Consortia

As GP's our approach is to always put patients at the centre and develop solutions around them. It is important that consortia's play an increasingly active role in planning the patient journey. Our clinical leads work with PCTs, clinical commissioning groups, consortia, local GP's, consultants, community groups and other related parties to agree clinical pathways and to ensure that when clinical pathways are developed they are adhered to.

The need to change the way we deliver services is clearly outlined in the White Paper 'Liberating the NHS'. We believe that local GPs must actively develop a wider basis of consultation with the public. This is especially relevant as CCG's take on responsibility for the local population, not just for registered patients. A holistic model ensures the local population as a whole is better understood by GPs. Collectively, we need to understand care pathways, their financial relevance, local demographics and patient opinion. to ensure high quality outcomes, maximise patient choice and secure efficient use of NHS resources. Our model of outreach and community engagement acts as a precursor to understanding these issues and building wider dialogues.

We are currently working with colleagues to roll out risk stratification, acute invoice validation and actionable intelligence. This involves the inter-communication between clinical and administrative systems for use of patient demographics, access to knowledge bases for healthcare, such as Map of Medicine and cross referencing with SUS data. The Risk Stratification enables us to:

• Identify and assess patients most at risk of unplanned hospital admissions
• Focus resources to deliver proactive care management
• Reduce avoidable secondary care admissions
• Support commissioners and GP Consortia in making well informed commissioning decisions
• Review, monitor and measure patient care over time.

The challenge facing the NHS is significant and we are keen to work with the whole market to develop optimal solutions that support GP's and enable us to continue to offer a world class service to patients.