Wandworth Local Health and Care Plan - October 2019

35 Primary Care Networks (PCN) These will be the cornerstone to transforming general practice, supported by contractual changes which will support Primary Care transformation. Primary care at scale (PCAS) We will build on the progress made through pilots in 18/19, so Primary Care at Scale becomes a core part of how general practice operates. This will include consideration of more efficient ways of working such as: • Maintaining and scaling up back office functions in practices • Investigating how efficiencies of scale could be achieved and also utilisation of collective purchasing power Workforce -we will work to support our workforce by: Working with Networks and Federations on workforce plans aligned to PCAS & PCNs, focussing on enhancing skill mix, using the workforce in new and innovative ways and using community services staff appropriately. Access - we will continue to improve access by: • Continuing to develop our extended access model to enable direct booking from NHS 111 and A&E • Embracing opportunities from technology and innovation where it makes sense to do so • Joining up urgent care systems with primary care so that patients are seen in the most appropriate place to meet their needs. • Improving public education in relation to self-care What will be the impact? • High quality, sustainable accessible Primary Care which is pro-active, co-ordinated and delivered across the Borough. • Direct booking of appointments from NHS111 and A&E into all GP practices. • All patients will have access to digital first primary care, including web and video consultations, online booking of appointments and electronic repeat prescriptions. • All patients have access to social prescribing services. • Patient care is holistic and joined up across multiple agencies On 31st January 2019 NHS England and the British Medical Association (BMA) General Practitioners Committee in England published a five-year framework for GP Contract Reform to implement the NHS Long Term Plan. The new GP contract sees practices increasingly working together in networks to improve resilience and sustainability, increase capacity and provide local population based care which is integrated with wider system partners. Other work - Primary Care in Wandsworth What we are doing to improve services