Future policies need to encourage the adoption of digital solutions to ease patient demand on GPs, the director of the Digital Healthcare Council has said.
Simply “peddaling faster” to keep up with demand is unsustainable, Graham Kendall told Digital Health News.
Instead, smarter solutions like digital services need to be taken advantage of.
His comments come in response to a Pulse survey that found the average wait for a routine GP appointment has surpassed two weeks for the first time.
“The slide in waiting times for GP appointments illustrates the wide range of pressures on practices across the country. Simply peddaling faster is unsustainable and won’t solve underlying issues,” Kendall said.
“Instead, we need to adopt more fundamental changes working in partnership with digital care providers to ease pressures on GPs, manage demand and resource allocation to free GPs’ time, bring in new capacity and introduce more timely services for patients.
“To make that happen, it’s fundamentally important that emerging policies encourage adoption of digital solutions across the country wherever there is patient demand.”
The Digital Healthcare Council was set up to represent digital healthcare providers across England. Its current members include Ada, Babylon, Care UK, DoctorLink, Index Medical, Push Doctor and Zava.
British Social Attitudes Survey: Emergency Care
A National Centre for Social Research survey, published on 14 August, found 51% of patients find it hard to get a GP appointment.
The survey also found 58% of those with internet access would look online to help them understand health problems.
Commenting on the findings, Beccy Baird, senior fellow at the King’s Fund, said: “These figures make clear the real impact of overstretched health and care services. A chronic shortage of GPs and increasingly complex workloads have left patients finding it more and more difficult to book an appointment with their GP.
“Digital tools can help improve access to NHS services for some groups, but many of the people who rely most on health and care services require face to face support or simply can’t get online to make use of digital services.
“Nearly three in 10 people aged 65+ responding to the BSA Survey reported not having internet access, so whilst digital technology offers many opportunities, it is clearly no panacea.”
Individual digital providers echoed the sentiments, but warned digital solutions won’t work for everyone.
Dr Tom Micklewright, medical officer at Push Doctor, blamed decades of underfunding for the rise in average wait times, but said technology was one of a number of solutions “if done right”.
“For patients, it means seeing their regular GP or a regular NHS doctor on their phone, tablet or computer, anytime and anywhere. For doctors, it means supporting patients with busy lives or barriers to access, and easing the burden off surgeries by expanding your digital workforce,” he said.
Dr Sarah Jarvis, clinical director of Patient Access, told Digital Health that digital solutions would make an “enormous” difference to demand on services, but warned technology wasn’t the best solution for every patient.
“We have to acknowledge that some people are not very tech savvy. What we are very conscious about at Patient Access is making sure that it is really simple for patients to use,” she said.
“We cannot rush headlong towards using technology if it is not user friendly, and that requires planning and testing.”
A spokeswoman for Babylon, which powers GP at Hand, said it was “vital” to prioritise patient care through digital to “tackle the disparity of access to doctors”.
In May, the Royal College of GPs (RCGP) said investment in technology was “part of the jigsaw” needed to help end mounting pressure on GPs.
The comments came after a Nuffield Trust analysis for the BBC revealed the number of GPs per 100,000 people had fallen from nearly 65 in 2014 to just 60 last year.
The RCGPs launched its technology manifesto in April, calling for the prioritisation of joining up of IT systems across the NHS.
The All Systems GP document also recognised the potential that genomics, AI, digital medicine and robotics has to improve patient care and safety.
The new GP contract, which came into effect on 1 April, gives practices almost £1bn across five years to help fulfil ambitions laid out in the NHS Long Term Plan.
Part of this includes GP practices ensuring that they can offer online consultations by April 2020 and making at least 25% of appointments available for online booking by July 2019 – a moved that is hoped will reduce pressure on stretched services.
16 August 2019 @ 16:28
Everyone is wrong again; technology is not the primary solution. A closed loop process in which everyone involved knows where the activity in question is up to. Think of the regular situation test test results go AWOL and nobody knows where they are. I Phone will allow people in the chain to ring each other asking ;’ do you know where the results are?’ but it won’t find them. What is needed is a process design that keeps track of each sub-process or procedure) and each is logged – all probably done with SUITABLE (fit for purpose) technology. The loop closes when the initiator, probably a GP, gets the final ‘mission accomplished’ notification. If the GP doesn’t after a period or is told of an issue, the post processing of the activity log will show where the bottleneck was.
I am warning anyone who reads this that bolting technology, however clever and shiny , will not solve the problems caused by broken, non-existent or seat-of-the-pants actions. They exist now and will continue to exist in the NHS until they are redesigned and implemented – technology or no technology. If a school exercise book is the winning solution, then so be it. Such a ‘technology’ would have solved several situations I have experienced and been told about. My own treatment by the NHS I have no gripe about; it is simply the often shambolic communications processes surrounding this treatment. In my simple cases, they were an annoyance; in other cases they could be fatal (and have been, as Jeremy Hunt once admitted).
20 August 2019 @ 09:08
I couldn’t agree more.
The advocates of digital consultations as a means of solving the lack of GPs & appointments in general practice seem to ignore the effect of the information chaos in the rest of the NHS and the time GPs are expected to spend chasing it!
Remote consultations – by any means – *doesn’t save time for GPs*: ithe time spent & the subsequent work doesn’t change & may even increase if the patient is unknown the record is inaccessible – or the follow-up on the consultation is passed from the digital service to the regular GP!