One of the key aims of the document is to enable general practice and primary care services to play a stronger role at the heart of an integrated community-based health system. This will mean patients having access to a broader range of services from primary care within their own homes and communities, with general practice taking on a more central coordinating role and delivering comprehensive care in collaboration with other services. For patients with long-term conditions, the goal is to ensure they can access all the necessary support and care from primary care services. The document discusses how the Primary Care Commissioning CIC can help clinical commissioning groups and practices develop new models of general practice through programs that facilitate discussions, share expertise, and provide project support.

1. Transforming primary care
Development and support programme
© 2014 Primary Care Commissioning CIC

2. Everyone Counts: Planning for Patients 2014/15 to 2018/19
General practice and primary care at the heart of transforming the NHS
One of our key aims is to enable general practice,
community pharmacy and other primary care services
to play a much stronger role, at the heart of a more
integrated system of community-based services.
This will mean access to a broader range of services in primary
care, in their own homes and in their communities, centred on a
much more pivotal and expanded role for general practice to
co-ordinate and deliver comprehensive care in collaboration
with community services and expert clinicians.
For those patients with a moderate mental or
physical long-term condition (about 20 percent
of the population) we need to secure access to all
the support and care they need from wider
primary care, provided at scale.
© 2014 Primary Care Commissioning CIC

3. General practice – the hub of care
Integrated community
based health and
social care
Integrated community
based healthcare
Integrated
general practice

4. Transforming primary care
New models of general
practice
Transforming
primary care
Outcomes based
commissioning
Practices
Developing change
through better
engagement
CCGs
Area teams

5. Developing primary and community based services
Everyone Counts: Planning for Patients 2014/15 to 2018/19 sets out the need to transform service models.
Commissioners need the vision and delivery plans to enable this transformation. PCC works with area teams, CCGs
and practices to deliver this change.
Access to national leaders
and experts
Developing the vision for
community based care
DEVELOPMENT
Vision for general practice
Facilitated networking
Potential for community
nursing
Community based care
plans
Facilitated development
programmes
Role of primary care in
commissioning for outcomes
Developing new models of
general practice
Project management
© 2014 Primary Care Commissioning CIC

6. Developing general practice programme design
PCC develops programmes and interventions with CCGs and practices across the country. We design and deliver
tailored support to enable practices to understand the bigger picture and agree development plans.
CCGs and members are looking at new business models to:
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Ensure sustainability
Support primary care to develop
Protect what is great about general practice
Safeguard recruitment and retention
Create the platform for community based health care
Make the most of opportunities
Develop generalist led, patient centred integrated services
“The workshop really lit the blue touch paper”
Dr Richard Bull, Clinical Lead North
Derbyshire CCG,
How PCC can help
„I cannot believe how much we got agreed‟
Jacqui Tonge, practice manager
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Share our experience of supporting other groups of practices
Independent insight and advice
Understanding of general practice issues and ambitions
Knowledge of regulation, policy, funding and contracts
Expert facilitators to help create consensus
Programme design, planning and management
Project support to make it happen
Partnerships with trusted general practice experts
© 2014 Primary Care Commissioning CIC

7. Developing general practice programme
PCC is working with CCGs and practices across the county in the development of new models for general practice.
In doing so we have developed a clear programme to facilitate and develop a solution that meets the local
requirements.
Create awareness,
start conversation
Develop vision and
priorities
Develop business
model
[
Develop legal
framework
Get commitment from
practices
Establish
governance
frameworks
© 2014 Primary Care Commissioning CIC

8. Practical support for local solutions
Facilitated development
To develop new models of working
practices need to come together to
explore common vision and values.
PCC uses its expert facilitators to
support development and facilitate
agreement.
Insight
Our support for you is informed by
experience working with practices in
other parts of the country. It starts with
raising of awareness of the
opportunities for collaborative working
and leads to practical considerations
of form and function. We help you to
clarify the vision and mission and plan
the necessary governance
arrangements.
Experts
We provide expert advice, including
access to business planning and legal
specialists, to assure your plans and
put them on the path to
implementation.
© 2014 Primary Care Commissioning CIC

9. Example workshops
Procurement and responding to tenders
Legal considerations
• The changing face of community based services
• Procurement
• How to win tenders
• Legal requirements for collaborative working
• Mergers
• Legal entities to enable collaborative working
Key considerations
Governance
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• The corporate governance for legal entities
• Developing the operational governance frameworks
• Clinical
• Information
• Financial
Existing models for collaborative working
Making form follow function
The potential for general practice
Mission vision and values
“Well worth the
money”
Dr Anita Patel, North
Barnet locality lead
Commercial success
• Establishing the vision
• Setting up an entity
• Understanding the procurement opportunities
© 2014 Primary Care Commissioning CIC
“Very helpful, clearly
presented, practical
information. Honest and clear
answers to difficult questions”
Dr Andy John, GP

10. Case studies: our experience
North Derbyshire CCG
What we were asked to do
As part of the development of its primary care strategy the CCG requested our support to raise
awareness of the need for change within general practice and identify the steps to achieve it
Outcome
PCC delivered an awareness raising session for practices to understand the drivers and opportunities for
change. The session used scenarios to enable practices to discuss options objectively. In a separate
session practices scoped an approach. PCC ran a workshop with representatives from all practices to
discuss the plan and developed a roadmap for the practices. The practices agreed a clear set of priority
areas to develop and confirmed next steps and actions.
Isle of Wight practices
What we were asked to do
Isle of Wight CCG requested support for their member practices to understand how they could work
together more effectively.
Outcome
PCC ran a session with practice managers to gauge the potential of and desire for collaborative
working. Managers were able to consolidate their positions, develop proposals and form a working
group. A second event allowed GPs to consider a range of potential options and agree the plan. As a
result there was CCG-wide agreement to invest in jointly provided services including minor injuries and
acute home visiting, phlebotomy and anti-coagulation, and a notes summarising service.
© 2014 Primary Care Commissioning CIC

11. Case studies: our experience
Wyre Forest GP Association
What we were asked to do
PCC provided workshops for Worcestershire CCGs on the legal considerations for collaborative
working. Subsequently Wyre Forest GPs requested further support to develop their approach.
Outcome
PCC designed and delivered a workshop that enabled the practices to explore their fears and
understand the opportunities of formal collaboration. Working through the issues enabled the practices
to agree a collaborative approach and develop an action plan to make it happen.
Lewisham practices
What we were asked to do
Practices in Lewisham wanted to measure the appetite for collaborative working among all the practices
in the borough. The research discovered a range of views and issues that were used to shape an
options appraisal. Practices were given the opportunity to debate the options and understand their
implications at a workshop.
Outcome
PCC delivered a tailored programme included an online survey, a support network, webinars and faceto-face interviews to engage practices and discover their views. The workshop helped practices agree to
work together, articulate a vision and identify workstreams for development. It resulted in a working
group with a clear remit and timescales.
© 2014 Primary Care Commissioning CIC

12. Get in touch: peter.bullivant@pcc.nhs.uk
“Very helpful in allowing us to
express our ideas and helping
organise our thoughts and actions.”
Julie Mackenzie, practice manager,
Isle of Wight
“The workshop really helped us
understand how we can work
together and develop a plan to
make it happen”
Dr Roy Williams, chair, Wyre
Forest GP Association
“Great day, brilliant insight and
opportunity to develop thoughts”
Dr Andy Havercroft, GP South
Worcestershire
© 2014 Primary Care Commissioning CIC