DHSC gives go ahead for boys to receive HPV vaccine

DHSC gives go ahead for boys to receive HPV vaccine

July 27 2018 Adolescent boys will be offered the human papilloma virus (HPV) vaccine to protect...

Home Office gives go ahead to allow cannabis-derived products on prescription

Home Office gives go ahead to allow cannabis-derived products on prescription

July 27 2018 Certain cannabis-derived products will be reclassified as Class 2 medicinal...

New law strengthens punishment for assaulting health sector workers

New law strengthens punishment for assaulting health sector workers

July 27 2018 A new law will increase the possible sentencing of someone who commits common...

Asthma deaths levels increase by a quarter in a decade

Asthma deaths levels increase by a quarter in a decade

July 26 2018 There were 1,320 deaths due to asthma in England and Wales in 2017, the highest...

Pharmacy bodies welcome Health Secretary’s pledge to invest in community pharmacy

Pharmacy bodies welcome Health Secretary’s pledge to invest in community pharmacy

July 24 2018 New Health Secretary Matt Hancock has called for investment in primary care and...

  • DHSC gives go ahead for boys to receive HPV vaccine

    DHSC gives go ahead for boys to receive HPV vaccine

    Friday, 27 July 2018 16:22
  • Home Office gives go ahead to allow cannabis-derived products on prescription

    Home Office gives go ahead to allow cannabis-derived products on prescription

    Friday, 27 July 2018 16:19
  • New law strengthens punishment for assaulting health sector workers

    New law strengthens punishment for assaulting health sector workers

    Friday, 27 July 2018 16:16
  • Asthma deaths levels increase by a quarter in a decade

    Asthma deaths levels increase by a quarter in a decade

    Thursday, 26 July 2018 15:29
  • Pharmacy bodies welcome Health Secretary’s pledge to invest in community pharmacy

    Pharmacy bodies welcome Health Secretary’s pledge to invest in community pharmacy

    Tuesday, 24 July 2018 13:07

a doctor in consultation imageMarch 16 2018

GPs say new data indicating the level of patient multimorbidity means the time allocated for a GP consultation should be extended beyond 10 minutes.

Over a quarter of patients (27.2%) were found to have more than one condition in a retrospective cohort study, using data from over 400,000 patients. Hypertension was the most common condition seen in 18.2% of patients, followed by depression or anxiety (10.3%), and chronic pain (10.1%).

The study, published in the British Journal of General Practice, noted: “Multimorbidity was strongly associated with health service utilisation. Patients with multimorbidity accounted for 52.9% of GP consultations, 78.7% of prescriptions, and 56.1% of hospital admissions.”

In addition, the study noted that females were more likely than males to have more than one condition (30.0% vs 24.4%), and that multimorbidity increased significantly with age. Great socio-economic deprivation was also associated with increased levels of multimorbidity.

Responding to the figures, the RCGP’s Chair, Professor Helen Stokes-Lampard said that it is becoming less common for GPs to see patients presenting with a single, long-term health issue.

“This large-scale, comprehensive research is further evidence of the increasing complexity of cases that GPs are dealing with, and the inadequacy of the standard 10-minute consultation,” she said.

“GPs need much more time with our patients with complex needs, so that we can properly consider their unique circumstances – including the different conditions they are living with – and develop the most appropriate treatment plan for them. This simply isn’t possible in 10 minutes, but offering longer appointments means offering fewer appointments and our patients are already waiting too long to secure time with their GP.”

Prof Stokes-Lampard added: “These findings also suggest that for general practice to cope with the changing needs of our population, we need to consider alternative ways of delivering care to ensure all patients receive the most appropriate care for them.

“This should involve implementing systems to free up GPs’ time so that they can spend longer with patients living with multiple, complex conditions, who really need their medical skills and expertise.”

Links:
A Cassell et al. ‘The epidemiology of multimorbidity in primary care: a retrospective cohort study’. Br J Gen Pract 12 March 2018; bjgp18X695465.            
RCGP statement          

Professional 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...