Supporting general practice

The focus on general practice is often centred around access, but to provide good access, in our experience, there are three underlying, and linked, success factors.

  • Workforce
  • Finance
  • Premises
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PCC supporting general practice – GP premises and retirement  

This week, we are highlighting the hands-on support available to GP contractors who are anticipating a change in their partnership or company structure due to a partner retiring and who require guidance on the implications this may have for their practice premises. Whether the premises are owned or leased the situation is complex, but there are options available to safeguard premises once partners have left the partnership / company.

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PCC – Supporting general practice

Primary care networks (PCNs) and practices are continually looking for ways to deliver improved services for patients, but we are hearing from practices that the need to balance the benefits their delivery can bring with the finances they will receive is an ongoing concern. 

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GP contract 2024/25

NHS England published a letter on 28 February, setting out the arrangements for the GP contract in 2024/25.  Following feedback from the profession and patients, they aim to provide simpler and more flexible arrangements which help practices free up time and improve patient access and experience.  The focus therefore is on embedding last year’s recovery plan rather than increasing targets or contractual requirements.  The key changes are:

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Financial resilience and sustainability

The daily news is full of natural disasters which are made worse by poorly designed buildings with inadequate and inappropriate foundations. If, when constructing a modern building, so much planning and design goes into ensuring that its foundations can withstand a natural disaster such as earthquake or flooding, why do we expect an organisation that has poorly designed financial systems to survive major changes in service delivery and demand?

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Personalised training for practices and primary care networks

PCC is supporting practices and primary care networks (PCNs) by designing and delivering bespoke training and development programmes. Examples of what we have delivered in the past few months include:

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PCC supporting general practice

April is fast approaching and now is the time to ensure that integrated care boards (ICBs) don’t miss out on this year’s service development funding (SDF) that is available to support practices and primary care networks.  We are aware that ICBs have been using this funding to support general practice, and as you will have seen over the last eight weeks, PCC is highlighting the ways in which we can provide this support across four key areas – access, premises, finance and workforce. 

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Do you need to refresh your pharmaceutical needs assessment?

The health and wellbeing board (HWB) is responsible for producing a pharmaceutical needs assessment (PNA) for its area every three years but changes to the provision of pharmaceutical services may mean it has to publish a new one sooner. There have been significant changes to community pharmacy provision that have affected many areas. Nationally, hundreds of pharmacies have closed; others, some of which were previously required to be open for 100 hours per week, have reduced their opening hours on weekday evenings and/or at the weekend.

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Free support from PCC

Any organisation that currently has a contract with PCC can apply for up to £3,000 of free PCC support.

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PCC supporting general practice – workforce

We are aware that there is active consideration of developing different nursing models that better utilise opportunities for working at scale across practices and primary care networks. 

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A strategic approach to primary care

Integrated care boards (ICBs) should have their primary care strategies in place – covering all four contractor areas. They need developing with the contractor groups and consider collaborative working and interfaces within and beyond primary care. Although the strategy needs to be inclusive of all areas, those that are involved in shaping the strategy may vary for different clinical pathways. One current focus and area to address is access to primary medical care.

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PCC supporting general practice – premises

Following last month’s look into how we can support practices with applying for funding for premises improvement applications, this month we turn our attention to realising more immediate benefits. We hear regularly about the impact of space constraints, which can include the constant juggling of rotas, affects recruitment and the ability to deliver training.

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PCC supporting general practice– finance

Last month we highlighted the ways in which PCC could work with practices to put in place good financial governance to aid financial sustainability. An important part of that is to ensure that three key elements of financial management – namely cash flow, income and expenditure – are managed effectively.

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