Brazilian health model proposed for Welsh NHS

A Brazilian health model in which all households receive a monthly home visit regardless of need could be adopted in North Wales.

Brazilian flag (Photo: Istock)
Brazilian flag (Photo: Istock)

Dr Matthew Harris, academic clinical lecturer at Imperial College London, said home visits in Brazil were made by community health workers who had one to two months' training. These workers covered small areas and were fully integrated into primary care.

In their monthly visit to every household, they collect data and provide health promotion, clinical triage, support people to take up screening programmes and ensured all children were immunised.

He told the RCGP annual conference: ‘They’ve scaled it across the whole country now and there are 250,000 community workers.’

As a result, Brazil has seen a drop in infant mortality from 64 to 17 deaths per 1,000.

‘They have also seen an improvement in rates of breast-feeding and immunisations,’ said Dr Harris.

In Brazil, there is no patient choice and all households are registered to a primary care centre comprising a GP, nurse and nurse auxiliary.

In spite of differences between Brazil and UK, the Betsi Cadwaladr University health board, which provides acute and community health services to six counties in north Wales, is looking at adopting the community worker model.

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

Almost 4,000 GPs rejoin GMC register as COVID-19 deaths surge

Almost 4,000 GPs rejoin GMC register as COVID-19 deaths surge

Around 3,800 GPs have rejoined the medical register barely a week after the government...

Prime minister Boris Johnson and health secretary Matt Hancock infected with COVID-19

Prime minister Boris Johnson and health secretary Matt Hancock infected with COVID-19

Prime minister Boris Johnson and health and social care secretary Matt Hancock are...

'Lovely' Essex GP feared to be first UK doctor to die from COVID-19

'Lovely' Essex GP feared to be first UK doctor to die from COVID-19

An Essex GP is feared to have become the first UK doctor to die after being infected...

How PCNs are adapting to the COVID-19 pandemic

How PCNs are adapting to the COVID-19 pandemic

Primary care networks (PCNs) are hosting virtual training sessions and re-writing...

Guidance updated for pregnant healthcare staff in coronavirus outbreak

Guidance updated for pregnant healthcare staff in coronavirus outbreak

All GPs who are pregnant should have the choice to stop work in patient-facing roles...

More than 550 GPs sign up within 24 hours to support NHS111

More than 550 GPs sign up within 24 hours to support NHS111

More than 550 GPs have signed up within 24 hours to take calls for NHS 111 as the...