The last few months in #generalpractice have felt hectic, even by usual #GP standards.

short πŸ§΅πŸ‘‡πŸ» looks at what appointment/workforce numbers show, with some thoughts on the important bits that those numbers can't tell us....
1. Total appointment numbers in March were high (28.5m), BUT

2. The number of appointments done by GPs was particularly high (14.7m - the highest since the dataset began).

3. GPs did 2.5m more appointments in March '21 than in Feb (nb there were 3 more working weekdays)
- The absolute number (and %) of F2F appointments is creeping up (15.8m in March) AND

- The number of phone appts in March 21 (11.4m) is also the highest on record.
So, general practice is very busy (by pandemic and pre-pandemic standards).

Given that appointment numbers are πŸ”ΌπŸ”Ό what has happened to workforce? (😬)
In short, not a lot. ie still no signs of the long promised additional GPs.

- FTE GP headcount is up.

- But if you exclude registrars it's only up 0.4% on March 2020.

- In March 2016 there were 29,564 fully qualified GPs. In March 2021 there were 28,096 (important context)
Worth noting some other interesting trends:

- No. of GP practices continues to decline

- No. of GP partners also declines. Salaried and locum GPs still πŸ“ˆ

- Direct patient staff numbers increase (except nurses which are static), but PCN workforce dataset still immature.
Some other (important) things to consider:

- This doesn't include #covidvaccine work, the majority of which (in phase 1) was done by general practice/#PCNs

- It doesn't reflect case complexity (and decreased availability/longer waits for secondary care/mental health teams etc)
- It doesn't reflect the fatigue of working through a pandemic, nor the constant re-organisations, nor all the 'hidden' workload (shifts in admin, e-consulting, extra practice meetings to run service changes etc).

This is all important context for #COVIDrecovery
For a more detailed analysis of primary care activity through COVID check out (credit @tlswatt @ElaineKTHF @HealthFdn )
health.org.uk/news-and-comme…

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More from @BecksFisher

13 Jan
Despite rhetoric on #healthinequalities, the current UK #vaccination strategy discriminates against poorer people.

🧡 below on why.

Immediate action needs to be allowing vacc sites to move down cohorts (& providing supply to do so)

@CdsPcn @NikkiKF @CMO_England @Jeremy_Hunt
With the exception of HCWs, the top JCVI cohorts are based on biological age.

But poverty affects life expectancy. In poor areas people don't live so long.
Our #PCN covers a highly deprived area. Most people don't live to be over 80. Or > 75 for that matter. Our first cohorts are tiny.

BUT we have huge numbers of patients in cohort 4 (over 70, and clinically extremely vulnerable). That's b/c we have LOADS of ppl w multimorbidity
Read 9 tweets

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