Innovative models of general practice

Authors:
BAIRD Beccy, et al
Publisher:
Kings Fund
Publication year:
2018
Pagination:
90
Place of publication:
London

Drawing learning from examples of emerging, innovative practice and analysis of the literature, this report looks at innovative models of general practice from the UK and other countries. It identifies ways of working that could support general practice in England to meet the challenges it faces and to deliver high-quality services across the core dimensions of general practice. In addition, the report sets out a set of principles that should guide the development of new models of care for general practice as part of whole-system redesign. As general practice has evolved from single practitioners to multidisciplinary enterprises, an underpinning philosophy of general practice and family medicine has emerged, consisting of a series of attributes, with a renewed focus on relationships and community: accessible care - including factors such as proximity, timeliness, choice and range of services; continuity of care – relational, management and information continuity; co-ordination of care; and community focus. The report identifies the common design features that innovative models of general practice share. These include: building and maintaining strong relationships - between patients and professionals, between professionals, and between professional and communities; a shift from reactive to proactive care – using electronic records, with administrative staff contacting patients to carry out pre-appointment checks; developing skill-mix – developing new roles such as clinical pharmacists, physician associates, health coaches, behavioural health practitioners and paramedic practitioners; and using technology – ensuring digital solutions aid effective general practice and complement rather than replace team-working. The report concludes with a series of recommendations aimed to ensure new models of general practice are capable of unlocking the potential of new system-wide models of care. (Edited publisher abstract)

Subject terms:
general practitioners, primary care, innovation, case studies, multidisciplinary teams, digital technology, staff-user relationships, interpersonal relationships, prevention, staff development;
Content types:
practice guidance, research, research review
Location(s):
United Kingdom
Link:
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