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ICBs must evidence engagement with primary care, GPs say

ICBs must evidence engagement with primary care, GPs say

By Jess Hacker
25 November 2022

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NHS England must instruct ICSs to publish quarterly evidence of their engagement with primary care, GP representatives have said.

Debating at the England LMCs conference in London yesterday (24 November), LMC leaders voted in favour of calling on NHS England and the Government to demand ICSs publish their progress on implementing the Fuller Stocktake, with 114 votes in favour to five against.

It formed part of a wider motion suggesting systems are currently ‘failing’ to implement the Fuller Stocktake.

Commissioned by NHS England, the Stocktake report’s main recommendations centred on reorganising GP urgent care around a ‘single integrated urgent care pathway’ single neighbourhood teams, connected to the wider care system.

Dr Claire Fuller, chief executive of Surrey Heartlands ICB and a GP, also laid out plans to develop ‘innovative employment models such as joint appointments and rotational models’ and change the way GP premises are owned and managed.

The motion in full:

That conference believes the implementation of the Fuller Stocktake report is failing and calls upon NHSEI and the government to:

(i) mandate LMC involvement for all ICS work streams concerning the report Passed, 214 votes for

(ii) provide immediate funding to deliver an emergency primary care estates solution Passed 207 votes for

(iii) acknowledge that isolated, acute presentations make up a tiny percentage of general
practice workload and their removal risks fragmentation of continuity of care Passed, 163 votes for

(iv) instruct ICSs to publish their progress and evidence of primary care engagement on a
quarterly basis Passed, 114 votes for

Addressing the conference, Dr Rolan Schreiber, Medical Secretary at Humberside LMC, who proposed the motion said: ‘Following the publication of the Fuller Stocktake report, those updates are all I’ve heard about in both ICB and policy-level meetings. And although our NHSE and ICS colleagues are well meaning, a lot of these high level and confusing updates are of relatively no use to our local constituents.’

He added: ‘We as an LMC regularly share any Fuller Stocktake updates with out constituents, but we feel that onus should rest with the ICBs.

‘We call on these bodies to publish and share the updates and progress on a quarterly basis. More importantly, that information should highlight any evidence of fully-funded primary care engagement, as well as any general practice proposals and agreements.’

Under the same motion, GP representatives called on NHS England and the Government to provide immediate funding to deliver an emergency primary care estates solution.

LMC leaders also voted to mandate LMC involvement for all ICS work streams concerning the stocktake.

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