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Why do we need General Practice

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Why do we need General Practice

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    1. http://www.rcgp.org.uk Why do we need General Practice? Professor Nigel Sparrow Vice Chairman Royal College of General Practitioners

    2. http://www.rcgp.org.uk

    3. http://www.rcgp.org.uk What would the health service look like without general practice?: Fragmentation of care provided by multiple providers No registration – no continuity, lack of aftercare Health inequalities exacerbated – inverse care law Competition for patients – decisions based on cost rather than quality and patient safety Patients categorised to diseases

    4. http://www.rcgp.org.uk Why do we need general practice? General Practice has been described as the glue which holds the NHS together Good general practice is essential to an efficient and effective NHS General practice is the backbone of the NHS Patients are never discharged from general practice Provides a safety net for patients providing lifelong services for patients

    5. http://www.rcgp.org.uk Trust in Doctors The 2004 annual MORI poll, investigating trust in the professions found that 92% of the public trust doctors to tell the truth. Further key results showed that the public feel doctors are: hardworking (87%), committed (85%), and helpful (83%). Link: http://www.ipsos-mori.com/polls/trends/trust.shtml

    6. http://www.rcgp.org.uk Why do we need general practice? 63 million people are registered with a general practice 90% of healthcare is carried out in primary care 15% of the population visit their general practice in a 2 week period 300 million consultations a year occur in general practice Most people see their GP at least 3 times a year

    7. http://www.rcgp.org.uk What the NHS Does: Contacts per Day (Thousands)

    8. http://www.rcgp.org.uk Cost Effectiveness of General Practice

    9. http://www.rcgp.org.uk Cost of Different Services in the NHS

    10. http://www.rcgp.org.uk NHS Activity An Audit Commission report in 2002 – General Practice in England – used Government expenditure plans to show the position of general practice in relation to all health services. It showed that general practice accounted for 80% of all NHS “activity” (with community and hospital services accounting for the remainder) and only attracted 21% of expenditure.

    11. http://www.rcgp.org.uk Number of GPs and Consultants

    12. http://www.rcgp.org.uk What we do in general practice? We are specialists in the individual patient rather than being confined to one disease or area of the body General practice provides a wide range of specialist services – drug misuse treatment, preventive clinics, minor surgery

    13. http://www.rcgp.org.uk Why is UK general practice successful? Registered list ensures continuity, lifelong record and relationship based care Prevention in embedded eg high uptake of immunisation and cervical cytology. Opportunistic linked preventive interventions Most patients with common chronic diseases are managed exclusively in general practice Gatekeeper and navigator role ensures that those who need specialist high technology care can receive it Primary care is close to patients

    14. http://www.rcgp.org.uk Mortality/Morbidity and Primary Care Shi (1994) found, in the US, that primary care is “by far the most significant variable related to better health status, correlating to lower overall mortality, lower death rates due to diseases of the heart and cancer, longer life expectancy, lower neonatal death rate, and low birth weight.” In studies undertaken by Shi and Starfield (2000, 2001) on income inequality and primary care, an association was established between higher primary physician supply and good health status.

    15. http://www.rcgp.org.uk The role of general practice in the current aspirations of the NHS Improved access to care An improved patient experience with personalised care High quality chronic disease management Reducing the need for specialist referral Improvement in the health of the public

    16. http://www.rcgp.org.uk A vision for the future Practices working together by sharing expertise and capacity Training model for health care professionals emphasising patient centredness and communication skills

    17. http://www.rcgp.org.uk Challenges for primary care Recognition and management of co-morbidity Preventing adverse effects of medical interventions Further improvement of standards of primary care practice Improve equity in health services and in health of populations

    18. http://www.rcgp.org.uk Future of General Practice Continuity with a named doctor and nurse Longer and flexible consultation times Focus on prevention, health and well being Earlier diagnosis More support for patients in information and self care Integrated teams More tests and procedures in primary care Strong general practice services in deprived areas

    19. http://www.rcgp.org.uk The value of good general practice Despite all the changes, the values of general practice are important Standards and quality of patient care are essential Patients need safe effective care provided by skilled highly trained professionals Remember general practice is about co-morbidities not just single diseases Good general practice is essential for patients, for society and for the NHS

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