July 2, 2015
Transforming general practice: what are the levers for change?
‘Transforming general practice: what are the levers for a change?’ is a report from The Nuffied Trust that was published on 17 June 2015.
The Prime Minister’s Challenge Fund Waves 1 and 2, and ‘The Five Year Forward View’ demonstrate that both the government and NHS leaders believe that “general practice has a key role to play in the reform of the NHS…. But if general practice is to advance with the pace and ambition implied within the ‘Five Year Forward View’, it also needs to develop greater scale and to morph… into larger organisations”.
The report explores how to achieve sustainable change and improvement in general practice and is based on a workshop held at the Nuffield Trust.
It contains a number of case studies and concludes with 6 recommendations:
- Strike a different balance between financial micro-incentives for small-scale change and investment for sustainable improvement in general practice
- Create a coherence between existing workforce strategies and training curricula that ensure exposure to new ways of working
- Develop realistic estimates of the costs of transformation programmes, including the cost of the professional participation
- Invest in information and data linkage to support transformation
- Set realistic time frames for delivering outcomes and managing risk
- Avoid excessive policy to guide primary care transformation.