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nHS Structure Change and career prospects for sessional GPs

nHS Structure Change and career prospects for sessional GPs. Vicky Weeks Chair Sessional GP Subcommittee GPC 27 th November 2012. So why go through more change?. Year . NHS Budget vs Spend in billions. £40 £50 £70 £98 £120 £125 £120 £160. 1996 2000 2004 2008 2012 2016.

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nHS Structure Change and career prospects for sessional GPs

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  1. nHS Structure Change and career prospects for sessional GPs Vicky Weeks Chair Sessional GP Subcommittee GPC 27th November 2012

  2. So why go through more change? Year NHS Budget vs Spend in billions £40 £50 £70 £98 £120 £125 £120 £160 • 1996 • 2000 • 2004 • 2008 • 2012 • 2016

  3. Some facts on activity • 40,000 GPs • 1,7000 average list size per GP • Average practice 6,000 registered patients • 300,000,000 GP consultations per year • 90% consultations are in primary care • 27% of the budget spent in primary care • 15% of the population see a GP in a two week period

  4. Some facts on costs • GP Consultation £20 • Walk-in-Centre £24 • NHS Direct telephone call £15 • A&E attendence £75 • OPD £100-£300 • Admission £1500+

  5. The VFM of General practice • Registered list • Gatekeeper role • Life long medical record • Families & contexts • Holistic approach • Continuity of care • Complexity • Managing Risk • High Quality: Low Cost

  6. New Nhs structure

  7. Roles & functionsI’ve got a little list! • LATs (27) -local presence of the NHS CB. Direct commissioning responsibilities for GP services, dental, pharmacy & some aspects optical services. • NHS Networks & Clinical Senates-Senates & Networks hosted by NHS CB. Provide advice to LATs & CCGs. • Senates comprise range of experts, professionals & others across different health & social care professions. Provide and overview of all services and advice on healthcare for populations within a geographical area. • Networks focus on specific conditions and patient groups. Currently are in place for cancer diabetes stroke CHD maternity services neonatal & emergency care. • Health & Wellbeing Boards-integrated approach to health care in local authority areas. Comprise NHS bodies-NHS CB, CCGs, HealthWatch and other providers. • HealthWatch-new consumer champion for health & adult social care. A statutory committee of CQC . Local HealthWatch will monitor conditions, raise concerns, feed into HealthWatch as well as work with Health & Wellbeing Boards & CCGs.

  8. Purpose of commissioning- delivering NHS outcomes • Preventing people from dying prematurely • Enhanced quality of life for people with LTCs • Enhanced recovery from episodes of ill health or injury • Ensuring a positive patient experience of care • Treating and caring for patients in a safe environment and protecting them from avoidable harm

  9. Purpose of commissioning-improving ‘quality’ • Improving the quality of services • Less variation in the quality of patient care pathway • Improved access to high quality care • Patient treated at the right time in the right place • Better value for money in the services provided • New services

  10. Clinical commissioning groups • Membership organisation • The members are defined as those organisations who provide GMS services to a registered list of patients • The Practice is the base for membership of the CCG • Constitution and authorisation • So is this partner only and exclude sessional GPs?

  11. CCGs and Sessional GPs WHY GET INVOLVED?

  12. Trend in UK general practice workforce

  13. Sessional GPs as part of the workforce-bma survey • >50% became a Sessional GP out of personal choice • 75% considered themselves to be working part-time • 27.4% looking for partnership (of those more likely to be F/T) • 90% of those working as locums worked to a freelance model

  14. Sessional GPs as part of the workforce • A positive career choice • Partnership at sometime in the career path • The rise of the portfolio career • Need for flexibility in working pattern • More than just a backfill

  15. Getting involved • It’s your NHS • CCG constitution elections & voting to the board • CCGs & practices practice lead & voting by members • CCGs and commissioning e.g. care pathways-work streams • CCG workload the heat is on • CCGs & leadership opportunities • LMCs work with CCGs & outgoing PCTs oversight of processes representing you

  16. Sessional GPs-What we do well • Portfolio working • Flexible and independent working • Work across a range of environments/situations • Range of career choices • Networking

  17. Networking NATIONAL LOCAL LMCs- contact details Information cascades CCGs PCTs/LATs Deaneries/LETBs Learning Sets/SDLGs Practices • BMA/Sessional GP Subcommittee • RCGP • NASGP • MDOs-educational/newsletters • Affiliate Scheme (NI)

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