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In this audio-essay Ben looks at the likely future for GP federations. Driven by significant changes in general practice and the NHS, federations are taking on new roles and the once clear blue water separating federations from individual practices is beginning to muddy. Using soundbites from previous episodes of the podcast, Ben puts forward an argument that describes a positive future but, at the same time, questions the fundamental model of independent general practice.
Show Notes
Ben introduces the topic (8secs)
Recent research by the Nuffield Trust (24secs)
Two changes driving an increase in federations (1mins 06secs)
The nature of federations is changing (2mins 56secs)
The three things that federations are now doing (3mins 27secs)
The relationship between practices and federations is changing (5mins 12secs)
Federations adding value to practices (5mins 43secs)
How much overlap should there be? (6mins 59secs)
A view from Rebecca Rosen of the Nuffield Trust (7mins 19secs)
Not necessarily either/or… (8mins 58secs)
A view from New Zealand with Helen Parker (9mins 58secs)
How important is independent general practice? (10mins 51secs)
Federations as a mechanism for maintaining the sustainability of general practice – a view from Mark Newbold (11mins 54secs)
What kind of independence and autonomy matters most? (13mins 13secs)
Summarising the changing role (13mins 52secs)
A new model for federations (15mins 03secs)
2 Comments
An interesting podcast. I would like to know what is the proposed model of funding for each provider who may be part of an ACO? If outcomes are population based and different providers add value to that outcome e.g improved respiratory health and reduce smoking – how is the funding likely to be split?
As I understand it, that is up to the providers. The partnership of providers receive a capitation based budget for their population, and then it is up to them to work out how to split that between themselves to deliver the best outcomes.