1. www.england.nhs.uk Published April 2016 Acknowledges the pressures in primary care and seeks to support general practice by committing to an extra £2.4 billion (recurrent) a year to support general practice services This means spending will rise from £9.6 billion in 2015/16 to over £12 billion by 2021 – a 14% real terms increase Innovate, transform, provide at scale, 7 day services, services fit for the future Judy Patrick, Contracts Manager, NHSE

2. www.england.nhs.uk Chapter 1 – Investment Chapter 2 – Workforce Chapter 3 – Workload Chapter 4 – Practice infrastructure Chapter 5 – Care redesign June 2016

3. www.england.nhs.uk Increase in share of NHS budget to 10% by 2020 £900m investment in infrastructure £508m to support struggling practices/transformation/redesign Revision of the Carr Hill formula Increased investment of £2.4 billion per annum by 2020/21 Awaiting further detail on funding flows Chapter 1 - Investment

4. www.england.nhs.uk By 2020: Recruiting doctors Increased GP training capacity/recruitment up to 3250 doctors pa Work to increase and improve the profile of GP within medical schools Further development of GP recruitment campaign Major international recruitment drive for 500 doctors Evaluation of measures to attract trainees to hard to recruit training places 250 post Certificate of Completion of Training fellowships by 2017 to offer more varied training opportunities in areas of poorest GP recruitment Chapter 2 – Workforce (1)

5. www.england.nhs.uk By 2020: Retaining the current workforce Review and enhance the Induction and Refresher process resulting in 500+ doctors returning to practice New portfolio route for GPs with previous UK experience Create central contact point and new employment models for doctors returning to practice Additional financial compensation for GPs on the retained doctors scheme by April 2017 Offer financial incentives to GPs returning to work in areas of greatest need Chapter 2 – Workforce (2)

6. www.england.nhs.uk Chapter 2 – Workforce (3) By 2020: Building the wider workforce £112m for a further 1,500 clinical pharmacists in general practices – 1 per 30,000 patients 3,000 additional mental health therapists Medical assistants pilot £6m to develop practice managers £13m to develop practice nurses £45m to help reception and clerical staff to play a greater role in care navigation

7. www.england.nhs.uk By 2020: A balanced GP workforce Measures to improve the attractiveness of partner and salaried positions Flexible working for GPs Indicative rates for locums “At scale” – working in larger practice groupings Chapter 2 – Workforce (3)

8. www.england.nhs.uk £30m to support ‘Releasing time for patients’ development programme to help release capacity Support patients to manage own minor illnesses, for example minor ailment schemes in pharmacy New NHS standard contract measures to prevent work shifting from secondary to primary care Local access policies where patients DNA Onward referral without reference back to GP for related, non urgent conditions Standardised discharge summaries within 24 hours Outpatient feedback within 14 days and electronically within 24 hours by 2017/18 Medicines on discharge for a minimum of 7 days Chapter 3 – Workload (1)

9. www.england.nhs.uk Four year, £40m practices resilience programme Starting in 2016 In addition to £10m investment in the ‘Supporting Vulnerable Practices’ programme More detail of the programme to be announced on 6 th June Prioritised as an early deliverable Flexibility over matched funding Funding for Central Midlands for 2016/17 - £1.34m Move to maximum 5 yearly CQC inspections for good/outstanding practices Streamlining of payment processes/automation of common tasks Renegotiation of QOF Chapter 3 – Workload (2)

10. www.england.nhs.uk £900m investment (ETTF) Capital for premises – CCG to pick up the revenue consequences Principally in support of: Improvements or extensions to exisiting buildings Refurbishment if unused/underutilised premises Construction of new premises Temporary changes to the Directions in relation to abatement Temporary changes for NHSPS tenants eg funding of SDLT, VAT where applicable NHSPS underwriting leases/buying out third party sites Transitional support for practices seeing significant increase in facilities management charges (NHSPS tenants) Up to 100% grants (exception) for the most transformational and VFM bids Capital for new technology Schemes must be deliverable within 3 years (2019) CCG to prioritise schemes to be considered Chapter 4 – Practice infrastructure (1)

11. www.england.nhs.uk 18%+ increase in CCG allocations for GP IT and technology £45m national programme to support the uptake of online consultation systems Patient access to online triage systems Support practices to offer patients access to online self care/management services WiFi for all staff and patients Chapter 4 – Practice infrastructure (2)

12. www.england.nhs.uk Support to strengthen and redesign general practice including delivering extended access collaboratively Integration of extended access with OOHs and urgent care services, including reformed 111 and clinical hubs All patients to have access to routine GP appointments at evenings and weekends by 2020 Additional £500m recurrent funding by 2020/21 for additional capacity One off £171m (from 2017/18) CCG investment for transformational support for practices New contracting models being piloted by Vanguard sites including the introduction of new Multispeciality Community Provider (MCP) contract from April 2017 Care model framework expected September 2016 Final contract expected December 2016 Based on GP registered list Place/population based health care Model procurement process and criteria for commissioners Likely to keep GMS/PMS dormant, thus preserving ‘right of return’ Chapter 5 – Care redesign (1)

13. www.england.nhs.uk National 3 year ‘Releasing Time for Patients’ programme To include all practices Aim to free up 10% of GP time Spread best practice and innovation 10 high impact actions Provide free training and coaching for clinicians and managers to underpin practice redesign Chapter 5 – Care redesign (2)

14. www.england.nhs.uk General Practice Forward View Questions?