Securing the future of general practice: new models of primary care

Content Provider	Semantic Scholar
Author	Smith, Judith Osgood Holder, Holly Edwards, Nigel Maybin, Jo Parker, Helen Rosen, Rebecca M. Walsh, Nicola
Copyright Year	2013
Abstract	General practice in England is under significant strain, with many GPs and their teams caught on a treadmill of trying to meet pressures, while lacking time to reflect on how to provide and organise care for the future. To inform the challenges facing primary care, the former Midlands and East Strategic Health Authority – now NHS England Midlands and East – commissioned the Nuffield Trust and The King's Fund to undertake a review of UK and international models of primary care, focusing on those that could increase capacity and help primary care meet the pressures it faces. Although this report has implications for the whole of primary care, the focus of this research has been primarily on general practice. We examine how GPs and their teams are responding to pressures by forming new organisations to allow care provision at greater scale. We consider what is required if primary care is to be fit for the future, proposing design principles to be used when planning future provision and suggesting what needs to be done by both policy-makers and practitioners. Securing the future of general practice 3 Key Points • Primary care in England is under significant strain. GPs and their teams are caught on a treadmill of trying to meet demand from patients while lacking time to reflect on how they provide and organise care. • New models of care organisation are emerging organically in some areas to meet the challenges facing primary care. The 21 UK and international models examined in this report aim to extend the range of services offered, thereby enhancing the sustainability of practices. They emphasise the need to balance the benefits of organisational scale with preservation of the local nature of general practice. • Our review of their development has confirmed that, while the ability to extend the scope and scale of primary care is important, no one organisational model of primary care provision should be advocated. Local context plays an important role in determining organisational form, and the precise mix of functions will likewise depend on the nature and priorities of the local population. • This report proposes a set of design principles to be used when determining primary care provision that can address the pressures facing GPs, and ensure that both the needs and priorities of patients and the public are met, and that primary care will be fit for the future. • When …
File Format	PDF HTM / HTML
Alternate Webpage(s)	https://www.nuffieldtrust.org.uk/files/2017-01/securing-the-future-general-practice-full-web-final.pdf
Alternate Webpage(s)	http://www.nuffieldtrust.org.uk/sites/files/nuffield/publication/130718_securing_the_future_summary_0.pdf
Alternate Webpage(s)	https://www.nuffieldtrust.org.uk/files/2017-01/securing-the-future-general-practice-summary-web-final.pdf
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article