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Writer's pictureMohammed A Rashad

Summary of "Supporting General Practice at Scale: Ready for 2024/25 and Beyond" by The NHS Confederation

Updated: Jul 29

Can a single plan revolutionise the future of healthcare? The NHS Confederation believes so. Their latest document outlines a bold vision for transforming general practice and primary care networks. As we near the end of the current five-year framework, the urgency to adopt innovative strategies has never been greater. This comprehensive plan, developed by the Primary Care Network leadership and Design Group chairs, addresses the critical challenges facing healthcare sectors across the UK.


It doesn't just highlight problems; it offers actionable solutions. From enhancing workforce retention to ensuring financial sustainability, the plan is a blueprint for a more efficient and equitable healthcare system. It emphasises the importance of integrating primary care into broader system planning and resource allocation, setting the stage for a future where healthcare is more personalised and accessible. 


Read our blog to discover the key priorities and strategies shaping the future of general practice in 2024/25 and beyond.


Key Takeaways


GP and PCN Overview

General practice and primary care networks (PCNs) are the backbone of the UK's healthcare system, delivering comprehensive, relationship-based care. The NHS Long Term Plan and the Health and Care Act 2022 have set the stage for a more integrated, person-centric approach to healthcare. 


This shift aims to provide services closer to home, personalise care, and address broader health determinants. However, integrating primary care as a strategic partner in system planning and resource allocation remains a significant challenge.


Current Landscape and Future Direction

As we approach the end of the current five-year framework for general practice, there's a growing recognition of the dynamic and innovative role primary care plays. The upcoming 2024/25 contract discussions will focus on several key areas:


  • Managing Demand: Addressing the increasing demand for primary care services.

  • Workforce Retention: Ensuring that the workforce is supported and retained.

  • Financial Sustainability: Aligning financial resources with broader system priorities.

  • System Integration: Integrating primary care into broader system planning.


A key element of this vision is the investment in primary care, recognising its efficiency and contribution to economic growth. The long-term goal is to establish cohesive national contracts that ensure equitable care across regions while allowing for local customisation based on specific needs.


Empowered Primary Care System

The future of primary care hinges on addressing several critical areas:


  • Workload: Reducing the burden on healthcare professionals.

  • Workforce: Ensuring a skilled and motivated workforce.

  • Infrastructure: Investing in the necessary infrastructure to support primary care.

  • Technological Advancements: Embracing new technologies to enhance care delivery.


Fair funding, addressing health inequalities, and enhancing digital capabilities are essential components of a robust primary care system. These elements are crucial for the success of integrated care systems, which require both resources and trust.


Key Priorities


Short-term Focus

  1. Enhancing Practice Resilience: Implementing practical models to make practices more resilient.

  2. Exploring New Legal Structures: Investigating new legal frameworks for general practice.

  3. Revising Contracts: Updating contracts to reflect economic changes and current realities.


Long-term Considerations

  1. Primary Care Investment Standard: Developing a standard for investment in primary care.

  2. Reviewing Primary Care Estates: Assessing and improving the physical infrastructure of primary care facilities.

  3. Aligning Workforce Strategies: Ensuring workforce strategies are aligned with local needs and priorities.


Patient Engagement

Patients should be active participants in their healthcare. This involves:


  • Education: Providing patients with the knowledge they need to manage their health.

  • Technology: Leveraging technology to support patient engagement.

  • Community Engagement: Engaging with the community to improve patient experiences and design future services.


Delivering Appropriate Care

Flexibility in primary care models is essential to meet the diverse needs of communities. This involves:


  • Streamlining National Contracts: Simplifying national contracts while allowing for local innovation.

  • Local Integration: Ensuring that care models are integrated at the local level to meet specific community needs.


Addressing Health Inequalities

Equitable access and continuity of care are fundamental. This can be achieved by:


  • Contractual Incentives: Creating incentives that reflect the core aspects of general practice.

  • Innovative Care Delivery: Encouraging innovative methods of care delivery to address health inequalities.


Connected, Skilled Workforce

Investing in the entire primary care workforce and leadership development is crucial. This includes:


  • Workforce Contracts: Aligning workforce contracts with the broader NHS.

  • Funding: Ensuring that funding supports community-focused care.


Primary Care at Scale

Supporting at-scale infrastructures, such as PCN alliances and GP federations, is essential for efficient care delivery and integration. This involves:


  • Investing in Collective Voice: Strengthening the collective voice of primary care.

  • Enhancing Data Capabilities: Improving data capabilities to enhance population health management.


Engagement and Collaboration

Continued dialogue with national and system leaders is vital to shape the future of primary care. This involves:


  • Collective Input: Reflecting the collective input of primary care leaders.

  • Modern Approach: Advocating for a modern approach that balances national standards with local flexibility.


Conclusion

The NHS Confederation's document, "Supporting General Practice at Scale: Ready for 2024/25 and Beyond," provides a comprehensive roadmap for the future of primary care. By addressing key areas such as workforce retention, financial sustainability, and technological advancements, the plan sets the stage for a more efficient and equitable healthcare system. The emphasis on integrating primary care into broader system planning and resource allocation is crucial for achieving a holistic, person-centric approach to healthcare. 


Our experienced team of advanced clinical practitioners and GPs can help your Practice or PCN deliver an efficient medicines management service, easing the strains within primary care. 


Contact us today to learn more.


FAQs


What is the meaning of general practice?

General practice refers to the branch of medicine that deals with the comprehensive and ongoing care of individuals and families. It encompasses a wide range of health issues, providing preventive care, diagnosis, and treatment for various conditions.

What do general practices do?

Is general practice part of the NHS?

Why is it called a GP practice?


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