Valuations for GP premises sustainability loan in Scotland circulated

Valuations for GP premises sustainability loan in Scotland circulated

July 25 2018 New valuations for GP premises in Scotland have been circulated to health boards for...

Doctors reminded to preserve patient records for UK Infected Blood Inquiry

Doctors reminded to preserve patient records for UK Infected Blood Inquiry

July 20 2018 Doctors are being reminded to ensure that any patient or other records which may be...

NAO gives NHS vanguards a mixed review

NAO gives NHS vanguards a mixed review

July 2 2018 The NHS vanguard programme “has not delivered the depth and scale of...

Scotland to expand international recruitment for doctors and nurses

Scotland to expand international recruitment for doctors and nurses

June 22 2018 Activity to recruit doctors, nurses and other specialist health staff will be...

GP trainee round 1 recruitment increases 10%

GP trainee round 1 recruitment increases 10%

June 19 2018 Over 3,000 doctors have been recruited under the current Round 1 GP trainee...

  • Valuations for GP premises sustainability loan in Scotland circulated

    Valuations for GP premises sustainability loan in Scotland circulated

    Wednesday, 25 July 2018 14:03
  • Doctors reminded to preserve patient records for UK Infected Blood Inquiry

    Doctors reminded to preserve patient records for UK Infected Blood Inquiry

    Friday, 20 July 2018 14:51
  • NAO gives NHS vanguards a mixed review

    NAO gives NHS vanguards a mixed review

    Monday, 02 July 2018 16:45
  • Scotland to expand international recruitment for doctors and nurses

    Scotland to expand international recruitment for doctors and nurses

    Friday, 22 June 2018 16:07
  • GP trainee round 1 recruitment increases 10%

    GP trainee round 1 recruitment increases 10%

    Tuesday, 19 June 2018 17:53

gpappointmentsOctober 7 2015

Better GP-hospital coordination, and increased use of other healthcare professionals and IT could make 27% of GP appointments unnecessary, suggests a new report.

“A significant amount of GP time could be freed up if family doctors were not having to spend time rearranging hospital appointments, and chasing up test results from local hospitals. This accounted for 4.5% of appointments in the study, an estimated 15 million appointments if repeated across England,” says the report published by the Primary Care Foundation and NHS Alliance.

The study also estimated that a sixth of patients “could potentially have been seen by someone else in the wider primary care team, such as clinical pharmacists, practice nurses or physician assistants, or by being supported to meet their own health needs.”

Specifically:

  • 6.5% of their appointments could have been seen by another professional within the practice;
  • 5.5% could have been seen by community pharmacy or the patient could have been given support to deal with the problem through self-care, and;
  • 4% of appointments might have been dealt with through social prescribing/navigation.

The report, ‘Making time in general practice’, makes recommendations on a number of practical steps that could be implemented to reduce further bureaucracy, including:

  • letting patients themselves rebook a hospital appointment within two weeks if they have been unable to attend the hospital, rather than have to return to the surgery for the GP to make another appointment;
  • a wider range of health professionals could be employed within the practice or GP federation;
  • making time for GPs and other leaders and managers in the practice to think through how they could work differently, taking into account findings from the Prime Minister’s Challenge Fund pilot sites and Vanguard sites;
  • NHS England should work with doctors to streamline communication between hospitals and practices, and reduce the workload of processing information within the practice, so that discharge letters are issued electronically and within 24 hours of discharge;
  • GP federations should be funded to work across their practices to build practical social prescribing projects that offer real alternatives to taking up GP time with patients whose needs can be better met by other kinds of support in the wider community;
  • NHS England must “rapidly” sort out the way practices are paid working with its new provider of primary care support services and with HSCIC;
  • NHS England should urgently review the range of safety notices that are sent to a practice (from all sources) and consider how filtering might be improved so that practices receive those that are relevant to them without the confusion of irrelevant notices.

Dr Jonathan Serjeant, GP, co-director and co-founder of Brighton and Hove Integrated Care Service and National lead for NHS Alliance’s Accelerate programme, said that the IT currently available could be used to give patients more control over their own patient records rather than this burden staying with GPs.

“If applied quickly, the recommendations set out in this report, particularly those around extending the GP team to incorporate other health professionals, will help reduce the current levels of bureaucracy GPs face on a daily basis,” he added. “The end result is that GP time is freed up, and people have access to all their information whenever they need it.”

NHS England commissioned the report. Dr Robert Varnam, Head of general practice development for NHS England, commented: “General practice is the bedrock of healthcare and NHS England commissioned this report because we are determined to support GPs in reducing the pressures they face.

“The findings include helpful suggestions which should free GPs to spend more time with patients most in need and further ways to reduce the administrative burden.”

Links:

NHS Alliance announcement

Primary Care Foundation and NHS Alliance report ‘Making time in general practice’

NHS England statement

Management News

July 27 2018 Adolescent boys will be offered the human papilloma virus (HPV) vaccine to protect them from cancer, the Department of Health and Social Care has announced.
July 20 2018 Doctors are being reminded to ensure that any patient or other records which may be relevant to the UK Infected Blood Inquiry are not destroyed. Earlier this month, the Inquiry’s Chair, Sir...