/doi/full/10.1108/JICA-03-2018-0023#_i7