The NHS has been battered and bruised by both the media and politicians this past year. In some cases rightly – we should never shy away from confronting care that lacks kindness or efficacy – but it’s too easy to let the negatives get in the way of the extraordinary positives of our health service.
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.