In this audio slideshow, Holly Holder, Fellow in Health Policy, Nuffield Trust describes some of the major challenges facing UK general practice.

1. © 2013 The King’s Fund and Nuffield Trust
The drivers of change in
primary care in the UK
18 July 2013
Author:
Holly Holder

2. The scope of the research
1. Describe the current pressures on primary care.
2. Identify what high quality in primary care might look like and explore
different models that might be able to deliver this.
3. Identify the key characteristics of these primary care models.
4. Based on the analysis above, develop a criteria-based framework
for assessing new models of primary care, and general practice
in particular.
5. Propose new models for how primary care might be organised in
the future.
6. Make recommendations on how these models could be taken
forward in Midlands and East, and, as appropriate, more widely in
the NHS in England.
© 2013 The King’s Fund and Nuffield Trust

3. Drivers of change

4. Proportion of people with long-term conditions by age, England

5. The percentage change in the number of GPs, whole-time equivalents, by type and
gender, England 2001-2011

6. Changing proportions of the general practice team, full-time equivalents,
England 2001 and 2011

7. PCT spending on primary care in England: 2003/04 to 2011/12

8. The characteristics of high-quality primary care
• Comprehensive
• Person-centred
• Population oriented
• Coordinated
• Accessible
• Safe and high-quality

9. Find out more at: www.nuffieldtrust.org.uk/publications/securing-future-general-practice

10. www.nuffieldtrust.org.uk
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18 July 2013 © 2013 The King’s Fund and Nuffield Trust