'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

Proportion of NHS GPs trained in EEA stabilises despite Brexit uncertainty

Proportion of NHS GPs trained in EEA stabilises despite Brexit uncertainty

The proportion of NHS GPs trained in the EEA has stabilised after a steady decline...

GPs split on calls to suspend appraisal for duration of pandemic

GPs split on calls to suspend appraisal for duration of pandemic

Senior GPs are divided over calls for appraisal to be halted for the rest of the...

GP fears rising over covert recording of consultations in pandemic

GP fears rising over covert recording of consultations in pandemic

Fears over patients covertly recording consultations have increased among GPs since...

Coronavirus: Key guidance GPs need to know about COVID-19

Coronavirus: Key guidance GPs need to know about COVID-19

GPonline provides an overview of the key guidance relating to coronavirus, including...

Care home vaccination to begin as Scottish minister says Pfizer vaccine packs can be split up

Care home vaccination to begin as Scottish minister says Pfizer vaccine packs can be split up

Vaccination of care home residents against COVID-19 will start on 14 December in...

How will the COVID-19 vaccination programme get underway?

How will the COVID-19 vaccination programme get underway?

Following the MHRA's approval of Pfizer/BioNTech's COVID-19 jab the government has...