dr dan roper chairman. myths reality a&e is the first port of call for most patients primary...
TRANSCRIPT
Dr Dan Roper Chairman
Myths Reality
A&E is the first port of call for most patients
Primary Care
In the NHS
Around 90 %of care already takes place in primary care.
Myths Reality
GP appointments are mainly taken up by patients
with minor ailments
Primary Care
In the NHS
A significant percentage of GP
workload relates to managing long-
term conditions in the over 65s
Myths Reality
GPs only work 9am-5pm and
rarely at weekends.
Primary Care
In the NHS
In many cases GPs work 12-hour days. A recent survey showed that 9/10 GPs regularly
worked over their contracted hours.
Myths Reality
Having moreGPs will solve the problems with urgent
care
Primary Care
In the NHS
We need a whole-system approach to
service and workforce planning
built around communities.
CompetitionIn the NHS
Myths RealityMyths Reality
Large partsof the NHS are
being privatised
The NHS hascontracted with a range of non-publicly-owned providers for decades,
including the independent sector, charities and social
enterprises.
CompetitionIn the NHS
Myths RealityMyths Reality
GPs are putting everything
out to tender
A British MedicalJournal study indicatedthat 5.5% of contracts
were subject to a competitive tender
sinceApril 2013.
CompetitionIn the NHS
Myths RealityMyths Reality
The publicthink that care should only be
provided by NHS providers
Two in three people(67%) say that they do
not mind if health services are provided by a private company or the
NHSas long as they remain
free of charge
CompetitionIn the NHS
Myths RealityMyths Reality
NHS Hospitalsare treating more private
patients
In 2013/141% of all hospital
income came from patient
private activities
ManagersIn the NHS
Myths Reality
There are toomany managers in the NHS andthe numberskeep rising
In 2013less than 3%
of the total NHS workforce were
managers. Since 2009 there has been a decline of almost 20 percent in
the number of NHSManagers.
ManagersIn the NHS
Myths Reality
The amountthe NHS spends on management
continues to increase
Managementcosts have
declined from 5 % in 1997/98
to3% in 2008/09
ManagersIn the NHS
Myths Reality
Most NHS Managers have
no clinical background
Over 50% ofmanagers and
about 1/3 of chief executives have a
clinical background
Multi-specialty community providersPrimary and acute care systems
Urgent and emergency care networks
Viable smaller hospitals
Specialised care
Modern maternity services
7 models of care
Enhanced health in care homes
