Carol Sinnott

Hoping our catalogue of 449 different efforts to improve access to general practice will be useful for policymakers, clinicians and patients. The paper summarises our findings. The entire list is in supplementary data 4 here: bjgpopen.org/content/bjgp...

Illustrative

What’s been tried? A curated catalogue of efforts to improve access to general practice
➡️ doi.org/10.3399/BJGP...
‬Using 449 different sources, this review offers a comprehensive, thematically curated catalogue of attempts to improve access to general practice.

Hoping our catalogue of 449 different efforts to improve access to general practice will be useful for policymakers, clinicians and patients. The paper summarises our findings. The entire list is in supplementary data 4 here: bjgpopen.org/content/bjgp...

Women in the foreground with two people in the background waiting in a waiting room

Despite 40-plus years of interventions, patient satisfaction with access to NHS general practice continues to drop. We reviewed and sorted 449 previous attempts at improving access into a catalogue for policymakers, researchers, and clinicians. THIS summary: ths.im/44njDJG Full paper: ths.im/4lgXkew

In patients with #Insomnia disorder, low-dose mirtazapine and, to a lesser extent, amitriptyline, improved insomnia severity compared with placebo at 6 weeks, but not from 12 weeks onwards doi.org/10.3399/BJGP... #PrimaryCare #GeneralPractice

💡 Despite record numbers of appointments, patient satisfaction with access to NHS general practice is declining. With @healthfoundation.bsky.social we reviewed 40 years of interventions into a themed catalogue to help guide improvement efforts.

Many, many, many things have been tried in trying to improve access to general practice. @thisinstitute.bsky.social and @healthfoundation.bsky.social have curated those efforts: bjgpopen.org/content/earl...

Challenges to quality in contemporary, hybrid general practice: a multi-site longitudinal case study - PubMed Contemporary hybrid general practice features changes (digitalisation, physical distancing, extension of roles, and protocolisation) that have had the unintended effect of dehumanising, compromising, ...

H/t this recent @bjgp.bsky.social paper by @trishgreenhalgh.bsky.social and the RBD2 team, pubmed.ncbi.nlm.nih.gov/39117426/

Investigation report: Continuity of care - delayed diagnosis in GP practices Full online version of the Health Services Safety Investigations Body (HSSIB) investigation report 'Continuity of care: delayed diagnosis in GP practices'.

Engaging reflections here on the unintended consequences of GPs only seeing the most complex patients without any lower acuity consultations. Consequences include decision fatigue, an inability to "reset" between patients, and decreased performance: www.hssib.org.uk/patient-safe....

Looking at how people access (and can’t access) general practice – lessons to take into action Quickly and easily listen to BJGP Interviews for free!

Conversations around GP access often focus on appointment waiting times & availability but miss key factors that impact patients' overall experiences with access. @cmsinnott.bsky.social explores these factors with @nadakhan.bsky.social in this @bjgp.bsky.social podcast:

Really looking forward to this session- do join us for what promises to be an enthusiastic conversation and fresh look at problems relating to access to general practice.

Thanks @nadakhan.bsky.social and @bjgp.bsky.social for giving me the chance to share our recent work on access to general practice with you on this podcast!

The #CandidacyFramework offers a way to examine improving #GeneralPractice access through a candidacy lens. Does the patient believe they are a candidate for health care?

🎧Podcast: www.bjgplife.com/189
📖 Paper: doi.org/10.3399/BJGP...
🎬 1-min Video: youtu.be/JJLR2QlG5cg

#GPworkforce #PrimaryCare

The key is to feel there is someone there – yes, a doctor – who cares about you.

Hugely important. But I can attest that high quality, human care does survive for myself and my family. And that phone, text and email can work together to materially improve communication between patient and practice and improve its efficiency.

Challenges to quality in contemporary, hybrid general practice a multi-site longitudinal case study Background Since 2022, general practice has shifted from responding to the acute challenges of COVID-19 to restoring full services using a hybrid of remote, digital, and in-person care. Aim To examin...

Our new paper, out today:

Challenges to quality in contemporary, hybrid general practice: a multi-site longitudinal case study.

Is grim reading. Lead author was @oohgpwales.bsky.social

bjgp.org/content/earl...

Thinking about access to healthcare
in terms of availability of appointments is too limiting. In this new article in the BJGP, we show how access to general practice can be understood through the lens of the Candidacy framework, enabling new insights. bjgp.org/content/bjgp...