Releasing time for care

At the heart of our development programme for general practice, we will spread awareness of innovations that release time for care and facilitate local change programmes to implement them. It is estimated that most practices can expect to release about 10% of GP time.

Complete the Expression of Interest form.

Steps to starting your Time for Care programme

  1. Submit Expression of Interest – A development advisor will make contact within 4 weeks to begin designing your programme with you.
  2. Planning & preparation – Building partnerships and plans for your change programme. Beginning optional extras.
  3. Time for Care programme – A 9-12 month programme of collaborative service redesign to release time for care. Knowledge exchange with other practices nationally, expert facilitation in service redesign, peer sharing and support. Optional extras including QI training, reception & clerical staff training, The Productive General Practice, online consultation systems and local development support.

Expressions of interest can be submitted at any time, with a final cut-off date of August 2018

Spreading the Ten High Impact Actions

We will use a variety of means to give every practice in England the chance to learn about proven innovations that release time for care. Working with a new network of champions, we will continue to gather practical case studies and share them through local showcase events, webinars and conferences. We will also create a new social online repository of innovations, to make it easy to find, discuss and share successful changes.

Gathering actionable learning about successful innovations

We will spread actionable learning about new ways of working that release staff time, particularly GPs. Wherever possible, the highlighted innovations will also add value for patients, for example through improving access or introducing an enhanced service.

The use of videos and personal testimonies is important alongside written case study materials, to convey the reality and experience of successful change. These will all be available online, with opportunities for practices to add their own examples and ask questions of others in discussion forums. The temporary store of case materials created for the first series of showcase events.

Showcase events

The first series of  workshops to share the 10 High Impact Actions were very well received by practices. Over 700 people attended one of the ten regional events, with over 95% reporting they took away practical new ideas for their practice.

In response to the considerable ongoing interest in this menu of changes that release time for care, the national development programme will continue to support showcase events that help clinicians and practice managers learn more about for themselves. Practices, LMCs and CCGs have said they would rather hold these at local level, and to use them as an opportunity to plan change together. From July 2016, showcase events will therefore be offered to groups of practices at a CCG or LMC footprint.

Please use the Expression of Interest form to contact us about holding a Ten High Impact Actions showcase in your area. We will contact you to discuss details.

Time for Care Champions

We will build a broad community of Champions, including clinicians, managers, patients and others. If you are interested in becoming a Time for Care champion, spreading awareness of the Ten High Impact Actions, email the General Practice Development Team.

Your own Time for Care programme

In addition to sharing examples of what practices can do to release time for care, we will provide practical support for them to actually implement change. Every practice in the country to have the opportunity to join a local Time for Care programme over the next three years.

How will this help?

It will help practices implement change to release time more quickly, safely and sustainably. The evidence to date indicates that most practices could expect to release about 10% of GP time over a 9-12 month period. It will also strengthen collaboration among local practices, with a focus on improving patient care.

How will it work?

National expertise and resources will be used to facilitate locally hosted collaborative action learning programmes, supporting groups of practices to come together, learn about proven innovations of interest, agree priorities for action, and implement changes that release time for care.

In most cases, it is expected that a programme will be convened for a natural grouping of practices such as the members of a CCG. This change programme will help practices to implement at least one of the Ten High Impact Actions, drawing on the experience of others, experts in improvement science and the support of the whole group. The programme will be designed with local leaders, with the support of your appointed development adviser, to ensure it meets your needs and aligns with other practice development plans locally. A wide menu of support can be drawn on, and no two programmes are likely to be the same.

The core of your programme will be a series of facilitated workshops. Workshops will be facilitated by members of the national primary care improvement faculty hosted by NHS England’s sustainable improvement team. They will be highly interactive, incorporating opportunities to learn from other practices around the country, share ideas with local peers, develop new insights into successful approaches to leading change and create practical plans for the practice.

Early stages will be focused on agreeing your priorities for action. We can connect you with others who have already implemented the High Impact Actions your practices are interested in, so you can more quickly make plans that will succeed. Once you have agreed the changes you wish to make, the next stage will be to design your new way of working, plan precisely how to implement it, and use the best of improvement science to get it into action quickly and in a measured way. National experts will be on hand to help with this, and regular gatherings will provide clinicians and managers with the opportunity to share progress, challenges and solutions.

Most practices will want to send the practice manager and a senior clinician to the programme of workshops. Once the details of the local programme have been agreed, practices will be asked to commit to engage in mutual learning and practical change.

Complete the Expression of Interest form.

Optional extras

A menu of additional support will also be available for local leadership, to help strengthen federation teams and build capacity and capability for service improvement. This can be provided alongside any other consultancy or support procured locally. Your development adviser will help you to put together the most appropriate tailored plan for your practices.

  1. Where appropriate, high quality resources such as learning materials and ready-made templates or protocols will be available, to speed the process of planning and implementing change in the practice.
  2. Support will be available for the leadership teams of local practice collaborations (eg a federation) to grow as an effective leadership team and board. This could include undertaking a board self-assessment or receiving team coaching.
  3. Some practices may wish to go further in implementing changes, and there will be sufficient funding for up to a quarter to receive packages of on-site support from The Productive General Practice programme. These help the practice team plan and implement rapid changes to release time using Lean tools. A higher level of commitment is required, and this will not appeal to all practices, but they will make faster progress. They will also be able to act as local beacons for others. For this reason, some groups may want to use this option during the preparation phase, to create early momentum before the full group of practices begins the workshops programme. The development adviser will be able to support the leadership team in planning how best to approach this for local circumstances.
  4. We hope every practice over the next five years will make use of the new funding being distributed via CCGs to support staff training and online consultations. This will often work best when planned in conjunction with your Time for Care programme.

Assess your readiness

Preparation is crucial to running a successful programme of change in practices. Factors such as practice engagement, partnership with patients and other local stakeholders, alignment with wider developments and the support of the local commissioner are all important.

We have prepared a simple checklist for you to take stock of the readiness to host a successful Time for Care programme.  This draws on the evidence from collaboratives around the world.

Find out more

Join one of our regular webinars. These are an opportunity to hear more about how a Time for Care programme can benefit your practices and federation, about how the General Practice Improvement Leader Programme could benefit clinicians and managers in your area.

An opportunity to hear more about how a Time for Care programme can benefit your practices and federation, what each component of the programme is, how to prepare for success and how your development advisor can work with you to design a tailored programme.

Dates for webinars taking place in 2017 will be shared soon.  In the meantime you can view a previously recorded webinar here.

Apply for the programme

Applications are open from July 2016 until August 2018. Complete the Expression of Interest form. A development adviser will then contact you to discuss your needs.