Blog

2.7% of GP appointments booked online. Oh dear.

This week NHS England has been flying the flag, proclaiming that 10 million GP appointments will be booked online this year. The latest projection as I mentioned last week from the NAO is that 368 million appointments will be made in 2015, so 10 million of those represents 2.7%.  In a world lived online, this […]

GP demand, it’s official: “Nobody knows”

Far more interesting this week than the spending review was the National Audit Office report “Stocktake of access to General Practice in England”.  I know what you’re thinking, but some of my closest friends say I’m not just a data nerd. NAO headline figures are £7.7bn cost for 372m consultations.  Cleverly they divide one by […]

PMCF: not even measuring the right thing

I have to say I am very frustrated with the PMCF Wave 1 report, titled “Improving Access to General Practice”.  You’ll recall my offer to Dave that he could change the name to PM’s GP Access Fund provided it was evidence-based.  This does not cut it. The major failure is not to measure what actually […]

Evaluation of PMCF schemes highlights outcomes

The PMCF Wave 1 evaluation report by Mott MacDonald makes fascinating reading, but much of it is between the lines. Summary page VI:  “To date telephone-based GP consultation models have proved most popular and successful… “Other non-traditional modes of contact (for example video or e-consultations) have yet to prove any significant benefits and have had […]

Oi, Dave! That’s our GP Access moniker

The PM’s Challenge Fund has been renamed the Prime Minister’s GP Access Fund, and I need to ask your advice. Should I Sue.  Dave is some new PM on the block and the name’s gone.  Who’s this HMG gang anyway? Sell him the domain name.  There’s only one gpaccess.uk – but does he have the readies? […]

Abuse of the system, or by the system

I was speaking at the Lincs Practice Managers’ conference on Friday and started chatting over breakfast with another hotel guest, about each other’s work.  Neil (not his real name) was passing through on his way back to Harrogate (real name). Neil went straight into describing his dreadful recent neck and back pain, when he hadn’t […]

RCGP 2015 No more hanging on the telephone

Presented at the RCGP Annual Conference, Glasgow 1-3 October 2015, poster 196 Printable pdf: RCGP 196 No more hanging on the telephone

RCGP 2015 Smarter access improves clinical care

Presented at the RCGP Annual Conference, Glasgow 1-3 October 2015.  See narrative below from Dr Peter Cairns and colleagues at Wester Hailes Medical Practice. Printable pdf: RCGP 5769 Wester Hailes online access Four month update report on askmyGP. We have been collaborating now with askmyGP for 4 months. We agreed we would document our experiences and […]

Measure what matters

Welcome to the blog if this is your first and I hope you find it thought provoking.  I’ve had a month free of writing and enjoyed summer reflections. One of the best experiences was sitting at a marketplace cafe in Stamford, on the Side to Side Cycle across Britain (on a tandem from west to […]

EFPC 2015 How does practice list size affect secondary care demand?

  Presented at European Forum for Primary Care 2015 Conference, Amsterdam This is an embedded Microsoft Office presentation, powered by Office Online. Other papers concerning practice list size: http://bjgp.org/content/63/614/459 http://www.ifs.org.uk/publications/7450 http://www.nets.nihr.ac.uk/__data/assets/pdf_file/0004/81364/ES-08-1318-055.pdf http://m.bmjopen.bmj.com/content/4/5/e004746.full http://www.annfammed.org/content/14/1/2.full They mostly conclude that size doesn’t matter. Continuity does!