Continuity matters to GPs too

We hear lots about how patients value the relationship with their GP, and how often they find it difficult to get an appointment with their preferred GP.  Putting up with a long wait, often a week or two, may be acceptable but if the trade off is more anxiety then many will see someone else, […]

Access to GPs is not the same as opening hours

We are going to see a royal punch up over the GP hours proposal.  Yes, access to GPs is often difficult - if it’s not difficult for you, then ask some friends.  And yes, GPs work very hard and often long hours, and they really are more fed up than for a long time.  With […]

Why no inspection & failure regime can save NHS

We have a new robust inspection regime from today, and we’ve just had another list of failures, sorry “special measures”, for 11 unfortunate hospitals.  That leaves 93% of hospitals breathing a sigh of relief, and I’d bet a good 93% of the people in the 11 are doing a good job, feeling a lot worse […]

Clarendon case study wins poster prize at SAPC annual conference

  Over the last three days Nottingham has hosted the annual scientific meeting of the Society for Academic Primary Care. With 130 posters submitted, we were delighted to be awarded the poster prize.  Click on the link for the full version in pdf: Access & Continuity transform patient service in Salford GP Clarendon is in […]

A&E has a mountain to climb - but which one?

Jeremy Hunt complains that all the inspectors can do is tell him which hospitals are failing, and are no help in finding the good ones.  Help is at hand Mr Hunt. We have been out climbing mountains, and while some were shrouded in mist and darkness, we have seen from their heights a vision of […]

Harnessing Innovation - presentation at King’s Fund 19 June 2023

  Harnessing innovation was the theme of the one day conference at King’s Fund on 19/6/13. Professor Clayton Christenson gave the keynote, describing how disruptive innovation repeatably makes what is initially available only to a few people with a lot of money move rapidly out to many more users with much less money. Think of […]

Does opening up access address the Inverse Care Law? Dr Peter Cairns writes our guest blog

  This time last year we faced up to the fact that our access system needed to be improved. Our practice is one of those known in Scotland as the ‘Deep End’, the 100 practices working with the most deprived populations. Despite our best efforts, we could not meet demand, at least within the confines […]

NHS England Urgent Care Review - beginning to talk sense

NHS England has just published its principles for urgent and emergency care. It identifies the emerging principles of how to manage urgent and emergency care highlighting ’12 system design objectives’ ranging from social care, general practice, out-of-hours services and A&E.  It is clear that this is about seeking views, stimulating discussion and conveys very important messages […]

Clarendon in Salford gets access and continuity

This 10.000 list practice in Salford was struggling with frustrated doctors unable to meet the demands of frustrated patients.  Receptionists were stuck in the middle, taking abuse from patients and unable to help them.  Then they changed. The slides tell a story, but it is isn’t finished.  Dr Jeremy Tankel is that rare breed of […]

NHS111 deep reflection: the redesign

Sir David has announced a deep reflection on the NHS111 omnishambles.  How deep? Don’t blame it on the software. Don’t blame it on the new staff. Don’t blame it on the short times. Blame it on the bosses. Don’t be diverted with trivia.  111 implementation has been “mixed”, only to be expected for a rushed, […]