Fuller Stocktake – our response

The Fuller Stocktake sets out a vision for how Primary Care needs to integrate with the wider health and care system to improve access, experience and outcomes for communities. With independent General Practice at its core, it has set out a clear framework that suggests how this can happen.  At ABC our mission is to transform how people manage their health in their communities so we all live happier lives, and we already work with our practices to deliver many of these elements and strive to do even more.

Work with local people and communities to tackle ill health

  • We are supporting Growing Health Together in East Surrey, a programme that enables communities to identify, design and deliver what they need to do to improve community health. This project forms part of a partnership with the PCN
  • We continue to deliver Outreach work in Crawley – what began as part of our vaccination programme, has developed into an ongoing equity initiative that involves listening to local needs and ensuring we provide the appropriate services

Enable PCNs to evolve into integrated neighbourhood teams with shared ownership for improving health and wellbeing

  • In East Surrey this includes our Anticipatory Care Hubs work with FCHC, Acute and St Catherine’s Hospice
  • In Sussex a number of Crawley PCNs have led on projects that address inequality and vaccine outreach, while Horsham Central and Haywards Heath Villages are working with their district councils on wellbeing via their Community Health Hubs

Primary care workforce are an integral part of system-level strategy

  • We are working to establish portfolio GP roles, which new GPs want and which support core general practice as well as wider services
  • We continue building networks for all disciplines in order to better support and assist learning. Groups include: Pharmacists, Social Prescribers, Locum GPs
  • By using our experienced vaccination workforce, known as ABC Associates, we are able to offer dedicated support to practices 

Leadership teams to become driver of primary care improvements

  • We offer a Leadership Development Programme for Clinical Directors, PCN Boards and Practice Managers. 72 members have been supported to date
  • We are working with PCNs to develop annual strategy plans
  • Bring PCNs together at place level and wider to discuss and establish views and strategy

Single integrated urgent care pathway

  • We have made significant progress with this in Sussex, demonstrating flow from 111 through to remote and face to face provision at ED
  • We continue to develop SASH Primary Care in ED service and increase links back to practices, while also working in partnership with First Community to put primary care provision into the MIU

System-wide estate plan to support fit for purpose buildings

Development Plan to support primary care sustainability

  • We are delivering services at scale to take pressure off of General Practice, examples include EA, vaccination programme, asylum seeker support, NMabs
  • We actively support collaboration, for example joint roles with acute hospitals for PAs, joint teams with community provider for Frailty

Contractual and funding frameworks

  • Our team are providing finance, HR and other support to enable PCNs to mature into neighbourhoods
  • We hold liability for at scale services as they are tested and tried