![]() ![]() These changes in themselves will make the current model of health care delivery unsustainable”ġ3. Kerr Report 2005 “.the next twenty years will see an ageing population, a continuing shift in the pattern of disease towards long term conditions and a growing number of older people with multiple conditions and complex needs. SEEING THE BIGGER PICTURE MEANING DRIVERSScottish specific drivers Election yearAwaiting manifestosKey policyKerr report and Better Health Better Care 2005Delivering Quality In Primary Care 2010Clinical and Staff Governance 2010ġ2. Or put another wayļapacity and demand are out of kilterġ1. Long Term Conditions COPD to rise by a predicted 33%Diabetes – 1 patient every 40 minutes in the UK being diagnosedDepression – WHO believes 2nd major chronic disease in the next 20 yrs.Enoch Powell in his more unpopular years said “any health service faces the problem of infinite demand meeting finite resources”ġ0. Long Term Conditions LTC are growing at a faster rate in Scotland than many of our counterparts80% of GP appointments are for chronic disease60% of hospital in patients are for those with chronic diseaseChronic disease increases with ageĩ. Demographics A shrinking and ageing population = critical policy challenges for Scottish GovernmentAge rate is rising – births are falling2002 800,000 over 75s30% rise will mean that by 2042 1.3 million2002 800,000 under 15s30% fall wil mean by 2042 620,000Ĩ. General health drivers - UK Changing demographicsRise in chronic disease18 WRTTAccessible servicesPublic ExpenditurePublic policyħ. SEEING THE BIGGER PICTURE MEANING PLUSWhat is our current role Strategic and operational managementAll HR functions (growing salaried GP workforce and complexities of employment law)Contractual arrangements (30 plus contracts are not uncommon)Financing and budgeting (with the emphasis on the latter)Partnership arrangementsFacilities managementInformation and System managementLiaison with Primary Care Providers (may involve working on other groups)Health and Safety Management/Clinical GovernancePublicity/Marketing/Patient Education Managing change processesWorking in a higher risk situationĦ. Where are we at now Post 2004, most practices have some kind of management structure which is working beyond an operational level.Relationship with Primary Care and some relationship with secondary care (CHPs)More stream lined – moving towards efficiency (staffing levels, IT, referral management, prescribing, patient ratios, accessible services)Moved from administrative function to a management function (with some strategic overview)ĥ. ![]() ![]() ![]() Where has management come from 10 years ago, largely an administrative role with growing managerial responsibilitiesInvolved good organisational and operational management skillsRisk – lowSome change but pace was slowerĤ. Future of management in general practice Charlotte LeggattPractice Manager PartnerVTS Trainer/Lead Assessor for IHMLMC Lay SecretaryIHM Councilģ. ![]()
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