Dr Nikita Kanani: £4.5bn long-term plan funding offers GPs hope in 2019

The year ahead could offer an 'unprecedented opportunity' for GPs to work differently as the NHS long-term plan - and the £4.5bn increase in primary and community care funding it promises by 2023/24 - begins to take effect, says acting NHS England director of primary care Dr Nikita Kanani.

NHS England acting director of primary care Dr Nikita Kanani
NHS England acting director of primary care Dr Nikita Kanani

Another year is underway, a chance to refresh resolutions, to clear heads and to set intentions.

Another year which started with a pressured day in surgery, with one unwell person followed by another, and a long empty coffee cup on my desk. Another year and maybe something different? A long-term plan for the NHS.

Now that it has been published, the eagerly awaited NHS long-term plan maintains our hope for primary care. It sets out a series of long-term aspirations for the health service and fundamentally redefines how we will deliver care to our population.

Read more
>
What the NHS long-term plan means for general practice

It is based on work that many NHS healthcare professionals – not least of all GPs - are already part of, and valuable insights they have shared as part of the 2,500 submissions we received from individuals and groups representing the opinions and interests of 3.5m people.

The plan describes how – for the first time – we will commit to a ringfenced local fund worth at least an extra £4.5bn a year by 2023/24. That’s £1bn more than we expected prior to Christmas.

It now feels that 2019 really could be the year we have an unprecedented opportunity to work differently.

This is the year we will give more backing to primary care. The plan describes a chance for practices, no matter their size, to work together through primary care networks (PCNs) and to support each other while providing improved services to patients, including weekend and evening appointments.

Workforce

This is the year we will progress and build on our work tackling workforce issues, recruiting more GPs, retaining GPs and having more GPs in training than ever before. The plan explains how we will expand the workforce with pharmacists, physiotherapists, social prescribers, paramedics and physician assistants, and rebuild and reconnect relationships locally.

For the first time in more than a decade, we can ramp up plans to build a primary healthcare team which respond to the needs of our population and fundamentally tackle the serious workforce recruitment and retention issues we are all experiencing. This is the year we also back community care, recognising the incredible ability of community teams to work within networks and genuinely integrate care locally.

Imagine your 82-year-old patient with heart failure and fluid overload who needs diuresis, regular blood tests, increased support with personal care and falls risk management. She’s lonely. Anxious. She comes back and forth most weeks – sometimes you need to help her medically. Sometimes you are a hand to hold. Sometimes she is genuinely unwell.

As a GP, imagine having a team around you who can share the responsibility of delivering some of those elements with you, releasing some of your time. Some time for you to see someone else or some time to catch up with a colleague. Time, even, to fill that long-empty coffee cup.

Primary care

If you get time to read any aspect of the plan, please read the summary and see the primacy of primary care.

It sets out the key things you can expect to see and hear about over the next few months and years, as local NHS organisations work with their partners to turn the ambitions in the plan into improvements in services in every part of England.

Among those ambitions are:

  • Delivering community-based physical and mental care for 370,000 people with severe mental illness a year by 2023/24.
  • Bringing together different professionals to coordinate care better.
  • Helping more people to live independently at home for longer.
  • Developing more rapid community response teams to prevent unnecessary hospital spells and speed up discharges home.
  • Upgrading NHS staff support to people living in care homes.

Know that the pressures colleagues face, both workload and workforce, are recognised. There is also a greater focus on prevention and addressing health inequalities, and offering 'digital first' care where it is appropriate.

The long-term plan will make a real difference. The contract negotiations, the partnership review recommendations, the premises review - even the green paper on social care – will help to make it a reality.

This week we have taken a huge step forward in setting out a more collaborative mindset, where local relationships are key. I look forward to working with fellow GPs and other colleagues to make the aspirations a reality in 2019.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

Breakthrough for state GP indemnity as second MDO agrees terms on historic liabilities

Breakthrough for state GP indemnity as second MDO agrees terms on historic liabilities

A second medical defence organisation (MDO) has agreed terms for the government to...

Labour pledges to boost GP training places by 50%

Labour pledges to boost GP training places by 50%

The Labour party has announced plans to increase the number of GP trainees in England...

Northern Ireland unveils £27m GP funding boost for 2019/20

Northern Ireland unveils £27m GP funding boost for 2019/20

Investment in general practice in Northern Ireland will rise by £26.76m during the...

'How I survived a bewildering ten-month investigation by the GMC'

'How I survived a bewildering ten-month investigation by the GMC'

How does the experience of a GMC investigation impact on the lives of doctors? One...

90% of patients would recommend their GP practice to friends or family

90% of patients would recommend their GP practice to friends or family

Nine in 10 people would recommend their GP practice to a friend or family member,...

NHS documentary spells out threat to future of the health service

NHS documentary spells out threat to future of the health service

A documentary film appearing in cinemas across the UK next month tells how the NHS...