RCGP and Nuffield General Practice at Scale


The aim of the General Practice at Scale programme is to obtain a better understanding of the formation of networks of practices and to support practices in scaling up into larger general practice organisations.

Federations, in the context of this project, is the term used to describe two or more general practice organisations that formally or informally work collaboratively in their front or back office functions or work to group together in order to win provider contracts.

These groupings will include both formal and informal groups, e.g. federations, networks, multi-specialty community providers (MCPs), primary and acute care settings (PACs), joint ventures, super practices, multi-site practices. The key aspects are that general practice is essential to the grouping.

To give your views and experiences about working at scale, please take our 10 minute survey to help inform our work.

Right access to the right care, how can working at scale help?

RCGP, NHS England and the Nuffield Trust held an event on Thursday 1 December in London which focused on how working at scale can help to transform care.

Delegates heard from case study representatives about how working at scale can improve access and outcomes for patients, a copy of the agenda is available to be downloaded here.

A Storify of the day's events can be found here https://t.co/mRXkSjEdyM

General Practice at Scale Online Learning Network

The RCGP, with NHS England and the Nuffield Trust, have developed an online learning network which seeks to provide information and support around general practice working at scale. Users of the network can access useful resources and detailed case studies, and contact colleagues across the country and take part in webinars.

Whether you have been working at scale for a while or just want to find out more, this network can support you in your journey.

Five things you wished you knew about working at scale

Our recent research, undertaken with Nuffield Trust, has indicated that there is some confusion about the process of moving towards an at scale model of general practice.

To support you in learning more about working at scale, the College has offered a series of five free webinars which sought to tackle some of the questions we know you have, around managing access, expanding the practice workforce and developing leadership. Each webinar was supported by a panel of experts and case studies.

Presentations and resources from the webinars are available on the Online Learning Network. Recordings of the webinar sessions will be available shortly.

Collaboration in general practice: surveys of GPs and CCGs

RCGP and the Nuffield Trust undertook two surveys between July and November 2015 which sought to find out more about the landscape of general practice working at scale. One survey was distributed to GPs and the other to CCGs, responses have now been analysed and the results are available.

#GPatScale Twitter Chat

As part of the launch of the online learning network the RCGP hosted a Twitter chat which focused on some of the questions about general practice working at scale. A summary of the chat is available here

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