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- W1548799296 abstract "FAST access to care when it is needed is one of the hallmarks of a high quality healthcare system, but achieving this in an equitable fashion has long been a problem in the United Kingdom (UK), as in most other countries. Improving access to care is now a top priority for UK health policy. The NHS plan sets a target that by the end of 2004 all patients should be able to see a primary care professional within 24 hours and a general practitioner within 48 hours.1 To support this objective, the government created a primary care access fund of £168 million, of which at least £48 million was dedicated to improving access to primary care. Each primary care trust (PCT) received funding for 2 years to employ a primary care access facilitator, supported by the National Primary Care Development Team (NPDT) within successive waves of a primary care collaborative. The organisational model strongly promoted by the NPDT is that of Advanced Access.2,3Advanced Access is based on five principles: understanding demand, shaping the handling of demand by providing alternatives to face-to-face consultations, matching capacity to demand (which may include changes to skill mix), developing contingency plans, and communicating continuously with staff and patients.2 Practices use rapid ‘plan-do-study-act’ cycles to implement these changes. One key feature is that, in contrast to traditional appointment systems, most patients are seen on the day that they make the request and only a minority of appointments are available for booking in advance.3 However, under Advanced Access people should still be able to book ahead if they prefer.The ideas behind Advanced Access originated in the United States (US), and …" @default.
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- W1548799296 date "2004-05-01" @default.
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- W1548799296 title "Does advanced access work for patients and practices?" @default.
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