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£9m GP package paves way for Jersey Care Model

£9m GP package paves way for Jersey Care Model

Tuesday 10 May 2022

£9m GP package paves way for Jersey Care Model

Tuesday 10 May 2022

GPs have been awarded £9m by Government to support and diversify their practices in a move paving the way for the introduction for the new Jersey Care Model.

Approved by States Members in 2020, the Jersey Care Model aims to reduce individuals’ dependency on secondary services or ending up in hospital by delivering more direct care in the community.

The Government describes it as healthcare delivered by the "right person, in the right place, at the right time".

GPs had, however, raised concerns that the new model of healthcare would create problems for their already stretched workforce.

To help them adapt, £3m of the £9m package is to help practices with the cost of employing professionals including nurses, paramedics, pharmacists and health care assistants.

£1m will be provided for that purpose this year, with a further £2m in 2023, before the funding is phased out over 2024 and 2025 "as new ways of delivering care and funding under the JCM are rolled out", according to Government.

Under the new model, a fee will be paid to practices for each consultation or service delivered by a healthcare professional, which the Government says it hopes will allow practices to "adjust their business models away from one dominated by GPs and allow the development of new services."

A contract is also due to be created which will see practices paid a fee for delivering telephone or video consultations.

GPs have additionally been asked to work with Government to create new measures and targets, with Government committing to progressively increase the funding by £1m over the next 4 years to reach £2.8m by 2025 as part of a 'payment for performance' agreement.

A spokesperson for the Primary Care Board, which represents local GPs, said the body had been "pressing for several years for support to modernise their practice teams in line with the services offered in Primary Care on the mainland and further afield."

"Practices will now be supported in diversifying their workforce to offer improved care to their patients whilst maintaining access to their GP. We look forward to working with Government to address and support the evolving healthcare needs of islanders," they said.

Social Security Minister, Deputy Judy Martin said: "I introduced the Health Access Scheme in 2020 to support lower income families with their primary care costs. This has been very successful, but I knew there was more to do. I asked my team to consider broader measures to support access to primary care.

"This has led to very productive conversations with General Practice and a focus on the challenges around staffing and Jersey's reliance on GPs."

She continued: "Today nurses and other healthcare professionals have the skills to provide a wide range of services to patients. This expansion of the workforce will allow GPs to focus on areas where they are needed most.

"Our focus on Health Care Professionals, like nurses and pharmacists will help us improve the balance of practitioners in General practice, which will have knock-on benefits for the quality of care, patient access and health outcomes."

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Posted by Mark Wilbourn on
Jersey’s care commissioners have repeatedly spent small fortunes on outside reports like the JCM. There has been no simple enquiry about capacity in primary care. Now we learn that the plan is to throw money at the sector in the hope that nurses will materialise from nursing homes and the hospital (where there are already recruitment issues). This looks like robbing Peter to pay Paul. How will the hospital and nursing homes cope if lots of their staff are lured away by short term government policy and funding? There is already a UK and Jersey primary care shortage of GPs. It would have been wise to increase recruitment a few years ago, but we are where we are and spending millions to shuffle the same number of pieces around the expanding board is just going to move the pinch points from one location to another. Long term, Universities need to train more OTs, physiotherapists, nurses and doctors, who need to be encouraged into Primary Care.
Posted by Private Individual on
Where is the money coming from to pay for all this?

More money being spent does not equate to a better service.

It is a shame she is not telling the public that the money to pay for this has been reallocated from the health insurance fund that should have been paying for other services.

More social security rises will need to happen after the election to pay for the monstrosity that is now our health service.
Posted by Keith Marsh on
Generally Health Care in the community fails, because Government do not fund it fully or staff are taken back to hospital roles.
As an Island we are short of GP's and fully trained Nurses, allowing Hospital & GP's to fight each other for the best staff available, helps no one.
This is a BAD political decision and in no way helps the general health of the population.
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