'Use LESs in order to cut admissions'

Local health boards (LHBs) in Wales have been told to work with GPs to identify 'frequent fliers' to cut bed blocking.

GPs' commitment to care pathways for older patients is patchy, Jeremy Colman, the Auditor General for Wales, said in a report on delayed transfer of care released last week.

LHBs could incentivise GPs to avoid unnecessary admissions and work with GPs with low referral rates, Mr Colman said.

The GMS contract can be used to 'develop stronger care pathways that reduce admissions to hospitals and improve well-being', he said.

Dr David Bailey, GPC Wales chairman, said that the best way to incentivise GPs to engage in care pathways would be through local enhanced services (LESs).

But he warned against any incentives for GPs not to admit vulnerable patients.

'Incentivising not admitting people to hospital is a slippery slope,' he said.

The recommendations come as figures revealed a 2 per cent rise in the number of days patients stayed in hospital waiting for transfer between 2005 and 2007.

Around £27 million could be freed up for reinvestment by solving the bed-blocking problem, Mr Colman said.

Welsh Auditor General's report

Comment below and tell us what you think

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

Practices handed one-month opt-out window as revamped network DES unveiled

Practices handed one-month opt-out window as revamped network DES unveiled

NHS England has unveiled a revamped DES package for 2020/21 confirming new targets,...

GPs delivered huge rise in face-to-face consultations in week before NHS England letter

GPs delivered huge rise in face-to-face consultations in week before NHS England letter

GPs delivered a huge increase in face-to-face appointments in the week before NHS...

RCGP facing legal action over stance on assisted dying

RCGP facing legal action over stance on assisted dying

The RCGP is facing legal action over its decision to remain opposed to assisted dying...

Medeconomics Live aims to help practices thrive under the new GP contract

Medeconomics Live aims to help practices thrive under the new GP contract

The one-day, virtual Medeconomics Live conference aims to provide practices with...

GPs face wave of abuse and complaints after NHS England face-to-face appointments claims

GPs face wave of abuse and complaints after NHS England face-to-face appointments claims

GP practices have faced a wave of abuse and complaints after a letter from NHS England...

Government denies plan to make GPs 'gatekeepers' of COVID-19 testing

Government denies plan to make GPs 'gatekeepers' of COVID-19 testing

The government has denied plans to make GPs 'gatekeepers' of the struggling COVID-19...