There is no denying that London’s GPs are under a great deal of pressure, with increasing demand from a growing population with more long-term conditions, often dilapidated premises and greater patient expectations. Unfortunately patients are experiencing many of these strains on the system. When rated on overall patient satisfaction almost two-thirds of London’s practices perform worse than the England average.
We aim to transform general practice in London so Londoners have access to their GP teams 8am-8pm, and primary care is delivered in modern purpose-built or designed facilities.
Setting ambitious new service and quality standards for primary care in London
The London Transforming Primary Care Strategic Commissioning Framework was published in March 2015, supported by all CCGs, NHS England, Londonwide LMCs, the Clinical Senate and the Care Quality Commission. Co-developed with over 1500 stakeholders, the framework describes 17 outcomes focused on delivering accessible, proactive and coordinated care. Clinical commissioning groups, with support from Healthy London Partnership, are now implementing the framework across London.
Innovating in primary care
HLP has launched an innovation group for primary care leaders in London to help problem-solve common issues and identify and spread best practice. The group is running events to bring providers together to share innovative practice.
Investing in primary care in London
The Primary Care Infrastructure Fund is providing £1billion national investment over four years to accelerate improvements in GP premises and infrastructure, including information technology. London’s CCGs have started to use this funding to modernise with around 200 bids being taken forward this year. The national £100 million Prime Minister’s Challenge Fund has also increased investment in primary care in 2015/16.
Localising primary care commissioning decisions
Almost all CCGs in London are now participating in primary care commissioning, and six CCGs have fully delegated commissioning abilities. Decisions about primary care are happening more locally, responding closely to the needs of Londoners in different parts of the city.
GPs in Barking and Dagenham, Havering and Redbridge have launched three new access ‘hubs’ giving more than 700,000 patients the opportunity to see a GP between 6:30pm and 10pm. GPs have also worked with local commissioners and providers to set up Health 1,000 – a ‘practice’ that will eventually care for 1,000 patients with multiple long term conditions through a multi-disciplinary team. This will deliver co-ordinated patient care focusing on the needs of an individual patient to improve outcomes.
Enabling Londoners to move freely within primary care networks
Clinical commissioning groups and Healthy London Partnership are supporting GPs to organise into locality networks that deliver population health. Currently 83% of the population are supported by these networks. These will allow Londoners to access GPs across the locality network and receive a wider range of services, focused on supporting them to stay healthy and independent.
Improved IT will enable patients to access GP services more readily and 98 per cent of practices now have online booking. Patient records will be more easily shared across different sites providing continuity of care. As networks develop, they will increasingly broaden services, including setting up new primary care services in areas of persistent poor provision in London.