A lack of nationally available, real-time data means that there is currently little information available on activity in general practice. The King's Fund new report uses qualitative and quantitative data to assess the patient factors, system factors and supply-side issues driving the current pressures in the service.
A report from the National Audit Office notes progress in improving access to mental health services but says significant risks remain. Objective setting, leadership and governance arrangements are all improving, but the NAO calls for better evidence that standards are being met, the workforce developed and providers offered effective incentives.
A report from the Health Foundation considers the potential implications of devolution for health and care outcomes in England and how policy could best evolve. It draws on analysis of the devolution deals agreed to date, relevant literature, and international experience with a focus on four European decentralised health systems.
A briefing from the Nuffield Trust considers the role of IT in the development of new primary care models.
It uses case studies to show how shared health records, patient portals for booking, remote consultation and telehealth are supporting these changes. It also looks at local and national barriers and how they can be overcome.
Alistair Burns, national clinical director for dementia, and Peter Bagshaw, clinical lead write about the need to move the debate about dementia care on from the question about whether enough cases are diagnosed in primary care. What more can be done to care for dementia patients and their families and how can cognitive impairment be recorded? The article urges GPs to overcome their reticence pointing out that diabetes was once regarded as a specialist area of care.