Evaluation of winter pressures on general practice in Manchester: a cross-sectional analysis of nine GP practices.

BJGP Open
Sinead MillwoodJon Hopwood

Abstract

The Nuffield Trust's report on NHS winter pressures highlights a lack of data for primary care, with a consequential focus on secondary care. An increase in data is required on the scale of the winter demand on primary care, so the need for investment in this area can be clearly seen. To quantify seasonal variation in workload in primary and secondary care. Analysis of data for nine GP practices in Greater Manchester with a patient population of 75 421. Descriptive and comparative analyses were performed for winter and summer periods in 2018-2019. Data were obtained from the North of England Clinical Support Unit (NECSU) via the Rapid Actionable Insight Driving Reform (RAIDR) toolkit, and EMIS Enterprise clinical audit tools. Accident and emergency (A&E) attendances increased by 4% (P = 0.035) during winter with no difference in the number of hospital admissions (P = 0.668). The number of problems (defined as separate diagnoses or causes for a GP consultation, for example, chest infection or medication request) seen in general practice increased by 61% (P<0.001) in winter compared to summer, as did the number of GP consultations, which was also 61% (P<0.001). Respiratory diagnoses saw the greatest seasonal variation accounting ...Continue Reading

References

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May 12, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Joanne E CosterAnna Cantrell

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