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GPs to be tasked with ‘preventing’ ill health under ‘radical’ NHS reforms

by Costanza Potter
9 March 2022

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GPs will be tasked with preventing ill health under a set of ‘radical’ new NHS reforms, the health secretary has said.

In a lengthy speech at the Royal College of Physicians yesterday, Sajid Javid said the Government’s ‘Road to Recovery’ plan would have a new focus on prevention with primary care at its ‘heart’.

According to Mr Javid, primary care ‘represents one of the very best ways of preventing and managing illness in the community’.

However he also acknowledged there was ‘a sense’ services were ‘too stretched’ to do so at present.

Introducing his reform plans, Mr Javid said they were ‘radical but logical next steps’, which ‘flow from the increasingly patient-centred and systems-based working through the Integrated Care Systems’.

Mr Javid said: ‘Primary care and all our GPs, pharmacists and dentists must be at the heart of this new agenda on prevention.

‘I know there is a sense that primary care is far too stretched to be proactive on prevention – even though it wants to.’

Setting out his ambition to ‘hardwire prevention into the NHS’, the health secretary suggested that ICSs will face targets and financial incentives to deliver progress on the agenda, starting with work on cardiovascular disease (CVD).

He said: ‘My department and the NHS will also work together to look at where barriers can be removed and incentives improved to focus on prevention.

‘Building on our Integration White Paper, my second commitment is to put prevention at the heart of how we hold our ICSs to account in the future.

‘We will expect NHS England and individual ICSs to commit to joint delivery plans to reduce the biggest preventable diseases – starting with cardiovascular disease, but in time, expanding to include diabetes, cancer, and poor mental health.’

He added that CVD is one of the ‘biggest risks to health’ and made a commitment to ‘push the entire health and care system harder’ on its prevention. 

The health secretary also spoke about the new ‘national vaccination service’ he proposed in January to relieve GPs, but offered scant details.

He said the new GP focus on prevention will be backed by a new ‘sustainable vaccination service’ that applies lessons and technology from the Covid vaccination programme onto ‘other routine vaccinations’ such as childhood jabs.

He said the ‘new approach to vaccination’ would mean programmes do not ‘displace other health and care services’. 

‘This can be a better experience for the public but will also help the NHS drive the prevention agenda forward, providing improved data that helps plan services’, he added.

And Mr Javid suggested that the NHS App will also have prevention ‘at its heart’ so it can be the ‘front door for preventative tools and services like a new digital health check’.

Setting out his reform agenda, the health secretary stressed this comes as the NHS faces some ‘long-term challenges’ including ‘rising patient expectations’ and an ‘unsustainable financial trajectory’.

He added that he is ‘looking forward’ to hearing the outcome of Claire Fuller’s ‘stocktake’ on how primary care networks can be supported within ICSs to ‘deliver for the communities they serve’, which is due to report in the coming months.

Mr Javid’s speech also confirmed that patients waiting for secondary care treatment will be given the ‘right to choose’ their provider to help tackle the Covid backlog.

His review of primary care – which was supposed to be announced at the end of February – was expected to form part of today’s announcement, but was not mentioned.

It comes as a think-tank report – backed by the health secretary – said on Friday that the majority of GPs should be employed by trusts, with the GMS contract to be phased out by 2030.

Management in Practice‘s sister title Pulse revealed last week that Government officials have visited Royal Wolverhampton NHS Trust’s salaried GP model to explore ‘alternative ways to deliver primary care’.

It comes after the House of Lords has supported a proposition that will see the Government publish regular health and care workforce projections, reversing the Commons’ rejection last year.

This story initially appeared on our sister title Pulse.