We believe that evidence and research are key in making sustained improvements to medical care. All our claims can be backed up by charts or statistics and we are committed to on-going research to develop our approach.
Papers and links are relevant to clinical and operational effects of access methods. Original material is free to quote for non-commercial use with acknowledgement.
Primary paper on discovery of method
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How the mode of access to GP is linked with 20% lower A&E attendance |
Conference posters
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Clarendon practice case study wins poster prize at SAPC July 2013 Annual Scientific Meeting. J Tankel, H Longman |
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System change in a Liverpool GP cuts wait from 6 days to 1 day, A&E 40% below avg. C Peterson, H Longman, BMJ Forum, London 2013 |
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Access & Continuity go hand in hand H Longman, S Coupe, poster at SAPC Society for Academic Primary Care, 3/10/2012 |
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How a telephone call from a GP transforms patient access H Longman, S Swift, K Singh, BMJ Int’l Forum, Paris, April 2012 |
Large study draft proposal
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Proposal for large scale study of the system |
Presentations and papers
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Shedding light on the mystery of DNAs, and how they can drop by 80% |
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What matters to patients in general practice H Longman 1/2013, the evidence for response time and continuity in driving patient satisfaction and support of change |
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How demand for GP is related to deprivation |
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Access & Continuity – the impact on secondary care S Coupe, H Longman, presented at Commissioning Show 2012, 28/6/2012 |
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Preliminary research on why A&E is rising and the variation by GP practice factors H Longman, NHS copyright 2010 |
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Discovery of practices offering rapid GP phone call, linked to lower A&E attendance. H Longman, presented 9/3/11, Healthcare Innovation Expo, NHS copyright |
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A&E reduction effect FY1011 Dr S Swift, EMQO, NHS copyright 2011, also looks at smaller emergency admissions effect |
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Survey of operational features and staff experience Also considers how fast a practice can change, and how patients react. |
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A&E: is there a better way? Examines the effect of the 4 hour target on waiting times and admission rates |
Links to external research
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GP continuity linked to lower unscheduled hospital admissions, S Purdy et al, Bristol 2014.
Again Barker, Steventon, Deeny BMJ 2017
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5.8 million A&E visits occur after patients unable to see GP – Cowling 2014 |
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ESTEEM RCT on GP & Nurse triage, not whole system See also our comments and GP reaction |
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Effect of GP continuity on elective demand: Leicester University study 2012, JPH, M Chauhan, Richard Baker et al. |
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Cochrane Review on telephone consultation & triage 2009 Wide ranging review of a number of models. None quite like GP Access |
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Telephone Consultations BMJ 2003 Josip Car, Aziz Sheikh, positive review of the clinical evidence and issues |
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Evaluation of John Oldham’s Advanced Access, Professor Chris Salisbury et al, 2007 Full scale review of a top down change programme. |
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NHS Information Centre study linking A&E, deprivation, GP survey A circle linking deprivation, low satisfaction with GP and high A&E. |
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First publication of evidence linking telephone access and A&E effect through EMQO site for NHS East Midlands. |
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