1. Primary Care in 21st Century Keith Houghton Associate Consultant NatPaCT (Modernisation Agency)

2. Primary Care Vision Fast Convenient Access Expanded range of services Services closer to patient Changing skill mix Modern Premises Integrated IM & T

3. Changing Patterns of Service Delivery Flexible medical workforce Wider use of other clinicians Integrated teams Larger practice cohorts Market Competition

4. Joint investment Clinical integration Integration - social services/voluntary sector Whole systems plans Improved Delivery

5. Service Challenges Integrated care Corporate responsibility Shifting from acute model Holding on - Letting go Patient expectation Workforce changes

6. Key Areas - Primary Care Intermediate - Beds?? Diagnostics - Gps Wsi / KIT Therapists - Demand / Efficiency Pharmacy - Drugs Self Managed Teams Skill Mix

7. Key Areas - Acute Beds - Evaluate Diagnostics Therapists Medical Admissions Acute Surgical Partners (or) Enemy

8. PCT Agenda Developing SSDPs Underpinning Estate Strategies Workforce planning Whole system impact Developing capacity

9. Future Opportunities Integrated care centre Community Resource Centre Redefining walk-in DTC/OPC - community hospitals Using Telemedicine/IT –Diagnostics

10. So Finally... Invest for change Clinical involvement vital Involve wider stakeholders Sharing risks / open book Manage communication