Primary Care in 21st Century

Keith HoughtonAssociate Consultant

NatPaCT(Modernisation

Agency)

Primary Care Vision

• Fast Convenient Access

• Expanded range of

services

• Services closer to patient

• Changing skill mix

• Modern Premises

• Integrated IM & T

Changing Patterns of Service Delivery

• Flexible medical workforce

• Wider use of other clinicians

• Integrated teams

• Larger practice cohorts

• Market Competition

• Joint investment

• Clinical integration

• Integration - social services/voluntary sector

• Whole systems plans

Improved Delivery

Service Challenges•Integrated care

•Corporate responsibility

•Shifting from acute model

•Holding on - Letting go

•Patient expectation

•Workforce changes

Key Areas - Primary Care

•Intermediate - Beds??

•Diagnostics - Gps Wsi / KIT

•Therapists - Demand / Efficiency

•Pharmacy - Drugs

•Self Managed Teams

•Skill Mix

Key Areas - Acute•Beds - Evaluate

•Diagnostics

•Therapists

•Medical Admissions

•Acute ‘Surgical’

•Partners (or) Enemy

PCT Agenda• Developing SSDPs

• Underpinning Estate Strategies

• Workforce planning

• Whole system impact

• Developing capacity

Future Opportunities

• Integrated care centre

• Community Resource Centre

• Redefining walk-in

• DTC/OPC - community hospitals

• Using Telemedicine/IT– Diagnostics

So Finally...•Invest for change

•Clinical involvement vital

•Involve wider stakeholders

•Sharing risks / open book

•Manage communication