Responding to Demand for Access

Access Changes driven by the new GP Contract Regulations

Access

• How to ensure consistency in the access that patients can expect
• An assessment of needs – front line triage
• Signposted to an appropriate service at first contact with the practice
• How the IIF focus on access will support practices and PCNs
• QOF QI modules – focus on workforce wellbeing and optimising demand & capacity

Cloud Based Telephony

• What is it?
• How to access services
• Practice telephony solutions 
• Using the Better Purchasing Framework
• Supporting patient engagement & communication 

Access to Patient medical records

• Simplification of GP registration requirements
• The GP contract regulations – patient retrospective online access to their medical records
• National Opt-out scheme – sharing GP records
• GDPR considerations – providing clarity on how practices are required to offer, promote and provide online access to patient records.

 Increased flexibility of Additional Roles Reimbursement scheme (ARRS)

• ARRS overview – the roles and their value
• ARRS Changes for 2024:
  • Advanced Practitioners - increase in numbers per PCN
  • Advanced Nurse Practitioners
  • First Contact Practitioners (FCPs) – funded education and training to become Advanced Practitioners
  • Apprentice Physician Associates (PAs)
  • Mental Health Practitioners – removal of recruitment caps and allowing them to support first contact activity
  • The Clinical Pharmacist – supervision from Advanced Practice Pharmacists enabled
  • Ongoing ARRS review  

 Changes to Impact & Investment Fund and QOF QI modules

• IIF indicators reduced from 36 to five focussed on 5 key national priorities: 
  • two indicators related to flu vaccinations
  • learning disability health checks
  • early cancer diagnosis
  • 2-week access indicator
• IIF focus on improving patient experience – in terms of contact and assessment
• Capacity and Access Support Payment
• QOF register indicators
• This year’s QOF QI modules will focus on:
  • Workforce wellbeing and
  • Optimising demand and capacity