Two big new reports – NHS England’s General Practice Forward View, and the House of Commons Health Committee’s Report on Primary Care – set out the extent of the crisis in general practice. But, as Prof Martin Roland argues, perhaps they also do offer some really good solutions.
Patient surveys have become increasingly important in recent years, in part due to policy initiatives that emphasise the utility of patient feedback for quality improvement. In England, patient experience is measured by surveys including the General Practice Patient Survey (GPPS) in primary care and the Inpatient Survey in secondary care. At the individual doctor level, …read more
What are some of the key current problems with systematic reviews – and what can we do about them?
Doctors and patients are confused by PSA testing. In January 2016, the UK National Screening Committee recommendation concluded that “Evidence shows a benefit of prostate screening to reduce prostate cancer deaths by 21%. Despite this significant reduction, the major harms of treating men who incorrectly test positive still outweigh the benefits. A systematic population screening …read more
Posted in Blog
Group: Cancer care
The Francis report asked probing questions about the provision of compassionate care within the NHS. Responses from the Care Quality Commission (CQC) and The King’s Fund have focused on promoting ‘well-led’ care. From a psychological point of view we might also raise questions about role of emotion in compassionate care. In an organisational culture that …read more
New medical technologies are often developed and introduced at a much slower rate than patients and clinicians could wish. There are many reasons for this, including unanticipated complications arising during trials and the overarching need to ensure patient safety. In some cases, moreover, concepts emerge well before the technology exists to make their realisation a …read more
Unless you’ve been stranded on a desert island for the last decade, you might just have noticed that lots of health care types are interested in the idea of patient experience. Patient experience is all that stuff that goes on which isn’t directly about clinical effectiveness (is this the miracle cure?) or patient safety (have …read more
In a special guest post, Milica Vasiljevic from our colleagues at the Behaviour and Health Research Unit considers the impact of e-cig advertising on children
Back in 2012 members of our team reported the proportion of multiple (three or more) pre-referral consultations for 24 cancer diagnoses (1). This previous work provided evidence of the variability in the diagnostic difficulty of different cancers in primary care, reflecting the cancer’s ‘symptom signature’. This work used patient self-reported data from one year of …read more
General Practice is the foundation stone of the NHS: if it fails, the whole system will fail. That’s the urgent warning in a new BMJ Editorial from CCHSR Co-Director Martin Roland and Sam Everington, Chair of Tower Hamlets Clinical Commissioning Group. In this piece, Roland and Everington point out that, whilst the whole NHS is …read more