Recherche

Résultats de recherche

  • Understanding pressures in general practice.

    Publication date:
    Abstract:
    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 ... and This report is accompanied by 'A day in the life of a GP'. This typical day in the life of a GP draws on the experiences of several GPs working in different practices who we spoke to as part of the research for this report. It has been reviewed by ...

  • Improving GP services in England, exploring the association between quality of care and the experience of patients.

    Publication date:
    Abstract:
    Two key elements of the quality of health care provided by GPs are the Quality and Outcomes Framework (QOF), which rewards GP practices for achievement against a range of indicators of clinical quality, and the GP Patient Survey, which asks patients about their experience of using GP services. Using data ...

  • Impact of the health white paper, what do doctors think?

    Publication date:
    Abstract:
    The white paper ‘Equity and excellence: liberating the NHS’ (Department of Health 2010) sets out a wide-ranging set of proposals to reform the NHS. The King’s Fund and Doctors.net.uk have carried out a survey to ascertain doctors’ opinions of the impact of these reforms. This paper summarises the main findings ...

  • supporting improvements in quality., General practice in London :

    Publication date:
    Abstract:
    This report outlines the challenges faced by general practice in London and the improvements needed in order to address them. The report is aimed at those who have a role in leading quality improvement in primary care, namely GPs working in London and leaders of primary care providers, clinical commissioning ...

  • making the case for family care networks., Commissioning and funding general practice

    Publication date:
    Abstract:
    As England’s population both expands and ages, so the demands on primary care will grow. Within the current commissioning and funding system innovative models of primary care provision are already being used. This report describes examples of these through four case studies in different areas of England. It also highlights ...

  • supporting improvement in general practice?, Clinical commissioning groups

    Publication date:
    Abstract:
    The King's Fund and the Nuffield Trust are working together to assess the implementation and impact of clinical commissioning groups. Between 2012 and 2015, we are following the evolution of clinical commissioning in six case-study sites and will publish the findings annually. This first report is based on fieldwork conducted ...

  • from hospitals to health systems., Acute hospitals and integrated care

    Publication date:
    Abstract:
    A core part of the vision in the NHS five year forward view is a fundamentally different role for acute hospitals. Hospitals in England and elsewhere face significant challenges as a result of rising demand and the changing needs of the population, and they will not be able to meet ...

  • A rapid view of access to care.

    Publication date:
    Abstract:
    This paper was commissioned by The King's Fund to inform the Inquiry into the Quality of General Practice in England. The views expressed are those of the authors and not of the panel. and A range of factors contribute to whether patients feel they have good access to general practice care, including practice location, opening times, ease of arranging appointments, and speed of access. Performance by access criteria is now part of the quality-monitoring system for general practice. But patients still complain of trade-offs, ...

  • Quality improvement in general practice.

    Publication date:
    Abstract:
    This paper was commissioned by The King’s Fund to inform the GP Inquiry panel. The views expressed are those of the authors and not of the panel. and Over the past 20 years there has been a growing awareness of the need to improve quality across health care and general practice, driven by a need to reduce inequalities in health care and the need to effectively translate evidence into practice and by the changing expectations of patients and ...

  • The quality of patient engagement and involvement in primary care.

    Publication date:
    Abstract:
    The role of the patient is no longer as a passive recipient of care. Nowadays doctors are expected to engage patients in their own health, care and treatment. There are also a number of initiatives to encourage patient involvement in the design, planning and delivery of health services. To inform ...