1. Overview of the Future of General Practice Mark Purvis @purmj Health Education Yorkshire and the Humber

3. Over supply of secondary care specialists Undersupply of GPs and Practice Nurses Ageing GP population Shift of work into the community driven by both finance and technology Increased demand driven by population demography Funding gap

4. 90% of all patient contact is in primary care The NHS Budget is expected to grow by 0.4% a year for the next five years Spending on primary care rose by 1.3% last year compared to 5.1% for secondary care 22% of GPs are aged over 55 20% of Practice Nurses aged over 55 10,000 GPs intend to retire in the next 5 years Doubling in demand for consultations in the next ten years

5. Daily Telegraph April 2013 GPs blamed for crisis in out-of- hours care The failure of GPs to provide proper out-of-hours care has forced millions of extra patients to attend hospital accident and emergency departments, where they do not get the support they need, the Health Secretary....

7. Daily Telegraph April 2013 GPs blamed for crisis in out-of- hours care The failure of GPs to provide proper out-of-hours care has forced millions of extra patients to attend hospital accident and emergency departments, where they do not get the support they need, the Health Secretary....

9. Daily Telegraph April 2013 GPs blamed for crisis in out-of- hours care The failure of GPs to provide proper out-of-hours care has forced millions of extra patients to attend hospital accident and emergency departments, where they do not get the support they need, the Health Secretary....

12. www.hee.nhs.uk

17. “Our analysis of the available evidence on the demand for GP services points to a workforce under considerable strain and with insufficient capacity to meet expected patient needs. There is a clear need to substantially lift workforce numbers to more sustainable levels. However, we also note with concern the lack of recent substantive evidence on GP activity and workload, a major gap in the evidence base which must be urgently addressed.” Centre for Workforce Intelligence

18. www.hee.nhs.uk

21. Questions?

22. Tackle supply driven care: collaborative and proactive The medical home and three dimensions of continuity New ways of working: skill mix and inter- professional working Collaborative approaches: integrated care Harness technology, genome Open data, empowerment and co- production

24. Thank you – any questions for me? @purmj