Presentation at the RCGP East Anglia faculty annual symposium. Reflections on the current pressures facing general practice, the vision presented in the NHS Five Year Forward View and some of the ways in which practices can lead for the future
Presentation at NHS Expo 2014. A review of the need to release capacity in general practice, the impact of the Productive General Practice programme so far, and top tips about deploying the programme for maximum benefit.
RECORDING is here: http://www.screencast.com/t/ySvkzxftg
A review of some of the pitfalls in planning local practice development programmes, and a suggestions for how to produce a comprehensive and coherent plan that will achieve meaningful goals
Active signposting. Training reception staff and providing tailored information about services, to connect patients with the most appropriate source of help and advice. Featuring West Wakefield's approach. David Cowan. Social Prescribing & Care Navigation Lead , West Wakefield Health & Wellbeing.
View the video at https://vimeo.com/113578615 (password "cumberland")
Presentation to RCGP Thames Valley leadership event, Cumberland Lodge, Windsor on 25.11.2014.
2.2 Develop the team - nursing - Melissa Canavan, Sarah AndersonNHS England
Develop the team - nursing. Developing nursing roles in primary care. Reviewing a wide range of initiatives including from Manchester, Gateshead and Hanwell. Melissa Canavan and Sarah Anderson, Leeds Respiratory Network.
Presentation at NHS Expo 2014. A review of the need to release capacity in general practice, the impact of the Productive General Practice programme so far, and top tips about deploying the programme for maximum benefit.
RECORDING is here: http://www.screencast.com/t/ySvkzxftg
A review of some of the pitfalls in planning local practice development programmes, and a suggestions for how to produce a comprehensive and coherent plan that will achieve meaningful goals
Active signposting. Training reception staff and providing tailored information about services, to connect patients with the most appropriate source of help and advice. Featuring West Wakefield's approach. David Cowan. Social Prescribing & Care Navigation Lead , West Wakefield Health & Wellbeing.
View the video at https://vimeo.com/113578615 (password "cumberland")
Presentation to RCGP Thames Valley leadership event, Cumberland Lodge, Windsor on 25.11.2014.
2.2 Develop the team - nursing - Melissa Canavan, Sarah AndersonNHS England
Develop the team - nursing. Developing nursing roles in primary care. Reviewing a wide range of initiatives including from Manchester, Gateshead and Hanwell. Melissa Canavan and Sarah Anderson, Leeds Respiratory Network.
Can practice managers save the NHS (CHEC practice manager masterclass)Robert Varnam Coaching
Presentation to the CHEC annual practice managers' masterclass in Nottingham, 25 June 2015. Where does general practice fit in the future of the NHS? What are the challenges and opportunities practice face? How can practice managers accelerate progress by releasing GP capacity?
1.5 Develop QI expertise - Sue Collis, Dr Farzana HussainNHS England
Develop QI expertise. Using Quality Improvement tools and techniques in practice, and building capabilities for improvement. Featuring practical examples from Newham and the national general practice development programme. Sue Collis, Development advisor, Sustainable Improvement Team, NHS England, and Dr Farzana Hussain. GP, Newham.
3.2 Hubs and collaboration - Steven HaighNHS England
Hubs and collaboration. Hub-based working and collaborating across boundaries to improve access and care. Including examples from Sheffield, Devon and Cornwall. Steven Haigh, Primary Care Sheffield.
1.4 Document management - Dr Hasnain AbbasiNHS England
Document management. Training clerical staff to manage incoming clinical correspondence. With examples and training updates from Brighton and London. Dr Hasnain Abbasi, Director, AT Medics, London and Dr Jonathan Serjeant, Medical director, HERE, Brighton.
2.2 Develop the team - nursing - Sheinaz StansfieldNHS England
Develop the team - nursing. Developing nursing roles in primary care. Reviewing a wide range of initiatives including from Manchester, Gateshead and Hanwell. Sheinaz Stansfield, Oxford Terrace and Rawling Road Medical Group, Gateshead;
Presentation at 2016 annual conference of the Royal New Zealand College of GPs (RNZCGP), Auckland, 28 July 2016.
A quick look at just some of the new ways in which GP practices in England are engaging differently with patients and the public. The last few years have witnessed a lot of innovation in the population arena, in communities and in clinical care. All of these are about sharing knowledge, decisions and power with the people we serve.
