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Unplanned admissions DES survey could be dropped, GPC claims

Exclusive NHS England could drop plans to survey the 2% of vulnerable patients GPs have signed up for the unplanned admissions DES, Pulse has learned.

In a speech on the 2015/16 GMS contract at Pulse Live 2015 in London today, GPC deputy chair Dr Richard Vautrey explained that the planned survey included in September’s redesign of the DES has yet to be developed any further.

Speaking to Pulse after the speech, Dr Vautrey added that he was doubtful whether patients would have noticed the changes put in place under the scheme, and that its future might hinge on the next government.

He also told delegates that the GPC had been assured that GPs would be funded for any administration costs incurred by practices in contacting patients or operating the survey if it proceeds.

Pulse reported in September that the unplanned admissions DES would be being revamped under the latest contract negotiations, and that a new patient survey would be introduced to cover this.

Dr Vautrey told delegates that it had not been decided whether the survey will be done.

He added: ‘It’s possible there might be a survey of patients on the 2% register. Not unsurprisingly the Government and NHS England want to ask those patients who are on the register whether they’ve noticed any difference or not, and it’s possible that a survey might be done.

‘If that happens, it will be fully funded and the administration costs will be paid for, and envelopes and letters will be provided. But at the moment it’s not certain whether that’s going to happen or not.’

Speaking to Pulse, when asked if patients would have seen a difference he said: ‘Probably not, and I think that’s one of the challenges. I think ultimately there’s too many patients on the list. The 2% register is too big to do it any meaningful way.’

He added: ‘I think [the survey] might now depend on the next government and whether they want to resource it or not resource it, or feel it’s necessary to do.’

The original headline on this story mistakenly said the ‘Unplanned admissions DES could be dropped’. It was meant to say ‘Underplanned admissions DES survey could be dropped’.

Readers' comments (10)

  • its going nuts

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  • When I do the unplanned admissions care plan I often ask the patient if there is anything they can think of that might help them avoid going to hospital in the next year.

    I am usually met with a bemused expression The patient is often elderly and may have several conditions, but usually I find they have not been in hospital recently, or if they have it is for a needed and planned operation. The 2% list seems very suspect to me.

    My feeling is, that unless I have a good crystal ball, there is nothing meaningful I can add to the care they are already getting.

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  • I agree, stop giving us stupid politically motivated ideas and let us get on with our job!

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  • On the whole I would say yet another unimpressive bit of politically- driven development which fortunately has little impact on day to day care other than to cause further distraction to already busy GPs,managers and other staff. Just get off our backs I say and focus on doing your own jobs properly!

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  • When I asked 1 frequent hospital attender what we could do to help prevent going into to hospital so frequently - he suggested arranging his coffin.

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  • Just get rid of it!! Total waste of time.

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  • Ildiko Spelt

    Why has this been done to start with? The Government is adding and taking away DES and LES with no meaning to us. To implement those when should not even attend the surgery to see patients as not enough time! When will they understand that we are Doctors-medics, we have studied MEDICINE not social care. We are good in diagnosing and treating illness but that's about it. Giving us so much other non sense work which could be done by people with other kind of studies, is only taking us away from what we know the best: treating patients. ... And exactly here starts the vicious circle: we haven't got the time to do our profession, so patients end up in A&E, etc..... They should review their thinking if they still want to have a few GPs working here.

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  • The whole thing was potty to start with!

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  • What motive would the Government have for doing a survey of patient's given care plans, asking if THEY had noticed any difference ?

    Surely the research should be on whether there are less admissions in those patients that had a care plan. Otherwise I can only surmise that the Government was trying to garner votes by conning patients into thinking that 'this Government is so good because it has made my GP ring me and give me individual attention on my problems.'

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  • This is the fishing rod - luring you to get used to the DES then they will incorporate it into a 2017 or 2018 contract. They are getting data on how best to adapt it for the future - fact.

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