The Expanded General Practice Team. NHS Forth Valley’s Approach to Primary Care Reform and Pandemic Recovery

14:00 – 15:15

Prior to the (COVID-19) pandemic, there were significant challenges with GP sustainability in NHS Forth Valley.  Despite this, GP practices were instrumental from the beginning of the pandemic taking extra work, including shielding and community pandemic pathways. 

GPs had to learn to work differently, with fewer face-to-face consultations while also dealing with staff shortages. The need for additional clinical capacity within primary care was clear and in spite of the complex and ever changing pandemic environment, NHS Forth Valley maintained focus on delivering the new GP contract and building General Practice teams throughout this time.

This has resulted in practices, patients and the wider system now benefitting from the addition of 167 new staff and provision of over 250,000 annual appointments and redirection of more than 350,000 medicines related activities.  

In this session, the Forth Valley Primary Care Improvement Plan leadership team will share the experience of the expanded GP team and will also explore the implementation and outcomes from creating direct access to a range of expert supports in every GP practice.

Delegates will hear more about how the multidisciplinary teams have embedded, strengthened and evolved through the experience of the pandemic, and the incredible success stories that have happened as a result of these improvements.

Kathy O'Neil

General Manager for Primary Care and Mental Health Services, NHS Forth Valley


Kathy O’Neill is the General Manager for Primary Care and Mental Health Services in NHS Forth Valley. Kathy started her career as a management trainee, and worked with Greater Glasgow and Dumfries & Galloway Health Boards before joining NHS Forth Valley in 1994.

Dr Scott Williams

Deputy Medical Director, NHS Forth Valley


Dr Scott Williams is Deputy Medical Director for NHS Forth Valley and a GP in Stirling. Dr Williams will share his experience in leading the implementation of the new GMS contract, through the COVID pandemic, both from an NHS board leadership perspective and as a GP.

Lesley Middlemiss

Primary Care Improvement Programme Manager, Stirling Health and Care Village


Lesley Middlemiss is the Improvement Programme Manager for the Primary Care Improvement Plan for NHS Forth Valley, Falkirk, Clackmannanshire and Stirling Health and Social Care Partnerships (HSCP). Lesley was a physiotherapist for 12 years before becoming a service design and improvement programme manager.

Ross Lawrie

Principal Information Analyst, Public Health Scotland


Ross works in the LIST (Local Intelligence Support Team) supporting Forth Valley Region

Kara Connor

Team Leader - Primary Care Mental Health Nurse, NHS Forth Valley


Kara works in primary care in Forth Valley where there is a team of 15 primary care mental health nurses working within the Falkirk area covering 25 medical practices.

Stacey McIntosh

Primary Care Mental Health Team Lead, NHS Forth Valley


Stacey works in primary care in Forth Valley where there is a team of 14 primary care mental health nurses who cover 27 GP practices in the Clackmannanshire and Stirlingshire areas.

Clare Colligan

Lead Pharmacist Primary Care, NHS Forth Valley


Joined the Primary Care pharmacy team as Lead Pharmacist 3 years ago having been a hospital pharmacist for 25 years with a background in respiratory medicine, antibiotic stewardship and governance.

Cameron Marr

Advanced Physiotherapy Practitioner - Clinical & Operational Lead in Primary Care, NHS Forth Valley – Primary Care


Clinical & Operational Lead for APP services in NHS FV since 2019. Previously was MSK Team Lead in NHS Tayside since 2007. Injection Therapist and Independent Non-Medical Prescriber.

Christina Haining

Lead Advanced Nurse Practitioner