Part-time GPs and the decline in continuity of care: a cause or a symptom?
In our recent paper we explore why levels of care continuity have been declining and what might be done to turn things around.
Two sides of the same coin
Hospital demand arising from GPs not seeing patients, is eating into the resources that they would use to manage down the elective backlog. In turn, this is creating more demand for GPs.
Are GP consultation rates rising or falling? Who or what should we believe?
If the "data suggests" GP appointments are substantially higher than pre-pandemic, then what is behind patients reporting recieving fewer appointments?
GP services: new analysis and fresh insights
In our latest analysis for the Midlands Decision Support Network (MDSN), we explore the long standing problem of access to GP practice consultations we consider the implications, and explore potential solutions.
Socio-economic inequalities in coronary heart disease
There are substantial differences in mortality rates from cardiovascular disease between socio-economic groups. Our new tool provides an overview, for ICBs, of the points on the care pathway where inequalities emerge and are amplified
The impact of social care on demand for urgent hospital care: have we reached a consensus?
The care home COVID crisis and the effects of longstanding staffing and funding shortages has meant that social care has featured heavily in the media over the last 12 months.
Increasing vaccine uptake
The purpose of this work was to identify the key features of local initiatives which encourage vaccine uptake in different population groups, and share these for others to learn from.
Some positive news for integrating GP practices with hospital trusts
The drive for greater integration of health and care services has been the central theme of UK health policy for most of
Primary and Community Qualitative Insights
The COVID-19 response required rapid change and innovation across health and care.
Lessons, Evaluation and Learning from the Dudley MCP
Learning from Dudley MCP
Evaluation of the Dudley New Care Models Programme
This is the final system-wide report from the evaluation.
Integrating health and care services - what works? It’s complicated…
Coinciding nicely with the NHS 70th Birthday celebrations and the parallel discussions of ‘where next and how to do it better’ for the NHS, last we
Horizontal or Vertical: Which way to integrate?
In 2011, Primary Care Trusts faced a difficult choice. The Transforming Community Services policy required a complete break of commissioner and provider functions. But what should PCTs do with the community health services they delivered; vertically integrate with an acute trust, horizontally integrate with a mental health trust, or set up a stand-alone community trust or Community Interest Company? Seven years on, this report explores the impact this choice had on the level and growth in emergency hospital use in older people and considers the wider implications for the NHS as it develops new models of care and integrated care systems
What works for primary care led integration?
We recently shared highlights from our realist synthesis on primary care-led integrated models, at the Health Policy and Planning Network workshop. Take a look at our presentation for a flavour of our findings ahead of publication later in the summer.
Want to have better access to general practice appointments?
Here’s how we can support practice staff to improve access.
Integrated care: rapid evidence scan
Exploring what integration can mean in different contexts, we have summarised evidence on effectiveness and cost effectiveness of integrated care, alongside lessons for implementation and considerations for measurement and evaluation.