Creating Collaborative GP Alliance and Federations

Caroline A Kerby

Director of Strategic Development – Harness

Co Lead Primary Care Managers Network – NHS Alliance

The burning platform or the frog?

Why is the platform burning?

• We know the demographics

• We know the workforce issues

• We know financial viability is a real issue

• We know there are contractual uncertainty

• We know the burnout and lack of work life balance

• We know demand is vastly out striping supply

• We know public expectations are increasing

• We know the whole system economics

Simon say’s

• View forward is a compass not a map

• The status quo is suboptimal and

unsustainable

• A compelling vision of an attractive

and feasible future

• People are proud of what the NHS is achieving but because of the

pressures they are willing to consider

new ways

New Models of Care

Multi Speciality Community Provider

Acute and Primary Care Provider

Different forms of collaboration

• Networks of care across North West London

• Membership organisations

• Informal alliances

• Merged contracts – super practice

• Build on existing relationships and work

• 115000 patients resident in the London Borough of Brent

• 21 practices (GMS, PMS and APMS)

• Collaborating since 2006

• Sharing back office functions

• Contracting – primary contractor / sub contract

• £15 million NHS contracts delivered

• Whole system integration pilot – North West London

• Traditional general practice values and agility benefits of working at scale

Delivering Population Care – New Model