Discover and read the best of Twitter Threads about #GeneralPractice
Most recents (10)
#GeneralPractice is really busy.
My amazing team is working harder than ever.
The vast majority of the work that we do is not being counted by the GP Appointments Data (GPAD) Dashboard. This thread explains more about what we do & why we do it 1/X
My amazing team is working harder than ever.
The vast majority of the work that we do is not being counted by the GP Appointments Data (GPAD) Dashboard. This thread explains more about what we do & why we do it 1/X
We use @askmygp & aim to deal with all of the patient demand that presents to us each day - you might not always get what you ‘want’ but we’ll always try to deliver what you ‘need’ - we’ll operate this way as long as we can keep the surgery staffed - it’s getting harder 2/X
Demand is finite & fairly predictable - we try to staff accordingly. This Monday was off the chart (& off of this photo!) caused by the Group A Strep situation 3/X 
Hi 👋 I’m The Secret Doctor, and from today I’m going to be posting content from the perspective of a working doctor. I work as a GP, and my motivation for doing this is to share with you, the general public, what it’s really like behind the curtain.
Now, more than ever, it’s important for everyone to understand the facts and not get caught up in any narrative driven agenda. It’s an unfortunate shame that many patients and people are being left frustrated by being unable to access their doctor, but what’s worse still is..
..the active campaign of misinformation run by the media which aims to take the pressure away from politicians and onto hard working doctors and healthcare staff in the country. I hope to engage with you in a way that reveals our compassionate nature as healthcare workers.
#ContinuityOfCare
a thread 📜
1/n
Great to see Continuity of care high up the political agenda
But why does it matter?
@jkaffash @costanza_fierce
pulsetoday.co.uk/news/politics/…
a thread 📜
1/n
Great to see Continuity of care high up the political agenda
But why does it matter?
@jkaffash @costanza_fierce
pulsetoday.co.uk/news/politics/…
#ContinuityOfCare 2/n 📜
Continuity of care is a highly cost effective health intervention
It does not grab the headlines as well as flashy new hospitals -
but is proven to:
⬆️ your life expectancy
⬇️ hospital admissions
@pash22 @pwhitakerwriter
Continuity of care is a highly cost effective health intervention
It does not grab the headlines as well as flashy new hospitals -
but is proven to:
⬆️ your life expectancy
⬇️ hospital admissions
@pash22 @pwhitakerwriter
#ContinuityOfCare a 📜3/n
Powerful evidence from the world of midwifery 🫄
They have dedicated **Continuity of Carer champions** for a reason 🤔
Follow ⬇️
@mcareetrixie #Midwife #Maternity
Powerful evidence from the world of midwifery 🫄
They have dedicated **Continuity of Carer champions** for a reason 🤔
Follow ⬇️
@mcareetrixie #Midwife #Maternity
Great to see @rcgp calling for extra funding for practices in deprived areas as part of 'a comprehensive review of the Carr-Hill formula'.
Hot on heels of @NikkiKF and great news for #generalpractice @deependgp
A reminder of why 🧵👇
pulsetoday.co.uk/news/workforce….
Hot on heels of @NikkiKF and great news for #generalpractice @deependgp
A reminder of why 🧵👇
pulsetoday.co.uk/news/workforce….
General practice in deprived areas has:
- More demand/higher patient need
- Less funding
- Fewer GPs
Very hard to fix #healthinequalities in the context of inequitable supply.
More on that: health.org.uk/publications/r…
- More demand/higher patient need
- Less funding
- Fewer GPs
Very hard to fix #healthinequalities in the context of inequitable supply.
More on that: health.org.uk/publications/r…
We looked at 30 years of attempts to tackle this #inversecarelaw in general practice.
Since 2004, all attempts have existed in the context of a flawed funding formula.
Hard to 'fix' workforce inequities unless funding is fairer - so action on CH key.
health.org.uk/publications/r…
Since 2004, all attempts have existed in the context of a flawed funding formula.
Hard to 'fix' workforce inequities unless funding is fairer - so action on CH key.
health.org.uk/publications/r…
Is #NHS #dentistry beyond crisis? Like rest of #primarycare, .@NHSEngland in its dominant position as market regulator has failed to manage the market. #NHS manages contracts, funding, nhs regulations, clinical policy, nhs #tech +entry & exit of workforce .@guardian 1/19
There will be those out there that’ll say but number of registrants has increased. That’ll suit nhs policy makers. Doesn’t account for people leaving NHS, working less hours for NHS, taking a career break or going into private practice or people taking up other careers 2/19
Certainly my experience in London is that many dentists don’t want stress of high needs #nhs practice. Are less likely to work full time & don’t want to work on abysmal NHS rates on offer in places like London. Many won’t be able to pay their rent /indemnity/ travel costs 3/19
The Government has instructed your GP to hand over your lifelong medical history – your GP doesn’t have a choice, but YOU DO... until 23rd June.
