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David Colin-Thomé

David Colin-Thomé. National Clinical Director for Primary Care GP, Castlefields, Runcorn Honorary Visiting Professor, CPPM, Manchester University Honorary Visiting Professor, School of Health, University of Durham. Benefits of a first contact in primary care. (Starfield).

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David Colin-Thomé

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  1. David Colin-Thomé • National Clinical Director for Primary Care • GP, Castlefields, Runcorn • Honorary Visiting Professor,CPPM, Manchester University • Honorary Visiting Professor, School of Health, University of Durham

  2. Benefits of a first contact in primary care.(Starfield) • Higher patient satisfaction with health services • Lower overall HS expenditure • Better population health indicators • Fewer drugs prescribed per head of population • The higher the number of family physicians the lower the hospitalisation rate.

  3. Fast, convenient access Extended range of services Consistently high quality services Delivered locally Modernised premises Appropriately trained and motivated staff Integrated IT Responsive Based on needs of informed patients Quality based care in least invasive ways Multi-disciplinary teams Operating across organisational boundaries Vision for Primary Care

  4. Commissioning Primary Care • nGMS • nPMS • QOF • ‘Liberating the talents’ • Agenda for Change • nCommunity Pharmacy • (LPS, PDS) • Community Dentistry ‘Options for Change’ • Secondary to Primary care-PwSI, PBR • LTC- NSFs, QOF, EPP, Community Matrons • ...and Practice based commissioning

  5. PSA Targets • I. Access to treatment • II. Improving the patient experience • III. Long term conditions management • IV. Health of the population

  6. The NHS and Social Care Long Term Conditions Model Delivery System Better outcomes Infrastructure Case Management Community Resources Empowered and informed patients Decision support tools and clinical information system (NPfIT) Disease Management Creating Supporting Prepared and proactive health and social care teams Supported Self care Health and social system environment Promoting Better Health

  7. Vehicles for System Improvement • LTCM • Unscheduled Care (OOH, medical emergencies,A&E waits)…. • Clinically led commissioning

  8. General Practice • First Contact Where Patient Chooses • Continuity of Care for Episodic Illness • Chronic Disease Management • Final Repository (“Their Doctor”)

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