David Oliver: Towards a GP consensus on the future of UK general practice.
نویسنده
چکیده
As a hospital doctor, I rarely write about general practice unless it’s to defend, celebrate, or support it. Primary care is the engine room of the NHS and underpins its equity, efficiency, and access. But it’s underfunded, understaffed, and overstretched by rising demand. I’m breaking my “no primary care columns” rule and asking where GPs themselves think that UK general practice should go next. I speak to and read pieces by many GPs, and I see universal agreement that general practice needs better funding and staffing. I admired the clarity of the Royal College of General Practitioners’ paper on The 2022 GP: a Vision for General Practice in the Future NHS and have been enlightened by many of the college’s campaigns and resources. But general practice and its local and national leadership form a broad church with a broad range of views and ideologies. Enthusiastic GP innovators and entrepreneurs advocate new models of care, such as federations, accountable care organisations, “primary care home” models, or bespoke services for segmented patient groups. NHS England’s lead GP discussed the need to “end the wild west of primary care.” Others enthuse about telemedicine, supported self management, and social prescribing.
منابع مشابه
David Oliver: What GPs told me about how they see the future.
In June I wrote a column that was very supportive of primary care but asked, in view of serious current problems and an uncertain future, for a consensus from GPs themselves on the future of primary care. An excellent collection of rapid responses helped me (and hopefully other non-GPs) to understand the current mood. One point of consensus seemed clear: there simply is no consensus about futur...
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ورودعنوان ژورنال:
- BMJ
دوره 357 شماره
صفحات -
تاریخ انتشار 2017