Access targets undermined continuity of care

Continuity of care fell after 48-hour appointment targets were introduced and access has not improved for most patients, research has found.

Professor Martin Roland, director of the National Primary Care Research and Development Centre in Manchester, and colleagues studied 42 practices in England.

The researchers sent questionnaires to patients in 2003, 2005 and 2007. There were no significant changes in quality of care in terms of communication, coordination and overall satisfaction.

But patients said they found it harder to see their usual GP and were less satisfied with the continuity of the care they received. The researchers blame access targets.

‘This outcome may be related to the incentives to provide rapid appointments or to the increased number of specialised clinics in primary care,’ they said. ‘Unintended effects need to be considered when introducing pay for performance schemes.’

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

COVID-19 death rate highest among BAME groups, delayed PHE review confirms

COVID-19 death rate highest among BAME groups, delayed PHE review confirms

Death rates from COVID-19 are highest among patients from BAME groups, according...

GPs face hundreds of complaints over shielding and PPE during pandemic

GPs face hundreds of complaints over shielding and PPE during pandemic

GP practices have faced hundreds of complaints over issues including shielding and...

More than 3,600 GP partners lost in four years as decline accelerates

More than 3,600 GP partners lost in four years as decline accelerates

The number of full-time equivalent (FTE) GP partners in England fell by 3,636 between...

COVID-19 pandemic leaves 2.4m patients stuck in cancer care backlog

COVID-19 pandemic leaves 2.4m patients stuck in cancer care backlog

Around 2.4m patients are waiting longer for cancer tests or treatment because of...

PHE report delayed on how ethnicity affects COVID-19 outcomes

PHE report delayed on how ethnicity affects COVID-19 outcomes

Public Health England (PHE) has missed its 31 May deadline for reporting on how factors...

Lockdown complacency threatens second COVID-19 spike that could 'overwhelm' NHS

Lockdown complacency threatens second COVID-19 spike that could 'overwhelm' NHS

Complacency around easing coronavirus lockdown measures could trigger a second wave...