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This is the second in our series of panel discussions in which Ben is joined by a panel of renowned national experts. This time we discuss what the infrastructure of general practice will look like in five years’ time. In this first part the panel considers how the scale of general practice might change and, amongst other things, disruptive technologies, the future of the partnership model and the move to population health management.

Part Two will follow next week.

This time Ben is joined by:

Vincent Buscemi: a health and social care lawyer and partner at Bevan Brittan

Jon Griffiths: GP and chair of NHS Vale Royal CCG

Jonathan Serjeant: GP and Director of Creative Partnerships at Here

Jeannie Watkins: President and Chair of the Professional Standards Sub-Committee at the Faculty of Physician Associates at the Royal College of Physicians

Show Notes

Ben asks the panel to identify the current trends in infrastructure and which of the might build into the future (1min 13secs)

Jon begins by identifying collaboration and scale as a current trend (1min 46secs)

Vincent further identifies vertical integration and the end of the partnership model (2mins 48secs)

Vincent believes this will become mainstream in the future (4mins 20secs)

Jonathan believes changing communication with patients, the expanded workforce, new metrics and social prescribing are current trends (5mins 28secs)

Jon questions the death of the partnership model (7mins 05secs)

Vincent responds with an example of a new sub-contracting model for GMS (7mins 48secs)

Jeannie looks at who is providing care in the new models (9mins 31secs)

Ben asks about the role of disruptive technology (10mins 08secs)

Jonathan suggests staying close to the new technology (10mins 34secs)

Ben asks whether the new technology should become part of core general practice and Jonathan responds (12mins 38secs)

Jon agrees and suggests we need to adapt and embrace the new technology (13mins 42secs)

Ben asks how this impacts on the size of general practice and Jon responds (14mins 33secs)

Vincent agrees but suggests that the NHS infrastructure is behind the curve (16mins 04secs)

Jonathan focusses on how technology might benefit patients and urges a new way of commissioning (18mins 10secs)

Ben challenges the “learned helplessness” of general practice (19mins 42secs)

Jonathan comes back (20mins 41secs)

Jeannie identifies the challenge of finite resource (21mins 23secs)

Jon loops this back to size and general practice innovation (22mins 20secs)

Ben asks what the ideal characteristics of general practice might be (23mins 35secs)

Vincent responds: one size doesn’t fit all (24mins 03secs)

Vincent introduces the idea of population health management (25mins 13secs)

Ben reintroduces the idea of size coupled with independence (26mins 35secs)

Vincent on “hand-to-hand combat” (27mins 36secs)

Jonathan looks to the future of integrated care systems (29mins 15secs)