Geoff Mulgan: how can health care be delivered in the future?

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Part of Time to Think Differently

Geoff Mulgan, Chief Executive of the National Endowment for Science Technology and the Arts (NESTA), looks at how health care can be delivered in the years to come. He advocates better access to health care outside of hospitals and also discusses the extent of the role that technology can play in the future.

See more views from people working in health and social care, members of the public and policy-makers in ourĀ Time to Think Differently audio/video section.

Comments

Pauline grant

Position
Salaried GP/substance misuse/homeless GP,
Organisation
Various
Comment date
12 July 2013
access to care outside of hospital is already good, you can get an appointment with your GP for absolutely anything and you can have as many appointments as you like, therefore general practice is crumbling under the strain. If you want even more access you will have to pay for more GPs and reduce list sizes.

Pauline grant

Position
Salaried GP3jobs,
Organisation
Various
Comment date
12 July 2013
I approve wholeheartedly of the idea that we need patients to take more responsibility for their own health but you have not given any substance as to how this could happen. This is a public health issue which the government need to implement, as we have been saying, by providing cycle lanes, cheaper healthy food, cheap and easy ways of exercising. his is not something the health service can provide. And instead of putting out adverts telling everyone who has had a cough for 3weeks to go to their GP (it should be 6weeks), they should be educating the public to look after their own minor illnesses. and where has this myth come from that hospitals are full of people that don't need to be there? it is a place of last resort already. GPs manage most illness in the community. The number of hospital beds has been falling for years and every winter there is a bed crisis because there are not enough beds, there is no more slack in that system. As our health service is one of the cheapest per capita of developed countries why does every government think they can reorganise and save billions? Most of the things hospitals do cannot be done in the community. GPs have already taken over most of the diabetic care and other chronic disease management which used to be done in hospital. You cannot keep transferring things to the community without increasing funding to the community to pay for it. there is no slack in general practice, a GP does not stop working, often from 8am to 8 pm. What is this group consultation nonsense? Education sessions can be delivered in a group but consultations are about individual patients asking individual advice, often personal so cannot be done in a group. Also what makes you think GPs are not up for change? If someone comes up with a genuinely good way of improving the system we will jump at it because it is not working the way it is. Try asking the GPs how they would like to do it for a change, instead of imposing it from above. It's a basic management principle which everyone seems o have forgotten, ask the people in the system, the best way to change it.
technology will, as usual throw up more questions for patients and they will contact their GP for advice....... my blood sugar has started to rise a bit every morning what shall I do?

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