1. Listening Event The Future of Primary Care for South Park Patients
Monday 9th May
Reigate Baptist Church

2. Across the country, these challenges include:
General practice is the bedrock of healthcare and local GP surgeries in Surrey and other parts of the country provide valuable services to their patients’ day in day out.
Yet these services face a number of challenges. We need to transform the way care is provided in order to address these issues, and to ensure the future delivery of good quality care to patients in a sustainable way.
Across the country, these challenges include:
An ageing population and an increasing number of patients with complex care needs and multiple long-term conditions, who require more intensive support from GP services
Increasing pressure on NHS financial resources
Dissatisfaction amongst patients about the ability to access GP appointments and rising patient expectations about this.
Variation in the quality and performance of local services and health inequalities
Growing reports of workforce pressures, including recruitment and retention problems
A clear national strategy for the future of the NHS has been set-out in the NHS Five Year Forward View and this includes plans to address the principal challenges facing GP services.
In Surrey, NHS England and the local clinical commissioning groups are continuing to work together to address these challenges at a local level and to ensure the on-going development of sustainable GP services for people in the community.

3. South Park has a registered list size of approximately 4, 500 patients with post code boundaries that extend Northwards to Reigate town centre, Whitebushes and Earlswood to the East and South to Salfords.
South Park medical practice is centrally located in Prices Lane Woodhatch within easy reach of public transport and walking distance from 2 community pharmacies.

4. Brief History
Over recent years the practice at Earlswood closed (at the time being run by another practice as a satellite) and some of the dispersed patients joined South Park.
Shortly after Earlswood closed the then Independent (Private provider) Management Team of South Park gave notice.
An options appraisal at this time favoured a physical presence on the same site (despite challenges) and the practice management went out to tender following NHS procurement rules and the contract was awarded to Malling Health.

5. We need to change the way we deliver care to patients, in order to ensure sustainable services that will meet their needs – both now and in the future.
The Five Year Forward View highlights that the traditional divide between primary care, community services, and hospitals - largely unaltered since the birth of the NHS - is increasingly a barrier to the personalised and coordinated health services patients need. Increasingly we need to manage systems – networks of care – not just organisations.

6. No plans have been made yet, nor any options considered.
Malling Health have now given notice on the contract and although they have agreed to a contract extension of one year, the future of the building and services at South Park need to be decided.
No plans have been made yet, nor any options considered.
Several private providers have failed to make the practice work in its current format and this therefore is an opportunity to try something new
We do want to hear what people have to say about the future of Primary Care right from the earliest opportunity, so that we can include the important views of patients into our planning process.  
I do not know why Malling Health have given notice but smaller practices across the region are closing as they become financially unviable – particularly those in high rental areas and where staff recruitment is difficult.

7. List dispersal and closure Maintain Surgery on current site
Considerations
List dispersal and closure
Maintain Surgery on current site
Relocate Surgery on an alternative site
Something else entirely
Each suggestion will have pros and cons and we are unlikely to find a solution that suits everyone – ask audience to consider what is practical, affordable and best suits the needs of the patients.