'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

UK COVID-19 vaccination programme tracker

UK COVID-19 vaccination programme tracker

GPs across the UK are playing a leading role in the largest-ever NHS vaccination...

GPs praised as vaccine uptake rates triple in minority groups

GPs praised as vaccine uptake rates triple in minority groups

GP teams have been praised by NHS England for helping to save lives after COVID-19...

Viewpoint: Why health regulation needs to modernise - care minister Helen Whately

Viewpoint: Why health regulation needs to modernise - care minister Helen Whately

The COVID-19 pandemic has exposed the need for simpler and more flexible professional...

MPs warn 'quickly drawn up' COVID-19 shielding plan left vulnerable patients exposed

MPs warn 'quickly drawn up' COVID-19 shielding plan left vulnerable patients exposed

Vulnerable patients were left at risk during the pandemic because shielding plans...

Patients testing positive for COVID-19 could be offered antivirals from autumn

Patients testing positive for COVID-19 could be offered antivirals from autumn

People who test positive for COVID-19 or who have had contact with a confirmed case...

GP training: Conducting your consultations for the recorded consultation assessment (RCA)

GP training: Conducting your consultations for the recorded consultation assessment (RCA)

In the second of two articles Dr Pipin Singh offers practical advice for GP trainees...