Two thirds of the country now benefit from more personalised care

Published on Wednesday, 02 March 2011 09:18
Posted by Scott Buckler

Fewer antibiotics are now being prescribed in Scotland and patients are reaping the rewards - with significant decreases in clostridium difficile infections


In 2009-10, 47,000 fewer antibiotic prescriptions were dispensed in the community compared with the previous year, reversing a previous upward trend.

There was also a 20 per cent reduction in antibiotics associated with a higher risk of C.diff infection. In hospitals, new antibiotic policies have also reduced the use of these antibiotics.

Over the same period, C.diff infections in the over 65s fell from 5,613 in 2008-09 to 3,112 in 2009-10 - down 44 per cent. Certain types of antibiotic are associated with increased risk of C.diff infection.

Health Secretary Andrew Lansley has today(March 2nd) announced the latest GP groups ready to take the lead in the Government's plans to modernise the NHS

GPs covering two thirds of the country have already come forward to sign up for the new role, two years early.

There are now 177 groups of GP practices who will play an increasing role in commissioning healthcare. This means 35 million people around the country will now start to benefit from the major shift of power to trusted local GPs, enabling them to deliver the best possible care for their communities.

The selected pathfinders represent GPs who have demonstrated readiness to start taking on commissioning responsibilities, and start putting in place health services that achieve better health outcomes for their patients.

As a big step towards delivering the plans set out in the Health and Social Care Bill, the groups will work together to help manage local budgets and purchase services for patients directly with other NHS colleagues and local authorities.

Health Secretary Andrew Lansley said:

Two thirds of the country will now start to benefit from more personalised care, as another wave of GPs form pathfinder groups.

“As part of our plans to modernise the NHS, we are taking power away from bureaucrats and handing it to GPs and patients. In cutting out tiers of bureaucracy, the NHS will be more responsive to patients’ needs and have more to spend on patient care.

“This is a truly bottom-up response, as demonstrated by the varying shape and size of the GP pathfinder groups. The speed of uptake is also highly encouraging. It demonstrates significant will on the part of GPs and nurses to get on with designing and purchasing NHS services, so that outcomes can improve for patients.”

Where emerging consortia have been formed, patients are already benefiting from local commissioning and healthcare services tailored to their needs.

For example, members of the Barking and Dagenham Quality Care Consortium identified ophthalmology as an area where they could redesign services for the benefit of patients and bring care closer to home. Working together with consultants from their local acute trust and the primary care trust, they have developed a community based ophthalmology service which is expected to start later in the spring. This will allow GPs and optometrists to refer patients directly to the new service, reducing patient waiting times and avoidable hospital referrals.

In Richmond, GPs have identified a need for more responsive community services to avoid unnecessary acute admissions. Working together with their local community services provider they are providing intensive support to patients in their own homes and have jointly designed a rapid response community team to get back to patients within two hours of contact.

From the first and second wave of pathfinders, there are a number of further examples of innovative local commissioning:

    * In Bexley, GPs have put in place a new service which cuts the waiting time to obtain a diagnosis for coronary heart disease from up to nine months to as little as three weeks. The service uses a clinic in Harley Street to provide cutting edge scans, which are cheaper and safer than alternative diagnostic treatments.
    * In Nottinghamshire, GPs have improved care for the 4,000 diabetics in their region. By providing specialist support in local clinics in GP practices, the service avoids diabetics having to be treated in hospital.
    * In Redbridge, GPs send patients with skin problems to a local GP who specialises in them, meaning that patients can go to a local surgery, instead of having to travel further afield.
    * In Reading, GPs have organised a new service for people with back pain where physiotherapists go and treat patients in their own home.
    * In Somerset, GPs have organised oxygen therapy for people with breathing difficulties in their own homes which helps keep patients healthy and out of hospital.
    * In Croydon, GPs have organised diagnostic services – such as ultrasound – in their local GP practices. This means that patients are seen quicker, nearer to their homes, and can avoid travelling to hospital.

GP pathfinders will be supported by the National Clinical Commissioning Network, the National Leadership Council, and by national primary care bodies, such as the Royal College of GPs’ Centre for Commissioning.

Source: ©BBC News

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