Reducing hospital admissions by improving continuity of care in general practice
February 2017
Key points
- There were fewer hospital admissions – both elective and emergency – for patients who experienced higher continuity of care (ie those who saw the same GP a greater proportion of the time). Controlling for patient characteristics, we estimate that if patients saw their most frequently seen GP two more times out of every 10 consultations, this would be associated with a 6% decrease in admissions.
- To improve continuity for patients, general practices that are not already doing so could set prompts on their booking systems and encourage receptionists to book patients to their usual GP. Patients could also be encouraged to request their usual GP.
- Clinical commissioning groups and NHS England Area Teams could work with general practices to support quality improvement initiatives that maintain or improve continuity of care.
- Future national initiatives should have a well developed understanding of how and why the policy will impact on continuity in a particular context.
This briefing summarises an analysis of data from over 230,000 anonymised patient records for people aged 62–82 years, looking specifically at admissions for conditions that might be prevented through effective treatment in primary care.
- Continuity of care is an aspect of general practice valued by patients and GPs alike. However, it seems to be in decline in England.
- A full version of the analysis summarised in this briefing was published in the BMJ. It looks at the link between continuity of care and hospital admissions for older patients in England.
Learn more
You might also like...
Event
Health Services Research UK Conference 2022
The Health Foundation is supporting HSR UK’s 15th annual conference on 5–7 July 2022, contributing...
Journal article
Socioeconomic differences in help seeking for colorectal cancer symptoms during COVID-19
How socio-economic difference affect patient's ability to seek primary care for colrectal cancer.
Journal article
Primary care and cancer
COVID-19 and effects on patient pathways in cancer treatment.
Get social
Health Foundation @HealthFdn
The NHS nurse workforce is ageing. Since 2011, there has been a 200% increase of NHS nurses aged 65 and over. We e… https://t.co/rtdbeGR7GH
Follow us on TwitterWork with us
We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.
View current vacanciesThe Q community
Q is an initiative connecting people with improvement expertise across the UK.
Find out more