Presentation at Pulse Live, Liverpool 2 Oct 2018. What are the potential benefits of primary care networks for patients and staff? What can we learn about how to approach the process of establishing a productive primary care network?
1.1 Demand led appointment systems - Steve Clay, Clinical Director, Productiv...NHS England
Demand led appointment systems. Redesigning the appointments system to match capacity with demand. Featuring experience of supporting practices to understand and meet demand better - Steve Clay, Clinical Director, Productive Primary Care.
Seven Day Services - Practical Solutions – Weekend Ward Round RosteringNHS England
This presentation describes how Torbay & South Devon NHS Foundation Trust have reviewed and implemented new working models for consultant teams to improve weekend cover. The proportion of discharges across whole organisation on a Saturday rose from 9.6-10.4% and on a Sunday from 7.6-8.0%. Teams reported feeling more supported and achievement of clinical standard 2 significantly improved.
Improving Access to Seven Day Services: one size does not fit all NHS Improving Quality
Presentation given by Dr Rob Haigh, Deputy Medical Director and Chief of Medicine, Western Sussex Hospital NHS Foundation Trust, at the Improving access to seven day services event. Crawley 11 March 2015.
What will my on-site clinic look like? Who will I get to staff it? What services will I offer? These are some of the questions you could be asking yourself if you’re interested in offering an on-site clinic to your employees. And actually, there are a lot of potential answers to those questions.
To help figure out solutions that work for you, this two-part webinar series will explain the most popular and effective characteristics of on-site clinics in Wisconsin.
Presentation at Commissioning Live Birmingham 2016 about the actions CCGs can take to sustain and transform general practice by releasing time for care.
Can practice managers save the NHS (CHEC practice manager masterclass)Robert Varnam Coaching
Presentation to the CHEC annual practice managers' masterclass in Nottingham, 25 June 2015. Where does general practice fit in the future of the NHS? What are the challenges and opportunities practice face? How can practice managers accelerate progress by releasing GP capacity?
1.5 Develop QI expertise - Sue Collis, Dr Farzana HussainNHS England
Develop QI expertise. Using Quality Improvement tools and techniques in practice, and building capabilities for improvement. Featuring practical examples from Newham and the national general practice development programme. Sue Collis, Development advisor, Sustainable Improvement Team, NHS England, and Dr Farzana Hussain. GP, Newham.
3.2 Hubs and collaboration - Steven HaighNHS England
Hubs and collaboration. Hub-based working and collaborating across boundaries to improve access and care. Including examples from Sheffield, Devon and Cornwall. Steven Haigh, Primary Care Sheffield.
1.4 Document management - Dr Hasnain AbbasiNHS England
Document management. Training clerical staff to manage incoming clinical correspondence. With examples and training updates from Brighton and London. Dr Hasnain Abbasi, Director, AT Medics, London and Dr Jonathan Serjeant, Medical director, HERE, Brighton.
2.2 Develop the team - nursing - Sheinaz StansfieldNHS England
Develop the team - nursing. Developing nursing roles in primary care. Reviewing a wide range of initiatives including from Manchester, Gateshead and Hanwell. Sheinaz Stansfield, Oxford Terrace and Rawling Road Medical Group, Gateshead;
Presentation at 2016 annual conference of the Royal New Zealand College of GPs (RNZCGP), Auckland, 28 July 2016.
A quick look at just some of the new ways in which GP practices in England are engaging differently with patients and the public. The last few years have witnessed a lot of innovation in the population arena, in communities and in clinical care. All of these are about sharing knowledge, decisions and power with the people we serve.
Presentation at Pulse Live, Liverpool 2 Oct 2018. What are the potential benefits of primary care networks for patients and staff? What can we learn about how to approach the process of establishing a productive primary care network?
1.1 Demand led appointment systems - Steve Clay, Clinical Director, Productiv...NHS England
Demand led appointment systems. Redesigning the appointments system to match capacity with demand. Featuring experience of supporting practices to understand and meet demand better - Steve Clay, Clinical Director, Productive Primary Care.
Seven Day Services - Practical Solutions – Weekend Ward Round RosteringNHS England
This presentation describes how Torbay & South Devon NHS Foundation Trust have reviewed and implemented new working models for consultant teams to improve weekend cover. The proportion of discharges across whole organisation on a Saturday rose from 9.6-10.4% and on a Sunday from 7.6-8.0%. Teams reported feeling more supported and achievement of clinical standard 2 significantly improved.
