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Challenges listing

 

1. How can primary care best organise itself to ensure it has voice and impact at all levels of a system? What needs to be in place to support this? 2. How can systems best provide management infrastructure and support to PCNs? What type of support is most needed (eg analytical, HR, improvement etc)? 3. How can systems encourage and support the delivery of primary care at scale, where this will result in better provision for patients and communities?

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1. What changes to models of care would have the greatest impact on improving the health outcomes and patient experiences of older people, and their families and carers? 2. Across the other themes and challenges the Stocktake is considering, where should we highlight specific recommendations and actions that need to be focused on older people specifically? 3. How can local health and care systems (including the voluntary sector) work alongside primary care to improve the experience of people and their families at the end of life?

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1. How can systems be supported to produce comprehensive, strategic estates plans, that consider primary care estate fully? 2. The Health and Social Care Bill makes provision for ICSs to own, control and maintain clinical assets, including primary care assets. What levers can ICSs use under this new legislative framework to improve primary care estate with their patch? 3. How can ICSs think differently about how to address issues such as high levels of personal liability on GPs, perverse incentives and negative equity that we have heard associated with the current model of estates ownership in general practice? 4. How can ICSs think more creatively about the opportunity to use the full range of community assets at their disposal for health promotion and creation? What are some of the best examples of this?

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1. What are the existing barriers to data sharing in context of integrated primary care teams and what is required to address these (and whose job is it)? 2. What specifically can ICS leaders do to support primary care with data expertise, capacity and training? 3. How is data being used to deliver population health management, what different approaches to segmentation are being taken, and what’s the evidence around what works? 4. How radical should we be about data sharing beyond the NHS to help address wider determinants of health, and what are the barriers to this? 

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1. How can systems ensure primary care is part of ‘one workforce’ across ICSs, including through a more consistent employer offer for staff across primary care? 2. How can systems work with primary care to drive strategic and operational workforce planning? 3. How can systems support the development of primary care leaders? 4. How can systems help create the right environment for multi-disciplinary teams that cross sector and organisational boundaries in place (council or borough level) and neighbourhood (areas covered by primary care networks)? 5. How can systems best work with primary care, education and training providers to create the supervision and training capacity needed for further workforce expansion?

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1. What models of care would have the greatest impact on improving the health outcomes and experiences of children and young people, their families and carers?  2. Do any of these models of care carry particular risks for children and young people, based on their particular needs? 3. Across the other themes and challenges the Stocktake is considering, where should we highlight specific recommendations and actions that need to be focused on children and young people?

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1. What needs to be in place for digital and remote tools to enable a place-based single point of triage/coordination? 2. What needs to be in place for preventative care to be supported by digital and remote tools? 3. What aspects of providing non-physical access to care should be standardised at system or national level? 4. How can systems support integrated primary care to fully embed digital and remote tools?

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1. What changes to models of care would have the greatest impact on improving the health outcomes and patient experiences of adults, their families and carers? Do any of them carry particular risks for adults based on their specific needs? 2. Across the other themes and challenges the Stocktake is considering, where should we highlight specific recommendations and actions that need to be focused on adults specifically?

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1. What are the essential components of developing strong, collaborative relationships with people and communities? What actions should people across systems take to do this? 2. How can leaders across the health and care system be supported and enabled to develop strong relationships with people and communities?

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How can primary care and system partners work together to best meet the health needs of people in their local areas? Photo by Pixabay on pexels.com 

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How can the primary care workforce be recognised, supported and developed as part of ‘one workforce’ so that it contributes to delivering more integrated models that improve population health?

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How do we best facilitate timely access to primary care, taking account of different needs and preferences?

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What could strengthen the relationship between primary care, the communities and people it serves, and the wider health and social care system? Photo By Clay Banks on Unsplash.com

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How do we ensure effective primary care voice and representation within systems? What barriers do we need to overcome and how do we do that?   Photo By Kaleidico on Unsplash.com

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How can primary care use data to better understand the needs of patients and focus care where it is needed most - and how can systems help make this happen to improve the health of the population? Photo By Artem Podrez on Pexels.com

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