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Wednesday 23 August 2017
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Topic: Patient Access

July 28, 2017
Figures from the Royal College of GPs show that patients in England will have to wait more than a week for a GP appointment on more than 100 million occasions in just five years’ time

Figures from the Royal College of GPs show that patients in England will have to wait more than a week for a GP appointment on more than 100 million occasions in just five years’ time.

The data, estimated by the College based on current trends, show that the number of instances when patients will need to wait a week or more to see a GP will increase by over 20 million over the next five years. This is an increase of more than a quarter, from 80 million instances this year to 102 million by 2022.

A 'genuine risk to patient safety'

July 20, 2017
Over 200 English GP practices closed or merged in the year ending June 2017 – yet only eight new practices opened, the latest figures from NHS Digital reveal.

Over 200 English GP practices closed or merged in the year ending June 2017 – yet only eight new practices opened, the latest figures from NHS Digital reveal.

The report details the number of GP practices that opened, closed or merged in England between 1 July 2016 and 30 June 2017.

It also provides data by region, showing that the North of England suffered the most closures/mergers, followed by the South, which also saw no new practices open over the period. 

June 21, 2017
Should you own and develop your own building, or find a reliable private sector partner to develop premises that you can lease? Monica Macheng
and Michael Hiscock from law firm Wright Hassall explore the options.

Should you own and develop your own building, or find a reliable private sector partner to develop premises that you can lease? Monica Macheng and Michael Hiscock from law firm Wright Hassall explore the options

Reading the NHS sustainability and transformation plan for Coventry and Warwickshire published recently, I was impressed by the bold opening statement of the vision for the local health and care economy: ‘To work together to deliver high-quality care, which supports our communities to live well, stay independent and enjoy life.’

May 31, 2017
A 5,000-patient branch practice has been forced to plan its closure after failing to recruit new GPs for vacant positions.

A 5,000-patient branch practice has been forced to plan its closure after failing to recruit new GPs for vacant positions.

The Folkestone East Family Practice in Kent will close on 1 November after a major recruitment campaign did not result in a single application.

The doctors will continue to provide services at the Sandgate Road Surgery, but patients fear they will not have capacity to absorb the whole patient list of its sister practice.

May 24, 2017
The NHS aspires to provide the safest, most effective healthcare in the world. But every year a small number of patients are harmed, sometimes fatally, in incidents that could have been prevented, Anne Ward Platt explains.

The NHS aspires to provide the safest, most effective healthcare in the world. But every year a small number of patients are harmed, sometimes fatally, in incidents that could have been prevented, Anne Ward Platt explains

May 22, 2017
Over 2,000 GPs providing care for more than 3 million patients could be lost to the NHS if their status is not protected during Brexit negotiations, the Royal College of General Practitioners (RCGP) has warned.

Over 2,000 GPs providing care for more than 3 million patients could be lost to the NHS if their status is not protected during Brexit negotiations, the Royal College of General Practitioners (RCGP) has warned.

The warning is based on a new analysis released today (22 May), which shows that 3,456,481 patients could be left without a family doctor if the 2,137 GPs from the European Union are forced to leave the UK.

May 19, 2017
The Conservative Party election manifesto pledges £8bn and seven-day GP access across England by 2019 – one year earlier than their 2015 promise.

The Conservative Party election manifesto pledges £8bn and seven-day GP access across England by 2019 – one year earlier than their 2015 promise.

It also states that if re-elected, the Tories would recover the cost of treatment from people not resident in the UK by increasing the Immigration Health Surcharge.

The new fees would be £600 for migrant workers and £450 for international students.

May 17, 2017
GP practices and other NHS services around England which were forced to close for several days following the 'cyber attack' on the NHS computer system, have now reopened.

GP practices and other NHS services around England which were forced to close for several days following the 'cyber attack' on the NHS computer system, have now reopened.

Some GP practices had to close from 12 May while staff at other NHS services also found themselves unable to work.

May 16, 2017

NHS England’s blueprint for service transformation, Next Steps on the Five Year Forward View, has a number of implications for primary care, including the creation of GP practice ‘hubs’ covering patient list sizes of 30,000 – 50,000 patients. Andrew Broadbent, a solicitor in the hlw Keeble Hawson litigation and dispute resolution team, looks at the potential impact of the new arrangements on practice partnership agreements and supplier contracts

May 12, 2017
A major cyber attack on the NHS computer system has shut down GP practices around England.

A major cyber attack on the NHS computer system has shut down GP practices around England.

Management In Practice understands that some GP practices have had to shut down, while hospital staff found themselves unable to work.

Dr George Farrelly, a GP in East London, said his practice did not have access to patient records and could not prescribe medicines.

Dr Farrelly, who works at the Tredegar practice in Tower Hamlets, said his practice had ‘heard something might happen’ earlier in the day so had printed the appointment list.

May 11, 2017
A draft of the Labour Party's 2017 election manifesto has been leaked to the press despite the party leaders only today (11 May) meeting to finalise it ahead of its planned launch.

A draft of the Labour Party's 2017 election manifesto has been leaked to the press despite the party leaders only today (11 May) meeting to finalise it ahead of its planned launch.

The manifesto, which the party has confirmed is a genuine draft, says that a Labour government would give more than £6bn in added funding to the NHS.

The Conservative Party has called the plans 'a total shambles' which would 'unleash chaos' on Britain.

Workforce

May 9, 2017
Two practices in Norwich have come together to provide a housing and benefits advice service to patients aged over 60.

