liamloftus.bsky.social
GP, Cambridge | Associate Director, Health Equity Evidence Centre | Development Director, Cambridge City Foodbank | Co-lead, The Big GP Consultation | Former NMD's Clinical Fellow, NHS England
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313 following
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That is a very, very interesting perspective. Thank you very much for sharing it!
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We're at a crossroads, says @liamloftus.bsky.social. Carry on as we are, partnership won't exist in 15 years. Young GPs like the positive things which come with partnership, but the risk/reward ratio is skewed too heavily to risk - the financial cost, the personal toll. #NTSummit
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Very good points, Phil!
Some excellent work by @becksfisher.bsky.social out today on the numbers, particularly the number of early career GPs who are (or are not) becoming partners when compared to previous generation.
www.nuffieldtrust.org.uk/resource/the...
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I completely agree thereโs the sharp rise in activity.
I also agree that the fall in % of NHS spend on general practice has been damaging. On the latter, I really hope the money pre-Christmas that reverses this trend is a sign of things to come ๐ค
A very interesting debate - thanks Steve!
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This PCN (non-ARRS) funding can then be used by the PCN to employ staff (including GPs), which will in turn increase practice activity.
If I've understood correctly, I still think it's a bit confusing to exclude PCN funding from calcs, but include activity which has been paid for using PCN funding.
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Thanks Steve.
I see. So ARRS alone accounts for some but not all of the activity increase.
But in addition to ARRS, there is other funding attached to being a part of a PCN, such as the Core PCN Funding payment, and the Capacity and Access Support Payment.
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It feels a little confusing to exclude PCN sources when it comes to funding, but then include PCN sources when it comes to activity.
That's providing I'm not missing something?
Cheers Steve!
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Thanks for the reply Steve!
I understand your numbers, but you talk about providing 20% more appointments with 20% less funding.
Are a big portion of those 20% extra appointments not undertaken by staff employed by non-"GP practice funding," such as via the ARRS scheme?
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The graph you shared with me (below) showed a real terms increase in overall general practice funding over the time period you state.
As we know, general practice funding is a very complex area to get our heads around, so do say if I'm missing something.
Graph: www.health.org.uk/reports-and-...
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Hi Steve, hope you don't mind me asking...
Do you think saying GP practices receive 20% less funding is an accurate representation of the full picture?
Would it be more accurate to say one funding source (core GP contract) has fallen, but others have risen, resulting in a real-terms increase?
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โ
Focused support: Tailored approaches for older adults & those with mental health challenges.
Curious to learn more?
Check out our evidence brief for detailed recommendations: www.heec.co.uk/resource/wha...
(4/4)
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โ
Cultural & language tailoring: Materials in multiple languages & relevant to communities
โ
Visual aids: Pictograms, animations, & narrated videos
โ
Sustained training: Long-term programs meeting real-world needs
โ
Digital tools: Pair literacy training with access to personal health records
(3/4)
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At the Health Equity Evidence Centre, we recently explored this in an evidence brief! ๐
Our focus:
What can policymakers & practitioners do to meaningfully improve health & digital literacy in underserved communities?
So, what works? ๐
(2/4)
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All of this information is very helpful. Thank you so much for sharing!
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This is really interesting - thanks for sharing Steve. ๐
The 18-25% real terms funding loss since 2015 - do you know whether that figure is based only on money going into general practice? Do you know whether it takes into account money practices receive via PCNs?
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I see - that is interesting. Thank you for taking the time to share this insight - much appreciated
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Interesting. Do you know of any maths that would back this up?
@drstevetaylor.bsky.socialโs numbers below would suggest itโs a pretty significant uplift, after accounting for budget and inflation?
bsky.app/profile/drst...
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I agree - I donโt think this alone will fix everything, but I do think itโs a big step in the right direction ๐ค
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Do you think last weekโs uplift announcement will help here, Steve? It wonโt fix everything, but a big step in the right direction?
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Very interesting. Have you seen this study published in The Lancet this week?
www.thelancet.com/journals/lan...
โOur results highlight the inherent trade-offs between individuals who directly benefit from new drugs and those who forgo health due to the reallocation of resources towards new drugs.โ
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That is very understandableโฆ!
Iโm optimistic - increasing the percentage of the NHS budget directed to general practice feels significant, and a positive step on the shift โfrom hospital to community.โ Hopefully more to follow!
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Iโd say good news, Phil. What do you think?
bsky.app/profile/liam...
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Is today's intervention the complete package that will solve all of the challenges that general practice faces? No.
It this a significant step in the right direction, at the start of what I'm sure will be a long journey? In my own view, yes it is.
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โก๏ธ A real-terms uplift in funding
โก๏ธ An increase in the share of NHS spend that goes to general practice, reversing the recent trend
โก๏ธ A tone that feels constructive and collaborative
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The datapacks for the ICBs in the East of England are all available on our website, here:
www.heec.co.uk/resource/gen...
If you'd like the datapack for your own ICB, please drop me an email on [email protected]
#FairerGeneralPractice
#HealthEquity
#Inequalities
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Each datapack covers the following topics:
๐ฅ๐ฒ๐๐ผ๐๐ฟ๐ฐ๐ฒ๐: (supply): Payments, Workforce
๐ฃ๐ผ๐ฝ๐๐น๐ฎ๐๐ถ๐ผ๐ป: (demand): Disease prevalence, Health-related behaviours
๐ฆ๐ฒ๐ฟ๐๐ถ๐ฐ๐ฒ ๐ค๐๐ฎ๐น๐ถ๐๐: QOF achievement
๐๐ฐ๐ฐ๐ฒ๐๐: Patient experience, Appointments
๐๐บ๐ฝ๐ฎ๐ฐ๐ ๐ผ๐ป ๐ฆ๐ฒ๐ฐ๐ผ๐ป๐ฑ๐ฎ๐ฟ๐ ๐๐ฎ๐ฟ๐ฒ: Emergency admissions, A&E attendances
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Iโll be looking to post here on a range of topics - health, equity, social justice, and policy, to name a fewโฆ - and Iโm very much looking forward to connectingโฆ! ๐
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The other half of my week is spent working at Cambridge City Foodbank (cambridgecity.foodbank.org.uk).
We donโt think anyone in our community should have to hungry. We meet the need for affordable and emergency food, while looking to tackle the upstream causes of poverty.
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I currently spend half my week working at the Health Equity Evidence Centre (www.HEEC.co.uk).
We are dedicated to generating solid evidence about what works to address health and care inequalities, and then empowering policymakers and practitioners to make evidence-informed decisions.