Talk delivered at the British Association of Pakistani General Practitioners in Nottingham 12th November 2022 exploring the Partnership model and what can we do to improve things

1. Over the Horizon
Challenges to
GP Partnership
Dr Amir Hannan
Full-time (9 sessions) General Practitioner Partner
Haughton Thornley Medical Centres, Hyde, Tameside, Greater Manchester, www.htmc.co.uk
Chair, West Pennine Local Medical Committee
Chair, Association of Greater Manchester Local Medical Committees
Chair Muslim Health Professional Network, British Muslim Heritage Centre
Chair World Health Innovation Summit
amir.hannan@nhs.net

2. With thanks to eGPLearning, Dr Ghandi https://twitter.com/drgandalf52

3. With thanks to eGPLearning, Dr Ghandi https://twitter.com/drgandalf52

4. https://app.powerbi.com/view?r=eyJrIjoiYTM4ZTA3NGItMTM2Mi00NzAwLWEyY2QtNDgyZDkxOTk3M
mFlIiwidCI6IjUwZjYwNzFmLWJiZmUtNDAxYS04ODAzLTY3Mzc0OGU2MjllMiIsImMiOjh9
https://digital.nhs.uk/data-and-information/publications/statistical/general-and-personal-medical-
services/30-september-2022

6. https://www.gponline.com/gp-partnership-model-dead-within-10-years-says-nhs-england-gp/article/1311507

7. GP Partnership Review – 15th Jan 2019
The strengths of general practice include:
• organising care based on a registered list, with the vast majority of
the population registered with a practice;
• providing care from cradle to grave;
• having a holistic approach to care, looking after the whole person and
not simply focusing on one disease or a single episode of care;
• knowing more than one generation in a family, having a lifelong
medical record;
• providing continuity of care where needed;
• managing the undifferentiated presentation of symptoms.
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/770916/gp-partnership-review-final-report.pdf

8. • Continuity of care is beneficial for all patients
• GP Partnership model offers opportunity to innovate and
improve
• Partnership remains an efficient and effective model for
general practice if properly funded and supported
• There is a crisis in General Practice
• Expand GP training places and ensure they are spread
more equitably
• Standardise training for reception staff
• Continuity of care is one of the most important goals
• There is no policy to end the GP partnership model
• No mention of patient online services
• No mention of health literacy
• No mention of “partnership working”

9. https://digital.nhs.uk/services/nhs-app/nhs-app-guidance-for-gp-practices/guidance-on-nhs-app-
features/accelerating-patient-access-to-their-record/offering-patients-access-to-their-future-health-information
https://digital.nhs.uk/services/nhs-app/nhs-app-guidance-for-gp-practices/guidance-on-nhs-app-features/accelerating-patient-
access-to-their-record/update-from-nhs-england

10. https://tinyurl.com/AssocGMLMCsSafetyRecordsAccess

11. NHS England’s guidance on “Accelerating Citizen Access
to GP Data” is causing significant concerns for GP
practices due to factual, contractual, technical, legal,
financial, clinical, ethical and patient issues leading to
potential or real harm for patient care. This could put
more pressure on General Practice and the wider
NHS. NHS England’s insistence that they will direct
system suppliers to switch on prospective access
without adequate safeguards in place could bring the
whole profession into disrepute and risk the doctor-
patient relationship that is the bedrock of what we do.

15. Haughton Thornley Medical Centres
Mission Statement
There for you all your life,
your good health with our
support, empowering you to live
well

16. Patients, carers and information are the
most under-utilized resources the NHS has
https://tinyurl.com/HTMCEmpoweredPatient https://tinyurl.com/HTMCHeartFailure

17. Opt-in Explicit Consent Model
http://www.htmc.co.uk/GetAccessNow/

18. The flying, empowered patient
Patient
Engage
/
Create
Interest
Enable Inform Activate
Reactivate
Build
momentum
Flying
Empowered
Patient
Safety
Netting

19. Partnership of Trust

20. Practice-based Web Portal
www.htmc.co.uk

21. For latest data at Haughton Thornley Medical Centres please see https://tinyurl.com/HTMCPatientsWhoCanReadDocNotes

22. Type of patient How many have signed up %
COVID19 positive 2673/2899 92%
Asthma 1700/1940 87%
COPD 296/394 75%
Diabetes 818/980 83%
Cancer 360/445 80%
Depression / Anxiety 3533/4068 86%
Carers 390/434 89%
Heart failure 95/120 79%
Pregnant 70/71 98%
Learning disability 62/84 73%
Bengali patients 1427/1623 87%
Medications ordered online 3961/12817 30%
Total patients 10511/12817 82%
For latest data at Haughton Thornley Medical Centres please see https://tinyurl.com/HTMCPatientsWhoCanReadDocNotes

23. https://www.bbc.co.uk/programmes/m001ddtx
25th October 2022 BBC Radio 4
https://twitter.com/JamesTGallagher/status/1584964933883920384?s=20&t=fPbftbB57cX84SZwKH4aIQ
https://twitter.com/i/events/1584997139113017363

24. South Manchester Muslim Walking Group
Families Walk Together!
https://smmwgroup.wixsite.com/smmuslimwalkinggroup

25. What can we do?
• Do not give up – it is not (yet) a lost cause
• Look after yourself – there is a long and windy journey ahead
• “Necessity is the mother of inventions”
• “The future is already here, it is just not evenly distributed” William Gibson
• Measure what you can improve but not all things can be measured
• The Secret: Ask, Believe, Receive
• Make it fun, easy & together
• Want to be a Partner?

26. 3 point plan
• Inspire patients, clinicians and managers to build trust, collaborate,
pledge
• Believe you can do this NOW, not some time later
• Feel you have already achieved because the steps necessary are
already around YOU
Become the empowered and the empowerer!
The GP Partnership is not dead!