Talking General Practice

How can existing at-scale models help GPs prepare for a neighbourhood NHS?

Jul 18, 2025
Dr. Duncan Gooch, a GP in Derbyshire and chair of the NHS Confederation's Primary Care Network, discusses the future of general practice. He shares insights on the transformative potential of new contracts for neighborhood providers and how they can coexist with traditional GP partnerships. Duncan emphasizes the critical role of technology and data in enhancing healthcare delivery. He also highlights the importance of addressing infrastructure challenges and fostering community engagement to bolster a successful neighborhood NHS.
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INSIGHT

Positive Vision for General Practice

  • The 10-year health plan supports preserving the GP partnership model while allowing other models where needed.
  • Neighbourhood health contracts focus on community-based care and multiple partners improving patient experience.
INSIGHT

Partnership Model Strength and Flexibility

  • The GP partnership model remains strong for accountability and community connection.
  • Alternative models should be supported where local needs differ, avoiding one-size-fits-all delivery.
INSIGHT

Evolving Hospital Leadership Role

  • Hospital trusts leading neighbourhood health raises concerns about losing local control.
  • Existing decision-making infrastructure must evolve to ensure local clinical leadership and community input.
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