1. Dr Paul Driscoll Chair and Medical Director Suffolk GP Federation Presentation for Kings Fund 18th October 2016

2. Different Models
Ref: Naresh Rati, Executive Partner, Vitality Partnership

3. As an example… Suffolk GP Federation Aims Scale / Collaboration
Support Primary Care
Deliver Services
So how have we done?
Formed 2007
Coastal Locality (30 Practices)
Ipswich practices joined (44 Practices)
West Suffolk practices joined (59 Practices)
Population covered 560,000

4. Scale / Collaboration Care Homes Nursing
Community Diabetes – North East Essex
NEEDS
£5 per patient
Negotiated Medical Defence Cover
“Represented” Primary Care

5. Support Primary Care Clinical Services
PMCF Extended Hours GP Service (GP +)
7 day working
Walton Surgery
Support Practice Development
Suffolk Primary Care - Single Partnership
Leadership Training – GP’s - Leading the Way/ Future Leaders
Practice Managers Training
Represent Practices (STP,ICO,IACO)
Collaborative Working
GP On the Day / Domiciliary Care Team
Employ other health professionals (pharmacist's)

6. Deliver Services Lymphoedema Cardiology Diabetes ENT
Community Ultrasound service
Community Pain Service

7. What else have we done? Collaborative working GP+ Emergency Department
111
Ambulance Service Pathways
ACO STP / Community Alliance
Diabetes
Colchester Hospital / ACE Podiatry / Diabetes UK
Cardiology – The Ipswich Hospital
Primary Care change (e.g. Suffolk Primary Care “Super Partnership”)

8. Patient Benefits Support to Practices Extended GP Access
Care Closer to Home
Quality Services (e.g. PMCF Feedback + Diabetes UK Report)

9. What haven’t we done? Address Variation
Change in Practices (work patterns / new models)
Primary Care at scale / genuine collaboration
Practices not any more resilient
….. But that is changing - Leadership Course (GP+ SPC) Vulnerable Practice Fund
Single Voice? LMC / CCG / Federation

10. Why haven’t we done it?
Change takes time

11. Spot the Difference

12. Independent Contractor Status

13. NHS England
CCG
Federation

14. Provider Organisation

15. What needs to happen? Commission at scale Support for change
Consistent message (NHSE/CCG/LMC)
Realistic time scales

16. So what are they good for?
Can facilitate collaboration
Single Voice
Starting Collaboration
Training support practice staff
Provide structure / management support
Employ staff across practices
Perform LES across practices
MCP
BUT – Federations are not the end game

17. Any questions?