Healthcare delivery
local partnerships to respond to pressures with a collective resource, and meet strategic targets for PCNs, for example vaccinations, mobile units to meet health inequalities.
l Developing an intermediate tier of service to keep people out of hospital with integrated teams, such as frailty.
l Managing and delivering left shift of elective care into the community, including triage.
Access to out of hospital care The General Practice Forward View published in 20166
commits to strengthen general practice
in the short term and support sustainable transformation of general practice in the future. The General Practice Patient Survey 20247
services. The previous government published a comprehensive document – a delivery plan for recovering access to primary care, with two central ambitions. The first is to tackle the 8am rush to get an appointment, which one in five patients say is an attempt that frequently fails. The delivery plan outlines how practices should be responding so that, on the day, patients know how their request will be managed. The report also contains the ambition to roll out the existing NHS App functionality to 90% of practices by a date earlier in 2024. As previously announced greater use of local pharmacies and the knowledge and skills of the pharmacists will help to alleviate some of the stress on general practice. It is unlikely that activities such as these, which
suggested that some groups of patients
are experiencing barriers in accessing primary care services and it was proposed that new initiatives should work towards reducing these inequalities, as well as improving access overall. The Equality Act 2010 prohibits unlawful discrimination in the provision of services on the grounds of age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex and sexual orientation. These are the “protected characteristics”. Under the Health and Social Care Act 2012, Clinical Commissioning Groups must, in the exercise of their functions, have regard to the need to reduce inequalities between patients with respect to their ability to access health services, and reduce inequalities between patients with respect to the outcomes achieved for them by the provision of health
have been undertaken already, will be undone and may well provide better access for some patients. However, we will have to wait and see what the new government plans to undertake to reduce some of the current stresses on both primary and acute care in the NHS.
Conclusion The new government has a great deal of work to do in many areas other than health and social care. However, health problems hit the headlines frequently and the new Secretary of State will not want to be defending policies that are not fully worked up, due to new issues of access, inequality or difficulties in the provision of primary or secondary care. It seems unlikely that the integrated care
organisations will receive less support and it is to be hoped that they are able, with all the
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specialisms and separate agendas within, to chart a better way forward for the whole of the population.
CSJ
References 1. Baird B, Fenney D, Jefferies D & Brooks A. The King’s Fund, Making care closer to home a reality, 2024. Accessed at:
www.kingsfund.org. uk/insight-and-analysis/reports/making-care- closer-home-reality
2. Public Health England, Community -centred approaches to health and wellbeing: Briefing, 2015. Accessed at
https://assets.publishing.service.gov.uk/ media/5a7561a7ed915d7314959860/A_guide_to_ community-centred_approaches_for_health_ and_wellbeing__briefi___.pdf
3. NHS England, Primary Care Networks, 2023. Accessed at:
https://www.england.nhs.uk/ long-read/primary-care-networks-pcns/
4. NHS Confederation Ruthwen C. Primary care provider collaboratives: what you need to know. NHS Confederation, 2023. Accessed at:
https://www.nhsconfed.org/publications/ primary-care-provider-collaboratives-what- you-need-know
5. Claridge F, et al. Realising the potential of primary care provider collaboratives. NHS Confederation, 2024. Accessed at: www.
nhsconfed.org/publications/realising- potential-primary-care-provider-collaboratives
6. NHS England, The General Practice Forward View, 2016. Accessed at:
www.england.nhs.uk/ gp/gpfv/
7. Ipsos General Practice Patient Survey 2024. Accessed at:
https://gp-patient.co.uk/
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