Open House Workshop
Transforming London’s Primary Care
17th June 2014

Challenges for London’s general practice
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Growing and ageing population
Increasingly complex conditions
Stark health inequalities and varying performance
Growing patient expectations
Financial pressures
A&E and acute services under strain
Infrastructure which is not fit for purpose
“It’s clear that we need to change the way we work. Transformation needs to be
radical and long-term – tweaking around the edges won’t cut it this time.”
Dr Clare Gerada

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London voices are united on the need for change

Accessible
Care
Coordinated
Care
Proactive
Care
Transforming Services

Improving primary care: New GP standards for London
Accessible Care
Better access to routine and urgent care from primary care
professionals, at a time that’s convenient and with a professional of
choice.
Coordinated Care
Greater continuity of care between NHS and social services, named
clinicians, and more time with patients who need it.
Proactive Care
More health prevention by working in partnerships to reduce
morbidity, premature mortality, health inequalities, and the
future burden of disease in the capital. Treating the causes, not
just the symptoms.
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What could London’s patients expect in future?
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“I don’t have to take time off work to
access my GP practice. Appointments now
fit my lifestyle.”
“I know my care is being coordinated by a
team who knows me and my complex
conditions, from one service to another.”
“I get the care and support that enables me
to live the life I want to the best of my
ability.”
“I can contact my practice by email, phone
and online.”
“I’m clear about the ways I can improve my
own health and wellbeing and the
resources available to support me.”

Next steps for the GP development standards
Once agreed, the standards will be rolled out for implementation over the next 3 - 5 years.
On-going work to scope the costs and route map for securing delivery of the standards
across London.
Publish draft standards for wider public engagement later this year, with a growing
consensus around what London needs.
Test the ambition of the standards with a wider clinical, patient and charity audience. This
is taking place over the summer.
Work on developing draft GP Standards was led by expert GPs, building on the national
vision for primary care.
Transforming primary care: General practice – A Call to Action was published to start a
debate.
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My General Practice
1. The things I really like about my practice are ……….
2. It would be great if my practice …………..

Patient groups Example service goals Example – how care will be different
Coordinated
care
I may require...
...care coordination
...care from an extended
care team
...more specialist care
Accessible
care
I may require...
...rapid, urgent access
...convenient routine
care
...continuity of care
from a named GP
• Patients will have access from
8am-8pm, 7 days a week and
365 days a year
• Patients will only be asked to
make one call or click in order
to make an appointment
• Patients will be able to book 4
weeks ahead
• Same day response for urgent
Proactive care
• Patients identified for
coordinated care will have:
- Involvement in their care
planning
- Named GP / lead clinician and
team from which they routinely
receive care
- Multi-disciplinary reviews
“I will be supported to manage my own
health with greater confidence, knowledge
and responsibility”
“My care will be coordinated, rather than
fragmented and transitions between
services will be seamless”
“I will be able to book ahead with my GP, at
least four weeks ahead”
“I will only have to make one call or click in
order to make an appointment”
“I will be able to have consultations via
telephone, email or skype”
I am
...self reliant
...socially reliant on
others
...medically reliant
• Patients will be asked about
their wellbeing, capacity for
improving their own health, and
their health improvement goals
• Co-design approaches to
improving health and wellbeing
building social capital
“I will have information tailored to my
needs on when, where and how to access
health and wellbeing support in my
community”
“My local practices will work with our local
communities to discuss the population’s
health needs and co-design new services in
the community that support people to stay
well
That service offered must be personalised & adaptable to patient
needs as they change over the course of their lives
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