Tag Archives: Primary care

Understanding patient worries about wasting medical time

If you have ever wondered whether or not your visit to the doctor was really necessary, you are certainly not alone. Studies in the UK have repeatedly shown that worries about ‘wasting the doctor’s time’ are one factor influencing patients’ decisions about whether or not to make a medical appointment. Our work is the first study devoted …read more

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Is this the rescue package general practice needs?

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.

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General practice is in crisis: here are five possible solutions

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

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How many emergency admissions can primary care policies actually prevent? Answer: Not many.

Emergency admissions, as well as the obvious effect on the patient, family and carers, cost a lot. In 2012, they cost the NHS over £12.5 billion, so understandably there is a desire to contain these costs as they may be better spent elsewhere. A good number of these admissions will be unavoidable and the NHS …read more

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Could reducing over-prescribing cause harm?

The lead headline in many media outlets yesterday was how GPs and the 111 system had failed in the sad case of a 1-year old, William, who died of an undiagnosed infection. I was interested to be contacted by a journalist from one paper, who asked me if I had any views on one particular …read more

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Are NICE not being nice to GPs about antibiotics?

The new Antimicrobial Stewardship guidance was published this month by NICE, looking at organisational and system-wide approaches to optimising antimicrobial use. And the main message coming out of various news agencies today is that GPs will be “struck off” for not prescribing antibiotics appropriately. There is, of course, huge concern around the rising amount of …read more

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A realistic vision for primary care?

CCHSR Co-Director Prof Martin Roland has been a little busy of late, as Chair of the Primary Care Workforce Commission. Their report has just been launched…so what does it say for the future of primary care?

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So will pharmacists save the NHS?

Well maybe, but we shouldn’t get too carried away. The RCGP and RPS have produced a joint statement of how pharmacists and GPs could work better together and the news media today are talking about an ‘army’ of pharmacists coming to the rescue of general practice. Should we be greeting the cavalry with open arms? …read more

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So has QOF reduced death rates or not?

The question of whether improving healthcare leads to improvements in health remains an important one. Martin Roland outlines why a recent BMJ analysis on the relationship between QOF and mortality may not take the right approach to answering this.

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Is an intensive treatment regimen for newly diagnosed type 2 diabetes patients cost-effective? Economic evaluation of the 5-year results of the ADDITION study.

A new paper in Diabetic Medicine reports an economic evaluation of the ADDITION study, based on the five year follow-up data.  The Anglo-Danish-Dutch study of Intensive Treatment In peOple with screeN detected diabetes (ADDITION) is a prospective randomised controlled trial of screening and intensive treatment of newly diagnosed type-2 diabetes patients. The five-year outcomes, published …read more

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  • The Cambridge Centre for Health Services Research (CCHSR) is a thriving collaboration between the University of Cambridge and RAND Europe. We aim to inform health policy and practice by conducting research and evaluation studies of organisation and delivery of healthcare, including safety, effectiveness, efficiency and patient experience.