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"Unprecedented improvement" in primary care

Patients are being seen more quickly at times and places convenient to them, according to the first progress report on NHS primary care.

Ninety seven per cent of patients now see a GP within two working days compared to 75 per cent two years ago.

Last year, more than 700,000 procedures were carried out in local surgeries rather than hospital, and more than 40 NHS Walk-in Centres are offering patients advice and treatment without the need for an appointment.

A responsive and high-quality local NHS - The primary care progress report 2004 -has been produced by national clinical director for primary care David Colin-Thome.

Significant achievements have been made by primary care staff in what Dr Colin-Thome describes as an "unprecedented improvement" in the service.

"Combined with this, there have been big advances in the quality of care patients receive," he says. "Looking to the future, our vision is for a responsive, high-quality primary care service that meets patients' health care needs, close to their home, wherever they like, whatever their circumstances and whatever the time of day or night."

The report details how over the last four years primary care has continued to expand and improve, providing a wider range of services than ever before. It illustrates the progress in primary care with details of increases in staff numbers and how more GPs are providing specialist services. It also highlights how the patient experience has improved through increased access and practice refurbishment, with a 90 per cent satisfaction rate reported among patients.

Further work is needed to continue the momentum of improvement and growth, and to tackle issues such as chronic disease and health inequalities, says Dr Colin-Thome.

New primary care contracts will help meet the challenge of health inequalities, rewarding the quality of services provided, and massive new investment will enable further improvements in access, service provision and patient experience to be made.

At a glance

  • Primary care has a 90 per cent satisfaction rate among patients
  • Massive new investment in primary care health services with funding increasing from £5 billion in 2002-2003 to £6.8 billion in 2005-2006
  • 97 per cent of patients able to see a GP within two working days; 98 per cent able to see a primary care health professional within one working day
  • 43 NHS Walk-in Centres opened since 2000 offering patients advice and treatment without the need of an appointment; and a further 22 due to open this year
  • NHS Direct handling over 500,000 telephone calls and 500,000 online queries a month
  • Some seven million consultations taking place each year outside practices' normal opening times
  • 46 new dental access centres now open, addressing access to NHS dentistry
  • 700,000 procedures done in primary care in 2002-2003 that were, until recently, only available in hospital
  • 1,891 more GPs, 715 more GP registrars and 13,552 more primary care and community nurses than four years ago
  • 2,000 surgeries improved or replaced and 268 one-stop primary care centres established - a total investment of up to £1 billion in premises expected before 2005
  • More than 25,000 community nurses now trained to prescribe medicines from an agreed list of medications.

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