Presentation at Healthy London Partnership event, 19 Apr 17

1. #GPforwardview
#GPforwardview
GENERAL PRACTICE
FORWARD VIEW
Dr Robert Varnam
Director of General Practice Development
@robertvarnam
Online consultations
Why? What? How?
bit.ly/170419

2. #GPforwardview
#GPforwardview
GENERAL PRACTICE
FORWARD VIEW
Why?

3. #GPforwardview
GENERAL PRACTICE
FORWARD VIEW Deliver the promise

4. #GPforwardview
GENERAL PRACTICE
FORWARD VIEW Delivering the promise
General practice is great, but we can help it
deliver more of its potential…
Access: easier for patients to get us when they need us
Comprehensiveness: biopsychosocial / holistic care
Population: systems and partnerships for wellbeing
Empowerment: systematic approach to enabling self-care
Appropriateness: right person doing the right thing

5. #GPforwardview
GENERAL PRACTICE
FORWARD VIEW Delivering the promise
General practice is great, but we can help it
deliver more of its potential…
Access
Comprehensiveness
Population
Empowerment
Appropriateness
Priorities for action:
• workforce development
• service redesign
• self care
• technology

6. #GPforwardview
GENERAL PRACTICE
FORWARD VIEW How can technology help?
Accessibility for patients
Appropriateness
• doing transactional things
transactionally
• signposting to right person
• match consultation type to need
Self care
• symptom checkers
• signposting
• information on conditions and
management
• self monitoring
Proactive care
• reminders
• automation
Population management
• population health analytics
• lifestyle checkers
Collaborative care
• shared records
• distributed team working
Productive work
• automation
• shared records
• business intelligence

7. #GPforwardview
If general practice fails,
the whole NHS fails.
Simon Stevens

8. #GPforwardview
10 High Impact Actions to release time for care
Innovations from around England
that release time for GPs to do
more of what only they can do.
bit.ly/gpcapacityforum

9. #GPforwardview
#GPforwardview
GENERAL PRACTICE
FORWARD VIEW
Online consultations fund
bit.ly/gpfvonlineconsultations
What?

10. #GPforwardview
GENERAL PRACTICE
FORWARD VIEW Online consultations fund
From 2017/18
• £45m over 3y, weighted capitation
… average £0.80/pt
• Allocation via CCGs, for procurement
by practice / federation / CCG
0
5
10
15
20
Nationalfund(£m)
2017/18 2018/19 2019/20
• Available for every practice
• To pay towards costs of purchasing & using software to
enable patients to consult their practice through an
app/web portal
• National support:
• national commercial and procurement hub
• resources to support patient uptake
• Alignment: consider implementing alongside active
signposting + phone consultations + flow redesign +
document management

11. #GPforwardview
#GPforwardview
GENERAL PRACTICE
FORWARD VIEW
Top tips
How?

12. #GPforwardview
GENERAL PRACTICE
FORWARD VIEW Top tips
• Engage patients from the outset
• Help every member of staff promote it
• Help every clinician make the most of it
• Be wary about artificial constraints / one size fits all
• Use implementation support (eg Time for Care)
Cautions
• Don’t add unnecessary requirements (on software /
practices)
• Evidence shows very little uptake of video consultations
• Releasing GP capacity is a top priority
• Grow personal aspects of care, inc continuity

13. #GPforwardview
#GPforwardview
GENERAL PRACTICE
FORWARD VIEW
bit.ly/gpfvonlineconsultations
www.england.nhs.uk/gpdp
england.gpdevelopment@nhs.net
bit.ly/170419