Improving Access to Seven Day Services: one size does not fit all NHS Improving Quality
Presentation given by Dr Rob Haigh, Deputy Medical Director and Chief of Medicine, Western Sussex Hospital NHS Foundation Trust, at the Improving access to seven day services event. Crawley 11 March 2015.
What will my on-site clinic look like? Who will I get to staff it? What services will I offer? These are some of the questions you could be asking yourself if you’re interested in offering an on-site clinic to your employees. And actually, there are a lot of potential answers to those questions.
To help figure out solutions that work for you, this two-part webinar series will explain the most popular and effective characteristics of on-site clinics in Wisconsin.
Presentation at Commissioning Live Birmingham 2016 about the actions CCGs can take to sustain and transform general practice by releasing time for care.
The future of primary care and implementing workforce innovations (Wessex AHSN)Robert Varnam Coaching
Presentation at Wessex AHSN event "Lifeline for general practice" event in Southampton. Including updates about the national general practice development programme, and tips on making a success of new ways of working.
Greater Manchester's visionary approach to integrated care
Delivered by the Greater Manchester Health and Social Care Partnership
Day Two, Pop-up University 8, 16.00
Presentation to NHS Alliance annual conference 2014 http://www.nhsalliance.org/conference/breaking-boundaries-beyond-2014/
This presentation considers why co-commisioning of primary care is going to be helpful. It introduces
NHS England's vision for the kind of care offer patients should receive from primary care, and some of the implications for providers and commissioners.
View of the strengths of primary care, ways to release more of their potential and the contribution of the General Practice Forward View. At county-wide primary care, Worcestershire.
Presentation at Commissioning Live, London 05/03/15
Here I consider where we're up to in the NHS in England with establishing integrated care built on the strengths of the primary care team. Reflecting on the NHS Five Year Forward View and the Call to Action on General Practice, I conclude there is much to be done still. I use our recent experience of the Prime Minister's Challenge Fund to suggest ways in which CCGs can accelerate primary care transformation.
LTC year of care commissioning early implementer sites workshop held on 1 December 2014. Featuring Dr Martin McShane, Rob Meaker and Renata Drinkwater.
A presentation to start a workshop with community pharmacists on the contribution of pharmacy to the NHS Five Year Forward View, Health and Wellbeing Strategy and Sustainability and Transformation Plan
Presentations from Session I11 at the International Forum on Quality and Safety in Healthcare, London 21-24 April. http://internationalforum.bmj.com/
Introduced by Robert Varnam, this session reviewed the lessons being learned since groups of primary care practices were given 75% of the health budget of England in 2013.
More information can be found in our Storify at
Slides from the Midlands and East long term conditions learning event held in Leicester on 3 November 2015. These include simulation modelling, ethnography research and links to long term conditions resources
NHS England and partners have published six Quick Guides to bring clarity on how best to work with the care sector. They can be accessed at www.nhs.uk/quickguides
Want to find out how the care sector can support local systems in the run up to winter? Want to break down barriers between health and care organisations? Want to find out how Leicester has achieved a 60% reduction in care home admission costs? Want to finally break down the myths around sharing patient information and assessments? Want to use other people's ideas and resources?
Webinar outcomes:
Introduction to the care homes quick guides
Two examples of models referenced in the guides:
- Angela Dempsey, Baker Tilly on the Quest4care tool
- Dawn Moody on MDT working and a model implemented in a CCG
Guest Speakers: Nicola Spencer and Emily Carter - NHS England
The future of general practice - how can the PM Challenge Fund help?Robert Varnam Coaching
A presentation to GPs in Worcester, reflecting on the challenges facing general practice, presenting the emerging evidence about successful GP federations and suggesting ways in which GP practices can take their destiny in their hands and release more of their potential.
Similar to The future of general practice, Robert Varnam (20)
Presentation to RCGP First5 GPs in the BSOL STP. Where to begin when designing an improvement in healthcare? The end! Which involves overcoming 2 common pitfalls.
Presentation to Dudley CCG members' meeting, 26 Mar 2019. Looking at the lessons from some of the successes and disappointments of integrated care, and some of the top tips for redesigning general practice to release more of its potential.
Primary care networks, realising the potential and avoiding the pitfallsRobert Varnam Coaching
Presentation at the Management in Practice conference, 4 December 2018. What are we learning about the potential benefits of primary care networks for patients and practices, and the practicalities of realising the potential?
