Change Support Services for GP Practices, North Central London

General Practice is experienced in delivering frequent and significant change to meet national and local expectations for continuous improvement of patient care. This is in addition to providing a higher volume of clinical care than ever.

It is well understood, however, that practice capacity to undertake meaningful, sustainable change is finite, and that capability for change management and quality improvement varies between individual providers. In previous financial years North Central London Integrated Care Board (NCL ICB) has commissioned at-scale primary care providers to offer change management support to General Practice on a number of topics.

These have included mobilising the model of care required to deliver its long-term conditions locally commissioned service (LTC LCS), and delivering the requirements of the national delivery plan for recovering access to primary care. Some of these commissioned offers have been universal to all practices in NCL; others have been targeted where data and intelligence indicates that a subset of practices would specifically benefit from targeted support.

Building on the learning from previous commissioned services the ICB now aspires to move towards a consistent commissioned change management offer to General Practice across NCL. As a first step, this specification represents iterative development of the ICB's aspiration to continue to support General Practice with change management using a standard approach.

It describes the programme approach to be delivered to enable a consistent change management offer, and the individual change themes for the 2025-26 financial year with the intention of a larger scale procurement of a longer-term contract in the future. The Service will commence on 1st October 2025.