General Practice Forward View
RCGP Chair Maureen Baker explaining GP Forward View
The publication of NHS England’s GP Forward View is perhaps the most significant piece of news for our profession since the 1960s – and a clear recognition of the value of general practice for patients and the NHS.
In one fell swoop, we are being promised much of the funding and support for general practice that the College has been calling for through our high-profile Put patients first: Back general practice campaign.
The unprecedented pledge to increase funding for general practice to ‘over 10%’ of NHS budget by 2020 represents a real turning point for our profession.
In a nutshell, it means that general practice in England will be receiving at least £2.4bn of additional recurrent funding each year by 2020.
This represents a 14% real terms increase, approximately double the increase for CCG funded services.
On top of this, the GP Forward View contains various other commitments that will result in additional monies going into general practice, over both the short and long term.
Read more about what the General Practice Forward View means for GPs and their teams in RCGP Chair Professor Maureen Baker's message to members.
GP Forward View interim assessment
The success of the GP Forward View depends on the plan being implemented on time and in full – the College has been clear that we will be working to hold the Government, NHS England, HEE and others to account for delivering the pledges made in the GP Forward View.
Nine months on from the publication of the GP Forward View we have published an interim assessment of its delivery, which consists of an analysis of the short and medium-term pledges made in the GP Forward View, as well as an assessment of the development 44 Sustainability and Transformation Plans in England.
The report finds that while there have been some key successes, such the launch of a £16m GP health service and changes to the Induction & Refresher scheme for returning GPs, the implementation of the plan to the frontline is being hampered by a number of issues.
The report also finds that STPs are failing to engage with the pressing need to invest in general practice, with a number of them failing to even mention the GP Forward View or engage with its plans for general practice. Most troublingly, some even plan for a reduction in the number of GPs, despite the GP Forward View’s commitment to deliver 5,000 additional GPs by 2020.
The College will continue to push for the full implementation of the GP Forward View. We will publish a fuller annual review of the first year of the GP Forward View after the end of the financial year. We will also continue to track investment, to sit on a number of GP Forward View advisory groups, and to engage with our members to ensure they are well informed about the GP Forward View and supported to access its schemes and funding.
Updates on GP indemnity, practice resilience and Time for Care
The first wave of the measures surrounding the GP Forward View have been announced:
- Practice Resilience Programme: the first £16m of the new £40 million has been released to help struggling practices across the country.
- The General practice development programme: The first phase of the three-year, £30 million, programme Time for Care has opened for expressions of interest. It will give every practice in the country the opportunity to receive training and development support.
- GP indemnity: New funding to fully offset the rising cost of, and wider plans to reform indemnity arrangements
Read FAQ documents on the new Indemnity scheme here [PDF]
Find out about the new Retained Doctor Scheme here [PDF]
You can also find out more about the College's Put Patients First: Back general Practice campaign and the actions in General Practice Forward view in this presentation document [PDF]
Campaign News April 2016
RCGP Regional Ambassadors
The College has set up a new network of Regional Ambassadors across England to promote general practice and ensure the support and investment set out in the GP Forward View is delivered to practices as quickly as possible.
An early priority for the Regional Ambassadors will be to engage with the 44 new Sustainability and Transformation Plan (STP) Footprints. These are regional bodies in England that have significant powers over investment in health and social care services in their areas - including general practice.
How will the General Practice Forward View improve the patient experience?
Easier to make a GP appointment for patients
5000 more GPs, greater training of non-clinical staff to deal with paperwork, and a reduction of the bureaucracy GPs have to deal with will mean more time available to be spent where it matters, with patients. More appointments will be available to book online, making access to general practice easier for busy people.
More GP services will be available within the community
Assessments and treatments which used to need a hospital visit will now be offered within the community, helping make sure patients have easier access to the services they need.
Reduction in the number of unnecessary hospital admissions
A coordinated approach to assessments and care planning, and more nurses based in the community for patients who need long term support, will reduce hospital admissions.
Improved continuity of care
Helping GPs to stay in work for longer and supporting locum GPs to stay in the same place for extended periods will improve continuity of care for patients, meaning they are more likely to be able to see the same GP each appointment.
Safer more convenient care for patients
The move to a paperless, coded system and changes in the rules around referrals will improve patient safety and create a quicker, more seamless experience for patients receiving hospital care.
More emphasis on prevention, helping patients to stay active longer
Specialist staff will be available to support patients at risk of needing to leave work, with 3000 additional mental health workers, and a focus on early intervention for back pain and other musculoskeletal problems.
Getting to see the right person more quickly
Increasing the skills available to general practice teams will mean patients see the most appropriate person to help them more quickly and easily. New ways of approaching care will mean specialist pharmacists, mental health workers, social workers, voluntary sector workers and practice nurses will be accessible within practices for patients to see if they wish, freeing up GP time for complex cases.
Helping patients to manage their own care
As well as helping patients with long term conditions to plan and manage their treatments in consultation with their GP, self-care and the management of minor illnesses will be promoted, ensuring the resources in general practice are available to help patients when they need them.
Protection from local practice closure
A new safety net for struggling GP practices will be created, protecting patients from experiencing the anxiety and disruption of practice closures. New teams of experts will be ready to be brought in where practices need help, to build up capacity and quality, and make them sustainable again.
More modern healthcare environment
More investment will be put into the GP surgery environment, with wifi available for staff and patients, and improved buildings providing space for bigger multidisciplinary teams and a modern, safe environment for patients.
Action to tackle health inequalities
A fairer funding formula for general practice, which will lead to more money being available per patient for practices in deprived and rural areas.