Keynote talk at Best Practice 2018. Observations about the critical success factors for leaders wishing to unpack the potential of primary care networks to benefits patients and GP practices.
Workshop at Health and Care Innovation Expo 2018, in Manchester. It can take up to 20 years for good innovations to be adopted in healthcare. However, the recently published 10 High Impact Actions for general practice are spreading faster than we have ever seen. Why? Learn about what's different, and how you can increase success in your own work.
The presentation examines the role of five stages in the innovation journey in determining success: the innovators, the innovation, packaging, spread and adoption. Examples are provided of how each can present a barrier, and how the national Time for Care programme has sought to overcome them.
Designing the future primary care workforce (SouthWest workshop 23/04/18)Robert Varnam Coaching
Presentation to CCG and STP workforce leads in the SouthWest about the future of primary care, the workforce implications and common pitfalls to avoid.
A brief overview of the support aavailable in the General Practice Forward to help practices implement changes that will release time for care. Presenation to Lincolnshire LMC 25/05/17
Presentation to practices in Lincolnshire, looking at the strengths of primary care, the ways in which it could deliver more of the promise and emerging lessons about successful at-scale primary care.
1. www.england.nhs.uk @robertvarnam
The future of
general
practice
Dr Robert Varnam
Head of general practice development
robert.varnam@nhs.net
@robertvarnam
King’s Lynn
9 June 2015
8. Health & wellbeing-promoting care
‘Right access’ Consistently high quality
Holistic, personalised, proactive, coordinated care
Better joined-up care for a population of registered people
bit.ly/nhs5yfv
‘Wider primary care, at scale’
11. Direct specialist advice.
Condition management training.
Shared records.
Care coordination.
Hospital in-reach.
Care home ward rounds.
Virtual ward.
Primary care-employed specialists.
14. www.england.nhs.uk @robertvarnam
Funding
Co-commissioning
Increased funding
Fairer funding
Care innovations
Prime Minister’s
Challenge Fund
innovations
Workforce
Recruitment, retention,
returners
Nursing, pharmacy
Wellbeing workforce
Multispeciality Community Providers (MCPs)
Primary and Acute Care Systems (PACS)
New organisational forms
Infrastructure
Premises
Digital primary care
New deal for primary care
15. www.england.nhs.uk @robertvarnam
Multispeciality Community Providers
GP
practice
GP
practice
GP
practice
GP
practice
GP
practice
GP
practice
GP
practice
GP
practice
Specialists Pharmacists
Community provider
SC provider
VCS
VCS
VCS
MH Trust
VCS
VCS
VCS
16. www.england.nhs.uk @robertvarnam
Primary and Acute Care Systems
Community
provider
SC
provider
VCSMH Trust
Acute
provider
GP
practice
GP
practice
GP
practice
GP
practice
GP
practice
GP
practice
GP
practice
GP
practice
18. www.england.nhs.uk @robertvarnam
1. What kind of care?
• Holistic, comprehensive, cradle-to-grave family care
• Health & wellbeing-promoting care
• ‘Right access’ (time, place, person, care)
• Consistently high quality
• Holistic, personalised, proactive, coordinated care
19. www.england.nhs.uk @robertvarnam
2. What kind of work?
• Segmented (one size does not fit all)
• Multiprofessional teamworking
• bring new skills
• work to the top of our skills
• Partnership with patients & community
• Longer consultations with fewer patients
• GP not always 1st port of call
• Direct access diagnostics
• ‘Pull-in’ specialist advice
21. www.england.nhs.uk @robertvarnam
3. What kind of practice?
Big enough for:
• meaningful accountability
• resilience
• collaboration
• broader workforce
• minor illness nurses, pharmacist, MH practitioner,
welfare rights, OT, physio, LTC nurses, HCA, PA
• pull-in power
• economies of scale
22. www.england.nhs.uk @robertvarnam
3. What kind of practice?
Competent:
• develop the workforce
• look after the workforce
• continually develop people
• highly skilled business planning & operational
management
• service improvement
• clinical governance
• clinical care
25. www.england.nhs.uk @robertvarnam
3. What kind of practice?
Personal:
• deliberately designed systems, teamwork & processes
to promote continuity
• proactive coordinated care
• connecting patients with non-medical support
• using tech to promote wellbeing, self-care and
management
• known in the community