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The specification and guidance for the new network DES runs to over 100 pages. In the days following its publication Ben and special guest Dr Riaz Jetha digested the content of the DES and, in this episode, they talk through the key differences they identified. They look at the nature of the network agreement, the role of federations, how clinical leaders will be recruited, population size, funding and much more. You might also be interested in Ben’s latest Blog which covers similar material.
Show Notes
What are the key differences in the new guidance (0:53)
Mandatory Network Agreement (1:52)
The organisation receiving the funds must hold a primary medical contract (2:50)
Where can federations fit in? (4:13)
Subcontracting arrangements (4:55)
Clinical leadership (5:55)
Extended hours by 1st July (7:06)
Ambitious timescales (7:45)
Backdated funding for established networks (8:33)
Flexibility in offering extended hours (9:25)
How is this likely to work? (10:26)
Flexibility on population size (11:04)
Smaller neighbourhood teams within bigger networks (11:58)
The Accountable Clinical Director (12:41)
Four options to recruit the Accountable Clinical Director (13:17)
Do smaller networks get more resources? (15:16)
What is “additionality”? Auditing levels of staffing (16:17)
Recruiting pharmacists (17:33)
Lack of flexibility this year – control and standardisation at the beginning (17:59)
Where does the additional 30% of the funding come from? (19:31)
Potential to under-use the resources? (21:45)
The expected funding for 2019/20 (22:27)
Is this package attractive enough? Unpacking the “why?” (23:40)
Remember – if you are interested in a copy of our book The Future Of General Practice which contains a series of case studies tthat will be of interest to anyone establishing a primary care network, you can now purchase a copy at only £9.99 (a reduction of over 60% on the original price). You can purchase the book here.
