This story was first published in digitalhealth.net
Reorganisation of primary care could see change in list-based general practice
NHS England chief Simon Stevens discussed how the changing needs of the population is making ‘other ways of interacting with primary care’ essential, as the benefits of defined patient lists begin to be overshadowed.
Stevens told delegates: “Do we believe the idea of practice lists has to be the only way in which general medical services are delivered, or are we going to see other ways of interacting with primary care that go beyond that?
“I’m fully aware of all of the things we’ve got to be careful about there, the benefit of defined lists, the benefit of the patient population from where you can plan and set resource limits, but this stuff is going to be happening. Do we close our minds to it or do we say in some cases that is something we should embrace? I think that is a question we will be forced to confront.”
However, the General Practitioners Committe (GPC) has warned that undermining the general practice registered list could put the whole NHS at risk.
Dr Richard Vautrey, deputy chair of the GPC, said that “The NHS moves away from this principle and solid foundation at its peril.”
He said that the ‘inherent flexibility and adaptability of general practice can and does meet the needs of the variety of different populations’, but added that it needs to be funded properly to achieve this.
Dr Vautrey added: “This is the fundamental issue that needs to be tackled, particularly to ensure practices serving the needs of atypical populations or areas can be properly supported to deliver good general practice in a viable way.”
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