SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

Figure 8.10: Three main domains of primary care
8.8. GP Outcomes Framework
NHS NW London has pioneered the use of the GP Outcomes Framework within its CCGs.
Training in the tool has been provided for all CCG boards and wider CCG membership
where requested, and this is a key enabler to effective peer review and self-review of
practices.
In addition, significant analytical work has been done to understand the quality outcomes of
practices in a way that will help CCGs in their support of continuous improvement. This has
also been correlated with the financial position of practices in order to give a complete
picture of the value-for-money landscape.
This has enabled practices to focus on areas of improvement, such as flu vaccination, and
on feedback to the Outcomes Framework to improve the accuracy of measures.
8.9. Networks of care
All practices in NW London are aligned to a network of 5–15 practices. These practices are
encouraged to support each other through peer-review and to share good practice. In
addition networks are starting to consider how they might work together in new ways, for
example by sharing specialist clinics or staff.
In some CCGs, multi-disciplinary groups operate in addition to networks. These groups
provide a forum for discussion of patient pathways not only amongst GPs but with a wider
group of healthcare professionals. This enables a more integrated experience of care for
patients and also facilitates the development of consistent procedures between practices
based on the joint experience of professionals.
8b. Primary care development 236