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Primary care strategies to address health inequalities?

Primary care strategies to address health inequalities?. Contact Coverage Continuity Co-ordination Flexibility Relationships Trust. The challenge is for this to be delivered in a way that is: Effective Equitable Sustainable. Strengths of general practice?.

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Primary care strategies to address health inequalities?

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  1. Primary care strategies to address health inequalities?

  2. Contact Coverage Continuity Co-ordination Flexibility Relationships Trust The challenge is for this to be delivered in a way that is: Effective Equitable Sustainable Strengths of general practice?

  3. Primary care strategies to address health inequalities?

  4. Primary care strategies to address health inequalities? Differentiated consultation times – 5, 10, 15, 20… ?Reception/Nurse/Patient triage – “simple vs. complex” More resources? Anticipatory Care plans Health promotion Technology – mobile apps, etc Trust – engagement, confidence Funding structures and recruitment Advocacy & Lobbyism? Better relationships with other services, esp. secondary care Access to advice Use of knowledge within practice(s) Robust systems/safeguards, e.g. polypharmacy reviews Multidisciplinary appointments – e.g. physio, dietician at health centre level Making best use of serial encounters Leadership roles with practices/group of practices “One size does not fit all” ideas from last year’s group

  5. Not just GPs at the Deep End? • Advocacy • Social prescribing • increase volume and quality of care in deprived areas. • importance of continuity and good relationships • “all that GPs can do to reduce health inequalities is via the sum of care they provide for all their patients”

  6. Advocacy • Supporting, speaking/writing on behalf of patients • Patient welfare and benefits advice • Referrals • Discuss challenges to access/attending appointments • Lower uptake of screening/opt-ins • DNA Letters discussed, not just filed?

  7. Social prescribing • Use of non-medical community resources • Availability of resources (housing, benefits) often rationed by medical need • Aim to move from dependency to self-efficacy • Information Leaflets, Websites • Voluntary services • Exercise, Art, Books, Learning-on prescription?

  8. Social prescribing Community Health Shop Volunteer Scotland Community Addiction Team Counselling services eg COPE Stress Centre Womens’ Aid Cash for Kids Citizens advice Parent and Child Team Breathing Space School nurse Welfare Rights Princess Trust for Carers Council on Alcohol Quarriers Maggie Centre AA/ Al Anon Narcotics Anonymous Relate Scotland Weight loss groups CRUSE Community Law Centre Victim Support

  9. Useful resources • GPs at the Deep End - http://www.gla.ac.uk/deepend • Understanding Glasgow - http://www.understandingglasgow.com/ • Poverty Truth Commission - http://www.povertytruthcommission.org/ • ScotPHO profiles - http://www.scotpho.org.uk/profiles/ • Scottish Neighbourhood Statistics – www.sns.gov.uk • Find your practice… • SIMD data - http://www.isdscotland.org/Health-Topics/General-Practice/Practices-and-Their-Populations/ • Prevalence data - http://gpcontract.co.uk/browse/G/11

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