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Improving the Quality of Care in General Practice

Dr Nick Goodwin, Project Director and Senior Fellow at The King's Fund, talks about the main findings from the independent Inquiry into the Quality of General Practice in England.

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Improving the Quality of Care in General Practice

  1. 1. Improving the Quality of Care in General Practice Results of an independent Inquiry into the Quality of General Practice in England Nick Goodwin, PhD Senior Fellow, The King’s Fund Project Director, GP Inquiry March 2011
  2. 2. Key aims of the independent Inquiry <ul><ul><li>Examine the current state of care quality in general practice. </li></ul></ul><ul><ul><li>Examine the current availability and use of data and information in general practice. </li></ul></ul><ul><ul><li>Suggest practical ideas and recommendations to promote quality improvement in general practice. </li></ul></ul><ul><ul><li>Set out the challenges for meeting the current and future quality agenda. </li></ul></ul>
  3. 3. Inquiry phases <ul><li>Research (April ’09-September ‘10) </li></ul><ul><ul><li>- What does high-quality care look like? </li></ul></ul><ul><li>Validation (October ‘09-September ‘10) - focus groups, seminars, online discussions </li></ul><ul><li>Integration (February ’10-September ‘10) - examination of current measures </li></ul><ul><li>Reporting (September ’10-March ’11) </li></ul><ul><li>- defining and measuring GP care quality, the future? </li></ul>
  4. 4. Key messages : <ul><li>Defining and measuring quality </li></ul><ul><li>The current state of quality in general practice </li></ul><ul><li>Developing an environment for quality improvement </li></ul><ul><li>The future of general practice </li></ul>
  5. 5. Key messages : <ul><li>Defining and measuring quality </li></ul><ul><li>The current state of quality in general practice </li></ul><ul><li>Developing an environment for quality improvement </li></ul><ul><li>The future of general practice </li></ul>
  6. 6. Percentage of statins prescribed that are low cost, with associated potential saving, London PCTs, 2008
  7. 7. Percentage of patients on the mental health register with a comprehensive care plan documented in the records agreed between individuals, their family and/or carers, 2007/8 to 2009/10 Source: QOF 2007/08 to 2009/10
  8. 8. Measuring performance in diabetes management
  9. 10. Key messages : <ul><li>Defining and measuring quality </li></ul><ul><li>The current state of quality in general practice </li></ul><ul><li>Developing an environment for quality improvement </li></ul><ul><li>The future of general practice </li></ul>
  10. 11. Key messages : <ul><li>Defining and measuring quality </li></ul><ul><li>The current state of quality in general practice </li></ul><ul><li>Developing an environment for quality improvement </li></ul><ul><li>The future of general practice </li></ul>
  11. 12. Key messages : <ul><li>Defining and measuring quality </li></ul><ul><li>The current state of quality in general practice </li></ul><ul><li>Developing an environment for quality improvement </li></ul><ul><li>The future of general practice </li></ul>
  12. 13. Conclusions <ul><li>Significant evolution, but adaptation is still needed </li></ul><ul><li>GP commissioning may provide a new platform for quality improvements </li></ul><ul><li>Focus on improving the quality of care required, supported by pro-active use of data and information </li></ul><ul><li>Must balance ‘trust and control’ – transparent reporting </li></ul>
  13. 14. Find out more: <ul><li>Visit www.kingsfund.org.uk/gpinquiry </li></ul><ul><li>Watch the launch at www.kingsfund.tv/gpinquiry </li></ul>

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