Marshall, M;
Howe, A;
Howsam, G;
Mulholland, M;
Leach, J;
(2020)
COVID-19: a danger and an opportunity for the future of general practice.
British Journal of General Practic
, 70
(695)
pp. 270-271.
10.3399/bjgp20X709937.
Preview |
Text
Marshall_COVID-19. A danger and an opportunity for the future of general practice_AAM.pdf - Accepted Version Download (83kB) | Preview |
Abstract
For decades there have been calls for general practice to change established ways of working. In response we have seen pockets of innovation from a few, amid a cautious evolutionary process of adaptation from the majority. With good reason, many GPs were attached to their time-honoured working practices. No need was seen by most for radical transformation. Over a few weeks between mid-March and early April 2020, general practice changed utterly, and voluntarily, in response to the COVID-19 pandemic. Before the crisis a minority of practices used doctor-led triage as the access point for services; within weeks nearly all were doing so. Royal College of General Practitioners (RCGP) analysis of general practice appointments data shows that before the crisis >70% of consultations were carried out face-to-face; within weeks the figure was 23%. Before the crisis clinical workload had become unsustainable; within weeks year-on-year comparisons showed that the number of consultations carried out by practices had reduced by 24%.1 Before the crisis administrative tasks and regulatory compliance diverted practices from direct patient care; within weeks year-on-year comparisons reported a 30% reduction in time spent on such activities.
Type: | Article |
---|---|
Title: | COVID-19: a danger and an opportunity for the future of general practice |
Location: | England |
Open access status: | An open access version is available from UCL Discovery |
DOI: | 10.3399/bjgp20X709937 |
Publisher version: | https://doi.org/10.3399/bjgp20X709937 |
Language: | English |
Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions. |
UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health |
URI: | https://discovery.ucl.ac.uk/id/eprint/10100730 |
Archive Staff Only
View Item |