The future of Primary Care in Camden? Mansur Quraishi, Primary Care Programme Team Manager

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1 The future of Primary Care in Camden? Mansur Quraishi, Primary Care Programme Team Manager

2 Towards the Vision Establishing a strategic framework and improved offer to patients Strategic Commissioning Framework for London Putting in place effective strategic decision-making Primary Care Co-Commissioning Investing in primary care to support transformation Camden CCG Primary Care Mandate

3 Strategic Commissioning Framework A new vision for general practice An overview of what is required to achieve the aims articulated in Five Year Forward View and Better Health for London publications Supports/guides local transformation plans and other responses that London is making to the challenges faced in general practice.

4 Primary Care Co-Commissioning Current situation Improving the strategic decision-making process NHS England and Camden CCG commission services as separate organisations Primary Care Joint Committee from October 2015 NHSE and NCL (Camden, Barnet, Islington, Haringey and Enfield) Joint decision-making at local and regional level Future situation Potential for future move to pooling resources Possible delegated commissioning

5 The Patient Offer Specification for general practice that focuses on three aspects of care that matter most to patients: Proactive care supporting and improving the health and wellbeing of the population, self-care, health literacy, and promoting healthy lifestyles Accessible care providing a personalised, responsive, timely and accessible service Coordinated care providing patient-centred, coordinated care and GP/patient continuity

6 Investing in Primary Care Camden CCG Primary Care Mandate ( ) Development of a Camden GP federation Tackling variation in access and quality across the borough Greater involvement of patients to develop patient-focused services Primary Care Business Case (2015) Improving access Developing the nursing workforce Caring for the physical health of patients with severe mental illness Enabling IT infrastructure to support service improvements Locally commissioned services Focusing on population-health need Proactively support vulnerable patients

7 NHS Camden CCG Latest survey results January 2016 publication

8 Background The GP Patient Survey (GPPS) provides practice-level data about patients experiences Administered by Ipsos MORI on behalf of NHS England For more information about the survey please visit The January 2016 GPPS publication combines data from two waves of fieldwork, from January to March 2015 and July to September 2015 In NHS CAMDEN CCG, 14,102 questionnaires were sent out, and 3,205 were returned completed. This represents a response rate of 23% Key results for NHS Camden CCG

9 Background The GP Patient Survey measures patients experiences across a range of topics, including: Making appointments Waiting times Perceptions of care at appointments Practice opening hours Out-of-hours services The survey provides data at practice level using a consistent methodology The survey has limitations: Sample sizes at practice level are relatively small The survey does not include qualitative data which limits the detail provided by the results The data are provided twice a year rather than in real time

10 Overall experience of GP surgery Overall, how would you describe your experience of your GP surgery? CCG s results over time CCG s results National results Latest Jan % 5% 83% 6% 14% 4% Very good Fairly good 37% Neither good nor poor Fairly poor 85% 5% Dec % 44% Very poor 8% Practice range in CCG % Local CCG range % Lowest Highest 53% 95% Lowest Highest 72% 86% Base: All those completing a questionnaire: National (836,967); CCG 2016 (3,136); CCG 2015 (3,347); CCG 2013 (3,652) Practice bases range from 20 to 124; CCG bases range from 2,612 to 8,047 % = %Very good + %Fairly good % = %Very poor + %Fairly poor

11 Overall experience of making an appointment Overall, how would you describe your experience of making an appointment? CCG's results over time CCG s results National results Latest Jan % 13% 17% 10% 4% Very good 29% Fairly good Neither good nor poor 73% Dec % 12% 69% 41% Fairly poor Very poor 12% 13% Practice range in CCG - % Local CCG range - % Lowest Highest 42% 96% Lowest Highest 59% 78% Base: All those completing a questionnaire: National (811,562); CCG 2016 (3,030); CCG 2015 (3,275); CCG 2013 (3,555) Practice bases range from 20 to 117; CCG bases range from 2,560 to 7,821 % = %Very good + %Fairly good % = %Fairly poor + %Very poor

12 Further background information about the survey 2.4m Surveys to adults registered with an English GP practice 854,032 Completed surveys in the Jan 2016 publication 36% National response rate Postal questionnaire, with the option of completing the survey online or via telephone. Results are available every six months for every practice in the UK from 2007 Weighted data to adjust for potential age and gender differences between the profile of patients in a practice and the patients who actually complete a questionnaire Recently the weighting also takes into levels of deprivation For more information about the survey please visit

13 Where to go to do further analysis For reports which show the National results broken down by CCG and Practice, go to - you can also see previous years results here. To analyse the survey data for a specific participant group (e.g. by age), go to To break down the survey results by survey question as well as by participant demographics, go to To look at trends in responses and study the survey data by different participant groups, go to