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Co-commissioning 
Why ? 
Robert Varnam 
Head of general practice development 
@NHSEngland @robertvarnam 
www.england.nhs.uk #pmcf @NHSEngland
Why? 
The future of primary care 
Dr Robert Varnam PhD MSc MRCGP 
@robertvarnam 
robert.varnam@nhs.net 
www.england.nhs.uk
www.england.nhs.uk
www.england.nhs.uk 
bit.ly/nhs5yfv
www.england.nhs.uk 
?
Health & wellbeing-promoting care 
Responsive access Consistently high quality 
Holistic, personalised, proactive, coordinated care 
‘Wider primary care, at scale’
www.england.nhs.uk 
bit.ly/nhs5yfv
New deal for primary care 
• Workforce 
• Access 
• Under-doctored areas 
• Core funding 
• Infrastructure 
• Co-commissioning 
www.england.nhs.uk
Two specimens 
 Multispeciality Community Providers (MCPs) 
 Primary and Acute Care Systems (PACS) 
www.england.nhs.uk
Two specimens 
 Multispeciality Community Providers (MCPs) 
GP practices 
Community nurses 
Therapists 
Diagnostics 
Pharmacy 
Dentistry 
Specialists 
www.england.nhs.uk
vimeo.com/album/3133652 
www.england.nhs.uk changemodel.nhs.uk

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Co commisioning - why - robert varnam

Editor's Notes

  1. In terms of the ‘how’ of planning and leading this kind of change, every component of the NHS Change Model is essential. It is also vital that leaders ensure each is aligned behind the purpose of the change, and not pulling in a different direction.