Two practices in Norwich have come together to provide a housing and benefits advice service to patients aged over 60.

The pilot scheme, introduced three years ago by Cotman Housing Association, is now being offered in practices for the first time at Lionwood Medical Practice and St Stephens Gate Medical Practice.

Trained advisors at the practices run clinics where older patients can ask questions, make an appointment or be referred to other services by their GP or nurse.

May 9, 2017
Are there any simple lessons for practices looking to improve access? Rick Stern worked with over 1,500 individual practices across England in order to find out.

Are there any simple lessons for practices looking to improve access? Rick Stern worked with over 1,500 individual practices across England in order to find out

May 8, 2017
A group of sixteen practices in the southeast have banded together to form a federation to ease pressure on their resources.

A group of sixteen practices in the southeast have banded together to form a federation to ease pressure on their resources.

The GP federation for Windsor, Ascot and Maidenhead (F-WAM), will see a group of surgeries from across the borough to share their expertise.

The federation was officially formed on 26 April after a year’s worth of preparation. The group will now have 140,000 registered patients on their list.

May 5, 2017
The Dispensing Doctor Association (DDA) has launched its 2017 general election manifesto, asking for all parties to protect rural dispensing practices.

The Dispensing Doctor Association (DDA) has launched its 2017 general election manifesto, asking for all parties to protect rural dispensing practices.

The association is calling on election candidates in each of the devolved nations to:

May 2, 2017
Virginia Patania is not a typical practice manager. Angela Sharda speaks to her about her outlook and approach.

Virginia Patania hasn’t used the title ‘practice manager’ for about a year, but instead refers to herself as a ‘transformation partner’, which she describes as ‘someone who is deeply invested in the practice’s change and transformation, but has a stake.’
Her approach is different from the conventional practice manager, but she is also keen on making a difference in her community and in general practice. Her positive approach, she says, comes from the people around her and from generating results.

April 28, 2017
A North-east London practice has complained that their level of patient care is being adversely affected by an out-of-bounds clinical room.

A North-east London practice has complained that their level of patient care is being adversely affected by an out-of-bounds clinical room.

Driver & Partners practice in Forest Gate, is seeing up to 100 fewer patients a day due to the clinical room being out of service for months, according to practice staff.

The surgery has 7,000 patients on its list and can see up to 250 individuals in one day depending on how many rooms are available.

April 27, 2017
A practice group in Sunderland has been threatened with closure after CQC inspectors placed it in special measures for a second time.

A practice group in Sunderland has been threatened with closure after CQC inspectors placed it in special measures for a second time.

Care Quality Commission (CQC) inspectors rated almost every aspect of care at Sunderland's Hylton Medical Group as 'inadequate' on 20 April.

The practice has lodged an appeal and is awaiting the outcome.

The group, which operates two sites for 5,240 patients, only came out of special measures a year ago.

April 13, 2017
Around two in every five GPs in the South West have said they intend to quit within the next five years, confirming primary care leaders' fears that the workforce crisis continues to worsen.

Around two in every five GPs in the South West have said they intend to quit within the next five years, confirming primary care leaders' fears that the workforce crisis continues to worsen.

April 13, 2017
Recording GP appointments could help improve patient care and provide a useful database for research and training, a study published in the British Journal of General Practice has suggested.

Recording GP appointments could help improve patient care and provide a useful database for research and training, a study published in the British Journal of General Practice has suggested.

Marcus Jepson, professor of primary care at the University of Bristol set out to create an archive of videotaped consultations and linked data based on a large sample of routine face-to-face doctor-patient consultations with consent for use in future research and training.

April 7, 2017
Two of the largest practices in Plymouth have unveiled plans to merge later this year serving 60,000 patients across the region.

Two of the largest practices in Plymouth have unveiled plans to merge later this year, serving 60,000 patients across the region.

Beacon Medical Group and Ocean Health have partnered up and believe it marks a 'bright future for primary care' in and around Plymouth.

The GP partners will serve patients within the communities of Plympton, Chaddlewood, St Budeaux, Mannamead, Efford and Ivybridge.

April 7, 2017
The largest practice in the UK has backed NHS plans to extend its opening hours.

The largest practice in the UK has backed NHS plans to extend its opening hours.

The Leicester practice in Melton, called Latham House Medical Practice, has said it is ‘supportive’ of new NHS plans to increase access to GP surgeries, which could include an extension of opening hours into the evenings and at weekends.

April 6, 2017
The small business model of GP practices is ‘not fit for purpose and is inhibiting change’ according to a House of Lords Committee on NHS sustainability, suggesting that NHS England look into alternative models.

The small business model of GP practices is ‘not fit for purpose and is inhibiting change’ according to a House of Lords Committee on NHS sustainability, suggesting that NHS England look into alternative models.

The committee’s conclusions echoed evidence given by Dr Clare Gerada, former chair of the Royal College of General Practitioners (RCGP), who was one of a number of senior healthcare figures to give evidence.

April 3, 2017
Elliott Hall Medical Centre in Middlesex is the first practice in London to be awarded an ‘Outstanding’ rating by the Care Quality Commission (CQC).

Elliott Hall Medical Centre in Middlesex is the first practice in London to be awarded an ‘Outstanding’ rating by the Care Quality Commission (CQC).

The practice was rated as outstanding in all areas: Safe, Effective, Caring, Responsive, and Well-led.

Ursula Gallagher, CQC deputy chief inspector for primary care in London, told Management in Practice how the practice achieved this.

Arrival