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General practice is the name given in various nations, such as the United Kingdom, Australia New Zealand and South Africa to the services provided by General practitioners. In some nations, such as the US, similar services may be described as family medicine or primary care. The term Primary Care in the UK may also include services provided by community pharmacy, optometrist, dental surgery and community hearing care providers. The balance of care between primary care and secondary care - which usually refers to hospital based services - varies from place to place, and with time. In many countries there are initiatives to move services out of hospitals into the community, in the expectation that this will save money and be more convenient.
General medical services (GMS) is the range of healthcare that is provided by general practitioners as part of the National Health Service in the United Kingdom. The NHS specifies what GPs, as independent contractors, are expected to do and provides funding for this work through arrangements known as the General Medical Services Contract. Today, the GMS contract is a UK-wide arrangement with minor differences negotiated by each of the four UK health departments. In 2013 60% of practices had a GMS contract as their principle contract. The contract has sub-sections and not all are compulsory. The other forms of contract are the Personal Medical Services or Alternative Provider Medical Services contracts. They are designed to encourage practices to offer services over and above the standard contract. Alternative Provider Medical Services contracts, unlike the other contracts, can be awarded to anyone, not just GPs, don't specify standard essential services, and are time limited. A new contract is issued each year.
NHS Grampian is an NHS board which forms one of the fourteen regional health boards of NHS Scotland. It is responsible for proving health and social care services to a population of over 500,000 people living in Aberdeen, Aberdeenshire and Moray.
The Care Quality Commission (CQC) is an executive non-departmental public body of the Department of Health and Social Care of the United Kingdom. It was established in 2009 to regulate and inspect health and social care services in England.
Dame Clare Mary Louise Francis Gerada, Lady Wessely, is a London-based general practitioner who was chairperson of the Council of the Royal College of General Practitioners from 2010 to 2013. She has professional interests in mental health and substance misuse.
The Hurley Group is a large provider of primary care services in London, one of only 3 organisations in England which served more than 100,000 patients in 2014. In 2012 it ran 13 practices, had 250 employees and provided a variety of NHS services across London.
Out-of-hours services are the arrangements to provide access to healthcare at times when General Practitioner surgeries are closed; in the United Kingdom this is normally between 6.30pm and 8am, at weekends, at Bank Holidays and sometimes if the practice is closed for educational sessions.
Professor Sir Anthony Herbert Everington MBBS, MRCGP,, known as Sam Everington, is a GP at a health centre within the Bromley by Bow Centre, in Tower Hamlets, an area of East London.
The Five Year Forward View was produced by NHS England in October 2014 under the leadership of Simon Stevens as a planning document.
The Modality Partnership is a large GP partnership formed in 2009. Such large practices are often described as a "super partnership". According to the King's Fund in 2016 it was one of England’s largest super-practices. In 2018 it had about 400,000 patients and was thought to be the largest practice in England.
Patient record access in the United Kingdom has developed most fully in respect of the GP record, because computerisation in that field is almost universal. Many British hospitals still use paper records. From 1 April 2015 all GP practices in England have to provide online services to patients, including access to summary medical records.
Healthcare in Cumbria is now the responsibility of Cumbria Clinical Commissioning Group. From 1 April 2017 32 GP practices will leave the CCG and merge with Lancashire North CCG to form Morecambe Bay CCG.
EMIS Health, formerly known as Egton Medical Information Systems, supplies electronic patient record systems and software used in primary care, acute care and community pharmacy in the United Kingdom. The company is based in Leeds. It claims that more than half of GP practices across the UK use EMIS Health software and holds number one or two market positions in its main markets.
Professor Nick Harding OBE BSc FRCGP FRCP HonMFPH DRCOG DOccMed PGDIP(Cardiology) SFFLM, born 21 December 1969, is a British general practitioner and Chief Medical Officer at Operose Health.
David Wrigley is a British medical doctor who works as a general practitioner (GP) in Lancashire and is the deputy chair of the British Medical Association (BMA) Council.
Patient Online is an NHS England programme to encourage GPs deliver the British government’s promise to give patients in England access to their GP records and to let them book appointments and order prescriptions online.
GP Federations became popular among English general practitioners after 2010 as a means to exploit the opportunities - or mitigate the threats - posed by the Five Year Forward View proposals in the English NHS which envisaged delivering primary care at a larger scale than the traditional GP list. It is widely believed that ‘Practices cannot survive on their own – they have to look at ways of making themselves stronger.’ 15 sites were selected in December 2015 to test new enhanced primary care models serving populations of 30,000 to 50,000 patients. Some, but by no means all, clinical commissioning groups have given financial support to encourage the formation of federations.
Dr Thomas Antony (Tom) Coffey OBE is the Senior Advisor to the Mayor of London on Health Policy.
Paul Daniel Williams is a British general practitioner (GP) and Labour Party politician, who served as the Member of Parliament (MP) for Stockton South from 2017 to 2019.
In England, an integrated care system (ICS) brings together the organisations planning, buying and providing publicly-funded healthcare – including mental health and community care services – to the population of a geographical area. As well as the NHS, the organisations include local authorities and independent care providers. The NHS Long Term Plan of January 2019 called for the whole of England to be covered by April 2021.
References
- ↑ "Flood-hit GP meets prime minister". GP online. 18 December 2009. Retrieved 1 October 2014.
- ↑ "8. Dr Mike Bewick". Pulse. 2 September 2014. Retrieved 1 October 2014.
- ↑ "NHS England would 'very rarely' close a GP practice". Health Service Journal. 20 December 2013. Retrieved 1 October 2014.
- ↑ "Dr Mike Bewick: GPs must act now to shape their future". GP Online. 8 November 2013. Retrieved 1 October 2014.
- ↑ "GP partnership model dead within 10 years, says NHS England GP". GP online. 10 September 2014. Retrieved 1 October 2014.
- ↑ "Shortcomings in cardiac unit at St George's hospital linked to 67 deaths". BMJ. 27 March 2020. Retrieved 31 January 2021.