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Overview of the Future of General PracticeMark Purvis @purmjHealth Education Yorkshire and the Humber
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• Over supply of secondary care specialists
• Undersupply of GPs and Practice Nurses
• Ageing GP population• Shift of work into the community
driven by both finance and technology
• Increased demand driven by population demography
• Funding gap
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• 90% of all patient contact is in primary care• The NHS Budget is expected to grow by
0.4% a year for the next five years• Spending on primary care rose by 1.3% last
year compared to 5.1% for secondary care• 22% of GPs are aged over 55• 20% of Practice Nurses aged over 55• 10,000 GPs intend to retire in the next 5
years• Doubling in demand for consultations in
the next ten years
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Daily Telegraph April 2013
GPs blamed for crisis in out-of-hours care
The failure of GPs to provide proper out-of-hours care has forced millions of extra patients to attend hospital accident and emergency departments, where they do not get the support they need, the Health Secretary....
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Daily Telegraph April 2013
GPs blamed for crisis in out-of-hours care
The failure of GPs to provide proper out-of-hours care has forced millions of extra patients to attend hospital accident and emergency departments, where they do not get the support they need, the Health Secretary....
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Daily Telegraph April 2013
GPs blamed for crisis in out-of-hours care
The failure of GPs to provide proper out-of-hours care has forced millions of extra patients to attend hospital accident and emergency departments, where they do not get the support they need, the Health Secretary....
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www.hee.nhs.uk
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www.hee.nhs.uk
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www.hee.nhs.uk
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www.hee.nhs.uk
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www.hee.nhs.uk
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www.hee.nhs.uk
“Our analysis of the available evidence on the demand for GP services points to a workforce under considerable strain and with insufficient
capacity to meet expected patient needs. There is a clear need to substantially lift workforce
numbers to more sustainable levels. However, we also note with concern the lack of
recent substantive evidence on GP activity and workload, a major gap in the evidence base which must be urgently addressed.”
Centre for Workforce Intelligence
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www.hee.nhs.uk
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www.hee.nhs.uk
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www.hee.nhs.uk
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Questions?
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• Tackle supply driven care: collaborative and proactive
• The medical home and three dimensions of continuity
• New ways of working: skill mix and inter-professional working
• Collaborative approaches: integrated care• Harness technology, genome• Open data, empowerment and co-
production
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Thank you – any questions for me?
@purmj