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How collaboration promotes sustainability when creating new GP organisations

By: Nav Chana | Post date: 20/12/2017 | Time to read article: 1 mins

The information within this article was correct at the time of publishing. Last updated 14/11/2018

There are concerns around the sustainability of GP organisations and the numerous iterations – can I have your thoughts about the next 2/3 years?

Dr Nav Chana, Chair of the National Association of Primary Care, discusses how groups of GP practices can promote sustainability.

Achieving sustainability when forming new GP organisations from Medical Protection on Vimeo.


Sustainability of GP groups is a real challenge but before we look at groups of GPs we ought to work out why groups are being established in the first place and we know and certainly over the last few years increasing difficulties for individual GP practices surviving within the current constraints both in terms of financial environment but also the workload and demographics challenges and demand challenges as a consequence of that GP practices are facing. And it’s understandable therefore there’s been a lot of focus on scaled up general practice and the creation of GP federations and GP groups or GP networks and sometimes the nomenclature can be very confusing around these organisational forms. But there’s also a challenge for all provider organisations at the moment because we’re in cash-strapped healthcare system and arguably there isn’t enough money to around and so if the attitude is going to be around competition and each organisation competing for bits of funding then we’re going to struggle I think collectively as a system. So, in terms of promoting sustainability going forward, the real hope is that provider organisations start to work collaboratively around a population health mission to address the population health challenges that we face. And we are beginning to see examples across the country where groups of GP practices as part of a provider solution with community services and mental health and the acute trust particularly are beginning to show the way forward around improving population health outcomes and if we do that often the quality of care is better, the cost effectiveness of the care is better and people’s individual experiences of care is better. So in that respect that probably provides the most sustainable solution going forward for our whole health and social care environment. 

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Nav Chana Medical Protection Expert

Nav Chana

Nav Chana is a GP at the Cricket Green Medical Practice, where he’s been practicing for 25 years. He’s also the chairman of the National Association of Primary Care where he co-led the development of the primary care home model, one of the New Care Model Programs endorsed by NHS England.

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