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The King's Fund
Understanding pressures in general practice
Increasing demands on general practice over the past five years - not just a heavier workload but the increasing complexity and intensity of work - have led to a feeling of crisis. The NHS is finding it difficult to recruit and retain sufficient GPs who want to do full-time, patient-facing work. This report looks at patient factors, system factors and supply-side issues to see what lies behind this increasing pressure on general practice. It finds that despite GPs being at the heart of the health care system, a lack of nationally available, real-time data has made their changing workload largely invisible to commissioners and policy-makers.
This plan sets out a more collaborative and systematic approach to data collections across the health and social care system. It aims to: collect proportionate data that has a clear business purpose; prevent duplication of other data collections; and review the need to collect the data regularly.
refused: a study on access to GP registration in England
This report finds that at least two in five people attempting to register with doctor’s surgeries are being wrongly refused. The biggest barrier was people's inability to provide paperwork - be that ID or proof of address or immigration status. Everyone living in the UK is entitled to free primary care and NHS guidelines issued in November 2015 state that patients do not need proof of ID or address to register and see a doctor, but inconsistent and unclear guidance in the past has led to confusion in some practices that mean people are still being turned away by surgery staff.
The third national emergency department survey of alcohol identification and intervention activity
This research shows that emergency departments in England have increased the level of alcohol screening for adults - with the offer of specialist support for those attending with alcohol-related health problems and for those who frequently attend. However, it also shows that while most emergency departments attending to under-18s ask them about their drinking, few do so routinely. It concludes that this needs to improve to ensure young people considered to be at risk of developing drink-related ill health receive the specialist support they need.
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