With general practice continuing to be under pressure to work together to develop resilience and share skills, the latest edition of Commissioning Excellence, looks at how practices in Cheshire are taking their own steps to develop local partnerships and work with a wider team to enhance patient care. Other articles include how practices can retain local autonomy and independence while being part of a super-practice with a population of 280,000 registered patients; and how using clinical pharmacists has become an effective skill mix for a Worcestershire practice.
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GPs need to stop behaving like meerkats and start thinking about how they and their local partners can deliver primary care at scale and new models of care, according to Mike Smith, a federation trailblazer and board member of the National Association of Primary Care (NAPC).
For organisations looking to grow, delivering services at scale while retaining local autonomy and a distinctive feel has always been a challenge.
Dr Mark Newbold says Birmingham-based super-partnership Our Health Partnership (OHP) is managing to achieve just that. It is providing primary care at scale – its combined patient list of 280,000 makes it bigger than many clinical commissioning groups – while maintaining the independence of its 35 practices.
The Cheshire Local Medical Committee and PCC recently brought together local GPs and practice managers to consider how to make a reality of NHS England’s vision of primary care at scale.
The half-day session was intended to outline a sensible step-by-step approach to delivering on the clear direction of travel coming from the centre. This was outlined in the Next Steps on the Five Year Forward View and the GP Forward View documents.