1. Scottish GP Contract The Journey so far 2014-17
Phase Government decides re national contract
7 December, 2018

2. 7 December, 2018

3. Significant others! MOU between BMA Scottish Government Health Boards
Integration Joint Boards
7 December, 2018

4. Changing population Why should Gov engage
Elderly of the future cannot be the same as those in the past
I will be one of these 70 yr olds
Paasionate about the NHS working for your family & mine
If not 70 will look after a 70 year old
7 December, 2018

5. Care at home Conclusion and evidence says this is the answer.
7 December, 2018

6. Is General Practice part of the answer?
7 December, 2018

7. Engaging the profession
4 National Conferences
15 SGPC meetings
3 years of roadshows (42)
address for input over 3 years
Regular s to the profession
BMA Website (36259 views Aug to December 2017)
BMA Animation seen 3,974 times
SLMC Special conference webcast
Live webcast – 545 views , 2543 visits
Consultation day with practices in different contexts
Online Q&A
7 December, 2018

8. SLMC Special Conference December 2017
The contract framework addresses the issue of sustainability of funding
84% Agree or strongly agree
The contract framework addresses the issue of risk for GPs and GP practices
79% Agree or strongly agree
The contract framework addresses the issue of the attractiveness of general practice
The contract framework addresses the issue of unsustainable workload
85% Agree or strongly agree
7 December, 2018

9. 7 December, 2018

10. The Poll result January 2018
Yes %
No %
7 December, 2018

11. £250,000,000
Extra, annually by 2021
7 December, 2018

12. Transforming primary care
“new world”
performance
transition
“old world”
2018
2021
time

13. Services handover New Staff Stabilise Practices Cluster development Professional time Recruitment
7 December, 2018

14. GP Role Expert Medical Generalist
Undifferentiated Presentations
Complex Care
Leading teams to better outcomes
7 December, 2018

15. NO Loss of income to GP Profession
Service Transition
Prescribing service
Vaccination service
Treatment & Care service
Acute Musculoskeletal Physios/Paramedics Mental health workers/Link workers
NO Loss of income to GP Profession
Fundamental concept is lomited medical hours – should do what a GP needs to do
7 December, 2018

16. Practice Financial Stability
Scottish Workload Allocation formula – no reduction to any practice
New Income and Expenses Guarantee (IEG)
Uplifts to apply to IEG amounts
7 December, 2018

17. Practice Premises
Interest free loans 20% of current use value every 5 years
Health Board can take on leases
7 December, 2018

18. Joint Data Controller
7 December, 2018

19. Professionalism, Clusters and Quality
Peer led , values driven
Professional groupings (6-8 practices)
Every practice has Practice Quality Lead
Cluster Quality Leads
Focus on improving outcomes for population
Intrinsic role- quality in practice
Extrinsic role – quality in whole system
New expanded role for GP Sub (LMC)
7 December, 2018

20. Era 1 beneficent, self-regulating professionalism noble,
7 December, 2018

21. Era 2 Accountability Scrutiny Measurement Incentives market mechanisms
7 December, 2018

22. Era 3 stop excessive measurement abandon complex incentives
reduce the focus on finance
increase attention to quality of care
reduce professional prerogative
recommit to improvement science
embrace transparency
protect civility
reject greed (it erodes trust)
7 December, 2018

23. 7 December, 2018