GPs face major challenges with the ‘accountable clinician’ model for the frail elderly, said Dr Michael Dixon, chairman, NHS Alliance. Speaking at the NHS Alliance Annual Conference in London he warned that one of the challenges is how to expand the General practice workforce – particularly working with more district nurses.
Moving care out of hospitals and giving General practice more control may result in a new approach to funding that will see the end of separate budgets for primary and secondary care at national and local level, said Dr Michael Dixon, Chairman, NHS Alliance and Interim President, NHS Clinical Commissioners.
Forward looking GP practices are planning how they can create a critical mass – via a large practice, federation or creating a social enterprise/company – that can offer an increasing number of services previously provided in hospital.
The new NHS must change the way it operates so that more patients are cared for outside of hospitals and in local community settings or at home if the NHS is to change for the better, says the NHS Alliance.
This year will see a huge change in NHS Alliance’s role from being primarily a membership organisation for commissioners, to becoming primarily a membership organisation for GP practices, primary care providers and individual clinicians, managers and patients.
NHS Alliance and NHS Clinical Commissioners have co-produced a report on urgent care, which supports commissioners as they look to implement effective integrated 24/7 urgent care strategies in their local areas.
ACEVO and the NHS Alliance have today launched a jointly-produced Clinical Commissioners’ Guide to the Voluntary Sector, calling for a revolution in NHS/community links and closer collaboration between clinical commissioners and voluntary sector organisations.
The NHS Alliance has welcomed today’s announcement by the Department of Health that Clinical Commissioning Groups will be able to extend the deadline for full implementation of the 111 service, originally set for April 2013.