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Inquiry into the quality of general practice: continuity of care

Authors

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    George Freeman

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    Jane Hughes

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    George Freeman

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    Jane Hughes

Continuity of care contributes importantly to patient experience, whether it's continuity of a relationship, by seeing the same GP, or management continuity, that coordinates an individual's care across the wider health care system. However, continuity is not monitored or incentivised in the same way as other aspects of good practice.

What did we explore?

To inform its work, the Inquiry panel commissioned a research project to examine good practice in relation to continuity of care and to assess whether, and how, this might be measured. Continuity of care and the patient experience explores patients' and clinicians' perspectives on this aspect of general practice, and considers how GPs can stimulate and maintain continuity of care. The paper's authors are George Freeman, Emeritus Professor of General Practice, Imperial College London, and Jane Hughes, an independent researcher.

What have we learnt about continuity of care?

In February 2010 the Inquiry held a seminar on continuity of care with participants including GPs, practice nurses, NHS executives, health academics and patient representatives.

Key issues raised in discussion include:

  • Whether practices should actively encourage patients to see the same GP.

  • The need for greater continuity of care across out-of-hours services.

  • Whether certain patients, such as those with long-term conditions and multiple health problems, have a greater need for continuity of care.

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