What will the infrastructure of general practice look like in 5 years’ time – an expert panel discussion

What will the infrastructure of general practice look like in 5 years’ time – an expert panel discussion Part 1 (30 mins)

Ockham Healthcare 14 June 2018

• 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.

What will the infrastructure of general practice look like in 5 years’ time – an expert panel discussion Part 2 (30 mins)
Ockham healthcare 18 June 2018

• The panel discusses the importance of data and information systems, the value of greater integration, a focus on prevention and wellness and the need to prove the value of generalists.

Notes
Panelists are
Ben Gowland 
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

Part 1

• 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)

Part 2

• Jonathan discusses the importance of data to general practice (56secs)
• Ben introduces the idea of data set that the public produces themselves and whether this might change the relationship with, and the role of, general practice (2min 25secs)
• Jonathan responds about the value of this data and the engagement of clinicians with this data (3mins 08secs)
• Jon responds on the idea of patient-centred care and the shift to wellness and how this changes the likely workforce (4mins 41secs
• Jon talks about the idea of general practice working better as part of the wider system (6mins 43secs)
• Vincent talks about greater investment in prevention (7mins 25secs)
• Ben queries whether shifts in funding will happen now when they haven’t in the past (9mins 32secs)
• Vincent suggests what needs to change (10mins 01secs)
• Vincent points out how the data fits in (11mins 20secs)
• Jeannie pleads for the preventative agenda to have a higher profile and how this might be sustained (12mins 09secs)
• Jon suggests the flow of funding needs to change through an integrated system (14mins 05secs)
• Jonathan feels the funding is going the wrong way and that general practice can’t prove its own value (15mins 42secs)
• Ben asks how this might work and Jonathan responds that better information systems are key (17mins 32secs)
• Jon talks about the challenge of demonstrating the value of the generalist (19mins 42secs)
• Ben asks whether this can be achieved and Jon responds that it must happen and that access to the specialist cannot be seen as the “gold standard” (21mins 12secs)
• Jonathan argues for change and the potential for general practice – which will mean being more vulnerable (22mins 19secs)
• Ben asks what has been missed and what the key take away messages should be for practices now (23mins 29secs)
• Vincent argues that general practice needs a strong, unified voice (24mins 28secs)
• Jeannie talks about sustaining and promoting primary care successes (26mins 30secs)
• Jon lists the things he feels general practice must do including engaging and “not being dinosaurs” (28mins 10secs)
• Jonathan looks at the question from an individual’s perspective and argues for vulnerability and disruption (28mins 47secs)
• Ben thanks the panel and sums up (30mins 02secs)