BMJ analysis notes in overstretched UK primary care system, acid test is likely to be whether GPs find that a focus on frailty helps to reduce, rather than increase, professional burden in dealing with their most complex patients, while also benefiting their older frail patients.
This evaluation report showed that clinical pharmacists significantly increase patient appointment capacity and reduce pressure on GPs. More than 490 clinical pharmacists were placed in over 650 practices across England in the pilot project which supports the aim of having over 2,000 clinical pharmacists working in general practice by 2020/21 – a ratio of one per 30,000 patients. The research team investigated the work of the newly created clinical pharmacist roles from the perspectives of the pharmacists, those working immediately with them in their roles, professional stakeholders and patients.
Sharing to improve: four case studies of data sharing in general practice | The Health Foundation
A new briefing from the Health Foundation, Sharing to improve: four case studies of data sharing in general practice, introduces approaches to collaborative data sharing that enable improvement in the quality of care. The four case studies in this briefing offer promising early indications that collaborative data sharing – in different configurations of general practice – has potential to make a meaningful contribution to improving the quality of care. Insights from these case studies show different methods of using data to improve care, and share practical learning from groups already experimenting with these efforts.
New report outlines a series of recommendations for NHS England and for GPs | Royal College of General Practitioners
This report is the result of research by the Royal College of General Practitioners on the effectiveness of NHS England’s Time for Care Programme, specifically its 10 High Impact Actions: a range of initiatives that were introduced with the aim of increasing capacity in general practice and reducing GP workload which were introduced two years ago.
The Time for Care Programme is part of the commitments outlined in the GP Forward View and this research is part of our ongoing work monitoring and evaluating all aspects of the GPFV.
The research found that whilst there has been some success helping spread pragmatic advice for GPs, and tools to help tackle workload across general practice, NHS England should expand those schemes with the highest potential to reduce administrative work for GPs and other effective measures.
The report outlines a series of recommendations for NHS England and for GPs. The RCGP is calling on NHS England to expand schemes with high potential to reduce administrative work for GPs and are calling on government to ensure every GP surgery has funding to have access to a dedicated social prescriber in a bid to tackle crippling GP workload and effectively signpost patients to the right services.
iSPACE is helping surgeries improve support for patients with dementia and their carers | AHSN
iSPACE is a quality improvement and innovation programme delivered in GP surgeries in all parts of Hampshire, Dorset, Isle of Wight and south Wiltshire. The aim of iSPACE is to improve the pathway of patients with dementia and their carers through primary care.
The key to the spread of iSPACE is the engagement of staff teams and a recognition that people with dementia need a more personalised care plan and access to resources to help them and their carers to better manage the pathway.
Wessex Academic Health Science Network (AHSN) worked with Alzheimers charities, clinical commissioning groups (CCGs), Public Health England (PHE), Health Education England (HEE) and companies providing dementia services both within and outside the NHS to deliver this project. The AHSN delivered the project into 153 GP surgeries providing training, access to resources, meetings to encourage progress and physical resources such as funding for environmental changes and literature.
Patients reported feeling more supported by their surgery; carers reported a greater understanding of dementia from the surgery team and seeing the same clinician at each appointment. Dementia diagnosis rates increased (15.9% for people aged over 65), care planning increased by 26% for face to face reviews and 80% of surgeries now have a dementia noticeboard.