If you don’t want your family’s #GPdata used & sold to Hancock’s cronies, send/give this letter to your GP:
medconfidential.org/wp-content/upl…
If you don’t want your family’s #GPdata used & sold to Hancock’s cronies, send/give this letter to your GP:
medconfidential.org/wp-content/upl…
While @NHSDigital’s #OptingOut page* says a #Type1 “can only be recorded by your GPpractice” & doesn’t even link to the form, it’s worth noting #GeneralPractice is currently the busiest it’s ever been. Why is @DHSCgovuk putting even more work onto GPs?
* digital.nhs.uk/about-nhs-digi…
* digital.nhs.uk/about-nhs-digi…
General practice in areas of high deprivation is under-funded and under-doctored relative to need.
Paper out today on why Govt needs to ‘level-up’ general practice & where they should focus.
🧵👇🏻 on evidence for #inversecarelaw in #generalpractice.
health.org.uk/publications/l…
Paper out today on why Govt needs to ‘level-up’ general practice & where they should focus.
🧵👇🏻 on evidence for #inversecarelaw in #generalpractice.
health.org.uk/publications/l…
Ppl who live in more deprived areas have greater health need.
-They are more likely to have multiple health conditions
-And they accumulate those conditions at an earlier age.
health.org.uk/sites/default/…
Need is 🔼, so you'd expect there to be🔼supply of health care. BUT.....
-They are more likely to have multiple health conditions
-And they accumulate those conditions at an earlier age.
health.org.uk/sites/default/…
Need is 🔼, so you'd expect there to be🔼supply of health care. BUT.....
💰💰💰
- General practices serving more deprived populations receive less funding than practices serving more affluent ones.
- Once you adjust for need, practices serving the most deprived areas get around 7% less funding than practices in the most affluent areas
- General practices serving more deprived populations receive less funding than practices serving more affluent ones.
- Once you adjust for need, practices serving the most deprived areas get around 7% less funding than practices in the most affluent areas
As MPs will soon debate on the government's plans for health services outlined in the #QueensSpeech last week, we emphasise the need for any future plans to urgently address the workload and workforce crisis in #generalpractice (1/6)
More GPs are required to meet the needs of a growing and ageing population and manage the impact of the pandemic. However, targets to deliver additional workforce have not been met…(2/6)
Most recent data from @NHSDigital demonstrates that GPs and their teams are working incredibly hard, supporting their patients throughout the pandemic and taking a central role in the #CovidVaccinationProgramme (3/6)
The last few months in #generalpractice have felt hectic, even by usual #GP standards.
short 🧵👇🏻 looks at what appointment/workforce numbers show, with some thoughts on the important bits that those numbers can't tell us....
short 🧵👇🏻 looks at what appointment/workforce numbers show, with some thoughts on the important bits that those numbers can't tell us....
1. Total appointment numbers in March were high (28.5m), BUT
2. The number of appointments done by GPs was particularly high (14.7m - the highest since the dataset began).
3. GPs did 2.5m more appointments in March '21 than in Feb (nb there were 3 more working weekdays)
2. The number of appointments done by GPs was particularly high (14.7m - the highest since the dataset began).
3. GPs did 2.5m more appointments in March '21 than in Feb (nb there were 3 more working weekdays)
- The absolute number (and %) of F2F appointments is creeping up (15.8m in March) AND
- The number of phone appts in March 21 (11.4m) is also the highest on record.
- The number of phone appts in March 21 (11.4m) is also the highest on record.
THREAD: Last couple of days to comment on the #primarycarenetworks services specs. Lots of feedback to date that tells us we need to make changes. We are committed to doing just that @NikkiKF @NHSEngland. You can help us with feedback: engage.england.nhs.uk/survey/primary… 1/9
There are some really important points about this work:
These are draft and this is a proper, comprehensive and dynamic engagement exercise, being conducted "at scale". The feedback that we get will influence the final versions that we negotiate. 2/9
These are draft and this is a proper, comprehensive and dynamic engagement exercise, being conducted "at scale". The feedback that we get will influence the final versions that we negotiate. 2/9
We cannot afford to make them over-ambitious: we would like PCNs to welcome the final versions as sensible expressions of ambition. CDs and #generalpractice teams should feel the final versions are deliverable and that they are aimed at the right areas 3/9
