Brilliant. Improvements from this means we now have a 'Deep End' programme in Yorkshire & Humber too supporting practices in the most deprived communities. Lots of shared learning and a new inspiring way of looking at these practices.
Anonymous | GP Partner23 Nov 2016 6:25pm
Link it to a social prescribing services so if their contacts keep veering into non medical needs and their is other issues like social isolation or loneliness identified they can be supported through the community and voluntary sector.
Brilliant. this is something I keep mentioning and as part of the acute hub there should be an acute visiting team and the acute hub should link in with the community service and their crisis response team so that input for housebound/care home patients can be properly co-ordinated.
erm i think people are missing the point here. yes the service didnt have an impact on emergency admissions or out of hours but it DID result in a 14% reduction in minor illness attendance at A&E departments in 13 of the 20 pilot areas. sorry but that seems to be a big part of why there needs to be extended access in primary care!! Lets not throw the baby out with the bathwater. It works for minor illness so now the capacity is being put in place look at why it didnt work for admissions or out of hours. Maybe if there was not OOH until after the extend PC times it wouldnt be so confusing for patients. maybe if OOH worked more closely with primary care, maybe if primary and community care worked closer together to deal with care home and LTC patients it would start to have an impact.
Totally agree with Jo Smit. Whats the point of merging if you're not going to increase efficiency and save costs. The biggest cost to any service organisation is staff, followed by estates/overheads. Merging back office functions instead of doing things 14 different times in 10 different ways is of course going to lead to a reduction in admin staff!
I think people should take the positive from this. If you build in the prevention agenda properly into general practice you should be contacting all your patients at least once every 5 years to support them in staying well not just treating them when they're sick! And by using other members of the practice team not just GPs, social prescribing links to community and voluntary sector groups think of all the early intervention activity that could be done to stop long term conditions developing that cause the real workload in general practice.
I think this just reflects the changing preferences of trainee GPs. The days of staying in the same place and working for the same practice for 30 years are over. The new breed of GPs wants a much more flexible portfolio career as evidenced by the recent BMA Survey. General practice needs to adapt to offer this or continue struggling to recruit!
To Anonymous 10:11am - Just because they own the building doesn't mean they can deliver the services. They would still have to have a primary medical services contact to do that and there are rules about transferring contracts. Not saying its impossible not highly unlikely with Assura and many other developers.
The pressures of general practice are all to clear and this is compounded by not having the right workforce in place, not having a practice run to the maximum efficiency and not understanding the financial side of what comes in and goes out.
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