Becks Fisher Profile picture
Director of Research & Policy @NuffieldTrust, NHS GP, Harkness 22/23, co-founder @NextGGP. Views my own. Usually running.
Jun 23, 2022 4 tweets 3 min read
Great to see @rcgp calling for extra funding for practices in deprived areas as part of 'a comprehensive review of the Carr-Hill formula'.

Hot on heels of @NikkiKF and great news for #generalpractice @deependgp

A reminder of why 🧵👇

pulsetoday.co.uk/news/workforce…. General practice in deprived areas has:

- More demand/higher patient need
- Less funding
- Fewer GPs

Very hard to fix #healthinequalities in the context of inequitable supply.

More on that: health.org.uk/publications/r…
May 21, 2021 10 tweets 7 min read
General practice in areas of high deprivation is under-funded and under-doctored relative to need.

Paper out today on why Govt needs to ‘level-up’ general practice & where they should focus.

🧵👇🏻 on evidence for #inversecarelaw in #generalpractice.

health.org.uk/publications/l… Ppl who live in more deprived areas have greater health need.

-They are more likely to have multiple health conditions

-And they accumulate those conditions at an earlier age.

health.org.uk/sites/default/…

Need is 🔼, so you'd expect there to be🔼supply of health care. BUT.....
May 6, 2021 9 tweets 4 min read
The last few months in #generalpractice have felt hectic, even by usual #GP standards.

short 🧵👇🏻 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)
Jan 13, 2021 9 tweets 5 min read
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.