Case A | GPs on the CCG board challenge provider clinicians to develop more coordinated approaches to adult mental health and better integration between urgent care and primary care, with out-of-hours GPs involved in implementing the latter |
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Case B | GPs on the CCG board lead the formulation of new standards for primary care, and successfully influence others to follow, with locality GPs leading on implementation |
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Case C | GPs develop better working relationships between practices and with voluntary sector providers, and use their role on the CCG board to fund a wellbeing hub for preventive mental health |
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Case D | GP federation supports a local pilot for collaborating in providing GP services across a locality and integrating with community services, seeking support from the CCG |
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Case E | GPs on the CCG board work with neighbouring CCGs to shape a programme of integrated care for frail and older people, and communicate this to the GP community |
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Case F | GPs operate at a strategic level of CCG and work with the local authority to conceptualise an accountable care organisation, although there is only a small amount of wider involvement of GPs in a relatively narrow scope of improvements to existing services |