scholarly journals Acute General Practice – the 7 year itch

2015 ◽  
Vol 14 (3) ◽  
pp. 132-135
Author(s):  
Ben Jameson
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Patient Care ◽  
Secondary Care ◽  
Primary Care Physicians ◽  
Service Design ◽  
Improve Patient Care ◽  
Medical Assessment ◽  
Improve Patient

The Acute GP Service has operated in Plymouth for the last 7 years. We have a mandate to improve patient care through supporting community GPs and their patients at the point of need for urgent medical assessment. I outline our service design and delivery and make the argument for the use of primary care physicians to help manage the interface between primary and secondary care.

scholarly journals 96 Will Routine Frailty Identification by GPS Improve Patient Care? A Review of the 2017 GMS Contract For General Practitioners (GPS) Using Pestle Analysis Tool

2020 ◽  
Vol 49 (Supplement_1) ◽  
pp. i30-i32
Author(s):  
M Kaneshamoorthy
Keyword(s):  
Primary Care ◽  
Patient Care ◽  
Improve Patient Care ◽  
Cost Effective ◽  
Alternative Methods ◽  
Analysis Tool ◽  
Frail Patients ◽  
The Government ◽  
Improve Patient ◽  
Work Burden

Abstract Introduction It is well established in the literature that frailty is associated with high health costs (Bock 2016, England: BioMed Central). Early identification improves patient outcomes. The 2017 GMS contract for General Practioners’ (NHS England 2017) had tried to implement this. This is a result from the government wanting to improve care for frail patients from the “Five Year Forward Review”. This is first policy worldwide to introduce a policy on frailty screening (Reeves, 2018, BMJ, 362, pp. k3349). Majority of frail patients’ first contact with the NHS is through Primary Care. However, with ever reducing number of GPs and increasing work burden, is it appropriate to ask GPs to undertake this? Methods This review uses the policy analysis tool PESTLE (Political, Economical, Social, Technological, Legal, and Environmental) (Visconti 2016, Corporate Ownership and Control,13), to assess the implications of this new contract obligation on GPs and patients. Results Once frail patients are identified, it is advised that they are reviewed by GPs annually. Whether this actually benefits patients are not clear (Page 2017 British Journal of Clinical Pharmacology, 82(3), pp. 583–623). The evidence for interventions being cost-effective is also inconsistent (Hamilton 2017, BMJ, 358, pp. j4478). Alternative methods include implementing a nurse-led community frailty service, has shown some benefit in Netherlands (Bleijenberg 2017, JAMDA). Clinical Pharmacist can aid with medication reviews and focusing on Geriatrician “outreach” clinics in primary care can improve patient care and outcomes (Goldstein 2014, CJEM, 16(5), pp. 370). Due to the work burden, GPs are often seen to be reactive rather than proactive (Goodwin 2010, The King’s Fund). The shift in focus on frailty can simulate more constructive dialogue between primary care, secondary care, patients and their carers. The BMA has also tried to reassure GPs this is not an added burden, but this is controversial (BMA 2017). Conclusions To successfully implement such a policy, emphasis on clear objective outcomes and strategy is needed. There is a risk of frailty identification becoming a tick box exercise.

Mere Tokenism or Best Practice: The Illawarra Division of General Practice Consumer Consultative Committee

2002 ◽  
Vol 8 (2) ◽  
pp. 81 ◽  
Author(s):  
David Perkins ◽  
Kate Senior ◽  
Alan Owen
Keyword(s):  
General Practice ◽  
Patient Care ◽  
Population Health ◽  
Best Practice ◽  
Improve Patient Care ◽  
Consumer Participation ◽  
Consultative Committee ◽  
Two Cultures ◽  
Set Up ◽  
Improve Patient

Divisions of General Practice were set up to improve links between GPs and consumers, to develop a population health perspective in general practice, and to improve patient care. The Illawarra Division of General Practice established a consumer consultative committee as part of a broader strategy to achieve these objectives. An interview study with committee members indicates the difficulties experienced in this task and the persistence of two cultures. Various options are identified by which consumer participation might be improved as means of fostering better links, improved care and a population health perspective amongst GPs. The first step is a more sophisticated understanding of the strengths and weaknesses of current consultative arrangements.

scholarly journals Can audit improve patient care? Effects of studying use of digoxin in general practice.

BMJ ◽  
1988 ◽  
Vol 297 (6641) ◽  
pp. 113-114 ◽  
Author(s):  
C. M. Anderson ◽  
S. Chambers ◽  
M. Clamp ◽  
I. A. Dunn ◽  
M. F. McGhee ◽  
...  
Keyword(s):  
General Practice ◽  
Patient Care ◽  
Improve Patient Care ◽  
Improve Patient

Service provision for people with schizophrenia

1997 ◽  
Vol 171 (2) ◽  
pp. 165-168 ◽  
Author(s):  
F. H. Lang ◽  
E. C. Johnstone ◽  
G. D. Murray
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
General Practice ◽  
Service Provision ◽  
Improve Patient Care ◽  
Postal Questionnaire ◽  
Working Practices ◽  
Additional Support ◽  
Regular Contact ◽  
Improve Patient

BackgroundThis second report of a study of service provision for patients with schizophrenia describes patients' contact with general practice and general practitioners' (GPs’) views of the mental health services.MethodA postal questionnaire was sent to the GPs, and patients' primary care records were examined.ResultsData were collected on 131 subjects. The majority of patients (96) (73%) were in regular contact with their GP and were consulting for many different reasons; 27 (21%) were posing particular difficulties for the primary care team. GPs reported that 27 (21%) patients required additional support and that the care arrangements for 50 (38%) patients could be improved if alterations were made to the roles of the professionals already involved.ConclusionsGPs are central to service provision for patients with schizophrenia. Both additional resources and changes in working practices are required to improve patient care. The service implications of these findings are discussed.

Anaemia in primary care: iron deficiency and anaemia of chronic disease

2021 ◽  
Vol 3 (10) ◽  
pp. 422-426
Author(s):  
Margaret Perry
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Chronic Disease ◽  
Care Setting ◽  
Primary Care Setting ◽  
Improve Patient Care ◽  
Global Scale ◽  
Practice Nurses ◽  
Anaemia Of Chronic Disease ◽  
Improve Patient

This article will look at iron defciency anaemia and anaemia of chronic disease. Both are problems encountered frequently at a global scale and in the primary care setting. Both conditions can potentially affect any age, although anaemia of chronic disease is more common among older adults. It is hoped that the information provided will give general practice nurses and nurse prescribers greater confidence in the recognition, diagnosis, and management of these conditions, to improve patient care.

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