How Not To Fix General Practice

In General Practice (and other parts of the Health Service) there is a natural circle of Need and Capacity. When there is unmet need it shows up as Demand and this is what usually drives increases in Capacity. However, there is a delay while capacity meets the need and politically it may be tempting to … Read more

What comes after COVID?

Coronavirus has probably done General Practice a favour. Of course it has been hard and scary being on the front line when the entire country is in free fall trying to cope with something which reaches to the core of our society. But rarely has there been a disease which has forced the NHS to … Read more

Has Coronavirus changed General Practice for ever?

There is no doubt that General Practice has changed remarkably since the start of March Use of telephone and video consultations have become the norm. All calls are triaged. Practices are routinely open on Bank Holidays. There has been a dramatic reduction in use of locums. Local support groups have been mobilised. But these have … Read more

Do We Really Need GP Receptionists?

It is trendy to talk about moving away from “old fashioned” GP receptionists towards call centres or even computerised phone systems and apps. Economies of scale and the efficiencies of not having staff idle between calls seem to support this industrialisation of Primary Care. 24-hour call centres promise better access and allow staff to be … Read more