
Talking General Practice How can we create a neighbourhood NHS?
Jan 31, 2025
In this engaging discussion, Ruth Rankine, Director of Primary Care at the NHS Confederation and seasoned health professional, shares insights on creating a neighbourhood NHS. She emphasizes the shift towards community-based care and the need for integrated neighbourhood teams. Ruth explores the challenges of redesigning GP contracts to accommodate new roles and collaborative practices. Additionally, she highlights how Primary Care Networks can enhance healthcare delivery by focusing on local needs and improving outcomes while navigating financial hurdles in the current system.
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NHS Confederation's Role
- The NHS Confederation supports NHS improvement by influencing policy and advocating for members.
- They connect members, share solutions, and offer improvement programs.
Integrated Neighborhood Working
- Integrated neighborhood working aims to deliver personalized care by combining expertise from different parts of the system.
- Defining a "neighborhood" varies, requiring collaboration with communities to understand their perspectives.
Challenges of Transitioning to Neighborhood NHS
- Transitioning to a neighborhood NHS is challenging due to the need to maintain current services while building new infrastructure.
- Current NHS measures prioritize finances, waiting times, and A&E performance, hindering the shift to community care.

