Survindar Chahal FPM Content Manager

Five Year Forward View explained

With funding towards the Five Year Forward View (FYFV) resting on the general elections in May, the plan should start taking shape from this April. While prevention is the main focus of the FYFV, the 36 page document provided by NHS shows that plans are much more complex than this alone. For this reason we’ve decided to pull together the key points of FYFV.

Why do we need change?

In short, the world is constantly changing and the NHS needs to keep up with it. Patients' want to be better informed on how they can prevent and cure illness, and patients health needs also change as people's lifestyles and dietary choices (amongst many other societal changes) shift.

There is also the constant evolution of medical treatments, technologies and care delivery. New found ways of dealing with aspects of healthcare and treatment surface, and the NHS are eager to mirror this.

Then there’s a matter of funding, something which is also constantly changing. There are currently budget pressures following on from the recession – the NHS is currently £30 billion short - our healthcare system needs to take this into account.

What will change?

This is where General Practice comes in, because the NHS will be putting more money into primary care than previously and CCGs (led by GPs) will get more control of the NHS budget.

There are also plans to alleviate the GP recruitment and retention problem with golden handshakes and cash incentives for potential, new and experienced GPs.

Patients will also now be able to access their health records online.

In terms of the bigger picture, there are plans to incentivise and support healthier lifestyles and prevent lifestyle related disease - although plans for this are currently vague – as well as giving more power to local authority, rolling out the Fit for Work scheme, motivating people to volunteer for healthcare organisations and providing more support for carers, amongst many other areas for improvement.

GP Practices are affected by many of these. The Fit for Work scheme could help to reduce repeat visits from patients, and there are also plans to work with voluntary organisations and practices to identify carers that might need support.

How will the plans be put into action?

Building a larger skilled workforce will be the first step needed to put plans into place, as well as offering more responsibility to local CCGs and ensuring a closer partnership between national NHS branches and the local NHS.

Other organisational changes will include a ‘digital overhaul’. The National Information Board will publish ‘road maps’ that will help healthcare organisations bring data together and hopefully reduce the amount of paperwork involved in healthcare.

The remaining areas covered include increasing efficiency across all area of the board, particularly in research and innovation, and funding. The latter is largely dependent on the general election next month, but a £30 billion gap needs to be closed by whichever party ends up in power.

Each of the parties are promising a renewed vigour to support the NHS and General Practice, and their commitment to help implement the proposals in the Five Year Forward View, but the election will still be the deciding factor on how these visions are funded and subsequently delivered.

More Information

For a more detailed overview of the Five Year Forward View visit NHS England, where the vast amount of guidance on the subject is regularly updated.

© First Practice Management, 2015. Unauthorized use and/or duplication of this material without express and written permission from this blog’s author and/or owner is strictly prohibited.

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