General Practice Provider Alliance Establishment and Progress Update

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The General Practice Provider Alliance (GPPA) in North Central London is being established to lead and optimize primary care services through integrated care systems. The GPPA will represent general practices and partners, focusing on strategic leadership, influencing service provision, and reducing health inequalities. Progress includes developing collaboration agreements, establishing governance, and planning functions for the next 12 months to enhance infrastructure and service provision in the region.


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  1. Establishing the General Practice Provider Alliance General Practice Provider Alliance Barnet GPs Meeting 13 April 2022

  2. Context Context NHS England is making some changes: abolishing CCGs and setting up integrated care systems with Boards This means there will be changes to primary care in North Central London The General Practice Provider Alliance (GPPA) is being set up as the new voice of general practice Board to be formed by combination of appointments and elected representatives Reference group across all 5 boroughs (CDs, Federations, 111, LMC) formed in 2021 The GPPA will be represented on the UCL Health Alliance, a group representing the whole health system in North Central London

  3. GPPA statement of purpose (draft) GPPA statement of purpose (draft) The General Practice Provider Alliance brings together general practice with a unified provider voice a unified provider voice to strategically lead, influence and enable primary care provision at the North Central London level. We are a key partner in the integrated care system a key partner in the integrated care system and ensure that our systems provide the best possible services for our communities, optimise health gains and reduce inequalities. We support general practice support general practice through transition and change and are trusted and valued by our practices and partners.

  4. Progress to date and plans Progress to date and plans Workshop 4: October 21 - Developing the Collaboration Agreement Workshop 2 Workshop 5 Workshop 3 Workshop 1 June 21 November 21 Aug 21 May 21 The what developing the functions of the GPPA The how eg form - developing the role requirements for the Agreeing the purpose and remit of GPPA The Why e.g. high level case Established Governance Group with Lay Chair Workshop 6 Feb / Mar 22 - confirm resourcing for development and delivery in year one Feb 22 Engaging general practice and other system partners 1 April: GPPA Managing Director joins Borough elections and appointments to GPPA Board The focus and priorities for GPPA s first 12months Work still underway / planned

  5. Functions over the next 12 months Functions over the next 12 months 1. Contributing General Practice provider understanding and perspective into the wider integrated care system to: Develop new and current programmes, services and quality improvements within Primary Care Inform needs analysis, pathway design and defining outcomes that leads to holistic and consistent care across the ICS Use data effectively to help our system understand our population and plan for the future Strengthen infrastructure particularly workforce, digital and estates 2. Enabling NCL wide primary care service provision by: Sharing best practice and developing innovative models together Collaborating to agree the best delivery model for any opportunity available to the GPPA Identifying the most appropriate lead provider for opportunities, enabling local delivery where possible Evaluating our provision using quality improvement techniques to continuously develop Draft

  6. Board Structure Board Structure Board Membership 3 roles Executive Role GP Fed lead or someone with responsibility for at scale delivery (min 2 sessions per month) Non-Exec Roles One should be a partner or salaried GP borough representative (2-4 sessions per month) One can be any clinician (2-4 sessions per month) One should be a PCN representative Note: 2 sessions to attend Board, additional sessions to undertake wider work on behalf of the GPPA 2 clinicians from different PCNs Interview Panel GPPA Member or Ex Member From another Borough CCG Lay Rep / GPPA MDP LMC Clinical Chair Length of Contract 1 year

  7. What now? What now? This is a big change at a challenging time. How can we align these changes to work the best for Barnet? There is an emphasis on innovation and collaboration. What are the opportunities for our borough? Barnet needs the right representation on the Board, with the trust of practices.

  8. Breakout rooms Breakout rooms 1. Temperature Check how are you feeling? What is the sentiment in the group? Any questions or concerns? 2. What we can do and influence now; and how we might do that Feedback three points per group Issues raised will be followed up Please nominate someone in your group to feedback in the plenary

  9. Breakout: Breakout: 10 minutes

  10. Plenary: breakout groups to feedback Plenary: breakout groups to feedback

  11. Summary and next steps Summary and next steps

  12. Proposed Timeline for discussion 14th 28th March 11th April 22nd April 25th April 6th May 9th 20th May 23rd 10th June 13th June 17th June Communications Development Engage in each borough Continue Comms Continue Comms Comms Comms Develop messages and various engagement methods Confirm dates when engagement can occur by borough Send communications Undertake events Signal election dates and process Continue to promote Send out EOI requests Promote process for the election Communicate outcome Election Process Set up elections and interviews Expressions of Interest Interviews Elections Appointment to Board Confirm roles, rates of pay and JD Confirm LMC happy to support Confirm process for the election Agree voting ratio by practice Confirm dates Confirm interviewers Set up interviews and process for election Send out EOI requests to practices, PCNS and Federations Confirm interviews Conduct interviews Successful interviewees are put forward for election Election initiated Confirm successful candidates Invite to first Board Collaboration Agreement Collaboration Agreement Collaboration Agreement Collaboration Agreement Update collaboration agreement Ensure agreement on who signs Agree final version via Governance and GPPA Ref Group Get the CA signed Signed by all parties

  13. Thank you. Thank you.

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