Our vision: to transform access to medical care.

Continuity and access go hand in hand

Continuity improves as access opens up

Continuity improves as access opens up

We’re often told that “you can have access or continuity but not both”. The reverse is true: continuity can improve when you take the lid off access. The reason is that patients, given a choice of waiting several weeks for a named doctor, or a different one today, often choose today. The same doctor may be in the building seeing other patients, and continuity has been lost.

Continuity is made on reception in the initial conversation with the patient.  Many don’t mind who they see, and fill up the gaps to make the workload roughly the same.  But for those to whom it matters, make the effort.  You can track what’s happening month by month.

Continuity may be unaffected

Continuity may be unaffected

Not every practice sees a change, as in the second chart.  It may be helpful to look only at face to face – click the legend on the right of the chart to see this only.

The measure here is relationship continuity, the chance that a patient has of seeing the same clinician in a series of visits. More here on how continuity UPC is calculated.