The impact of asthma in an inner city general practice

BackgroundThere is an emerging debate that general practice in its current format is out-dated and there is a requirement to move to a federated model of provision where groups of Practices come together. The emergence of federations has developed over the past 5 years but the factors that influence how federations develop and the impact of this new model is an under researched area.AimThe study explored the rationale around why a group of independent GP practices opted to pursue an alternative business venture and the benefits that this strategy offered.MethodA single organisational case study of a federation in the North of England was conducted between 2011–2016. Mixed methods data collection included individual and group semi-structured interviews and quantitative surveys.ResultsFederations promote collaborative working, relying on strategic coherence of multiple individual GP practices through a shared vision and common purpose. Findings revealed many complexities in implementing a common strategy across multiple independent businesses. The ability of the federation to gain legitimacy was two dimensional – externally and internally. The venture had mixed successes, but their approach to quality improvement proved innovative and demonstrated outcomes on a population basis. The study identified significant pressures that practices were experiencing and the need to seek alternative ways of working but there was no shared vision or inclination to relinquish individual practice autonomy.ConclusionOrganisational development support is critical to reform General Practice. Whether central funding through the GP Five Year Forward View will achieve the scale of change required is yet to be evidenced.

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The Impact of COVID-19 on Primary Care General Practice Consultations in a Teaching Hospital in Shanghai, China

SSRN Electronic Journal ◽

10.2139/ssrn.3723451 ◽

2020 ◽

Author(s):

Zhongqing Xu ◽

Jingchun Fan ◽

Jingjing Ding ◽

Xianzhen Feng ◽

Shunyu Tao ◽

...

Keyword(s):

Primary Care ◽

General Practice ◽

Teaching Hospital ◽

The Impact

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Standing order use in general practice: the views of medicine, nursing and pharmacy stakeholder organisations

Journal of Primary Health Care ◽

10.1071/hc16023 ◽

2017 ◽

Vol 9 (1) ◽

pp. 47 ◽

Cited By ~ 2

Author(s):

Robyn Taylor ◽

Eileen McKinlay ◽

Caroline Morris

Keyword(s):

General Practice ◽

General Practitioner ◽

Access To Health Care ◽

Timely Manner ◽

Face To Face ◽

Standing Order ◽

Access To Health ◽

General Practices ◽

Pharmacy Data ◽

The Impact

ABSTRACT INTRODUCTION Standing orders are used by many general practices in New Zealand. They allow a practice nurse to assess patients and administer and/or supply medicines without needing intervention from a general practitioner. AIM To explore organisational strategic stakeholders’ views of standing order use in general practice nationally. METHODS Eight semi-structured, qualitative, face-to-face interviews were conducted with participants representing key primary care stakeholder organisations from nursing, medicine and pharmacy. Data were analysed using a qualitative inductive thematic approach. RESULTS Three key themes emerged: a lack of understanding around standing order use in general practice, legal and professional concerns, and the impact on workforce and clinical practice. Standing orders were perceived to extend nursing practice and seen as a useful tool in enabling patients to access medicines in a safe and timely manner. DISCUSSION The variability in understanding of the definition and use of standing orders appears to relate to a lack of leadership in this area. Leadership should facilitate the required development of standardised resources and quality assurance measures to aid implementation. If these aspects are addressed, then standing orders will continue to be a useful tool in general practice and enable patients to have access to health care and, if necessary, to medicines without seeing a general practitioner.

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Do Competence Skills Moderate the Impact of Social Influences to Drink and Perceived Social Benefits of Drinking on Alcohol Use Among Inner-City Adolescents?

Prevention Science ◽

10.1007/s11121-006-0054-1 ◽

2006 ◽

Vol 8 (1) ◽

pp. 65-73 ◽

Cited By ~ 14

Author(s):

Jennifer A. Epstein ◽

Xi Kathy Zhou ◽

Heejung Bang ◽

Gilbert J. Botvin

Keyword(s):

Alcohol Use ◽

Inner City ◽

Social Influences ◽

Social Benefits ◽

The Impact

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Disruption, destruction and the creation of ‘the inner cities’: the impact of urban renewal on industry, 1945–1980

Urban History ◽

10.1017/s0963926816000730 ◽

2016 ◽

Vol 44 (3) ◽

pp. 492-515 ◽

Cited By ~ 7

Author(s):

ALISTAIR KEFFORD

Keyword(s):

Inner City ◽

Urban Renewal ◽

Economic Activity ◽

Policy Makers ◽

Industrial Activities ◽

Inner Cities ◽

The Creation ◽

Post War ◽

The Impact

ABSTRACT:This article examines the impact of post-war urban renewal on industry and economic activity in Manchester and Leeds. It demonstrates that local redevelopment plans contained important economic underpinnings which have been largely overlooked in the literature, and particularly highlights expansive plans for industrial reorganization and relocation. The article also shows that, in practice, urban renewal had a destabilizing and destructive impact on established industrial activities and exacerbated the inner-city problems of unemployment and disinvestment which preoccupied policy-makers by the 1970s. The article argues that post-war planning practices need to be integrated into wider histories of deindustrialization in British cities.

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