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This article discusses the new vision for primary care and the re-focused role for GPs in rural practices. It highlights the principles of the contract, which aim to enhance patient experience, reduce health inequalities, stabilize general practice funding, and reduce workload and risk for GP partners. The article also emphasizes the need for more integrated and coordinated services in rural areas and introduces the Memorandum of Understanding and its priorities, including vaccination transformation, pharmacotherapy services, community treatment and care services, urgent care, and additional professional roles. The Rural SLWG, chaired by Professor Sir Lewis Ritchie, is responsible for the implementation of Phase 1 of the contract and engaging with rural GP and patient representation.
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The New GP Contract :Multidisciplinary working in Rural Practices Fiona Duff Senior Advisor, Scottish Government
Principles • Support new vision for primary care inc. re-focused role for GPs (complex care etc) and enhanced MDT. • Enhance patient experience. • Reduce health inequalities. • Stabilise general practice funding and GP income. • Reduce risk for GP partners. • Reduce workload for GP partners. • Secure more efficient, transparent use of resources. • Enable more integrated, more co-ordinated services.
Rural support “The rural and remote GP shares much of the same generalist workload as their colleagues in urban areas. In many areas, being a rural GP means being the expert medical generalist providing the broadest range of skills because of their remoteness, because they usually have smaller primary care teams and because the locality services that may be available in areas with larger populations may not be available. Many remote and rural GPs have chosen to work where they do in part because it fits with their desire to provide a more complete primary care service to their patients and see delivery of some services as welcome opportunities to engage with their patients. In some rural areas where there are larger list sizes, there will be the opportunity to move the responsibility for some services like immunisations to reduce workload pressures. The service redesign described above requires practices to be involved via their GP clusters, so they have a say in how services will work locally. “
Memorandum of Understanding • SG/BMA/IAs/HBs • 3 year phased transition. • Agreed principles. – Safe, sustainable, patient-centred, cost-effective etc • Resources • Oversight – national/local. • Delivery – 31 Primary Care Improvement Plans. • Priorities: • Pharmacotherapy Service, • Vaccinations. • Community Treatment and Care Services. • Urgent care (Advanced Practitioners – Nursing & Paramedic) • Other services (physio; links workers; mental health) • Need to engage with GP Sub, GP Clusters, public and patients.
Memorandum of Understanding (MOU) (1) The Vaccination Transformation Programme (VTP) (2) Pharmacotherapy services (3) Community Treatment and Care Service (4) Urgent care (advanced practitioners) (5) Additional Professional role (Physio and Mental Health) (6) Community Links Worker (CLW)
Rural SLWG • Chair – Professor Sir Lewis Ritchie • Rural GP and patient representation • Implementation of Phase 1 of the contract • Engagement • Rural Case Studies • Rural Fund • Links – • Dispensing • SRMC • Practice Sustainability • Recruitment and Retention
Contact: PCRural@gov.scot https://www.gov.scot/groups/remote-and-rural-general-practice-working-group/ @SG_Primary Care Fiona.duff@gov.scot @DuffFiona
