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Hospital admissions less when patients see chosen GP

Study shows continuity of care saves money

Jo Carlowe

Friday, 20 April 2012

Allowing patients to see a specific doctor in the GP surgery reduces hospital admissions.

This is the finding from a study from the University of Leicester’s Department of Health Sciences published in the Journal of Public Health. The study suggests continuity of care can produce real savings.

Between 1999–2000 and 2009–2010 elective hospital admissions in England increased by 28% to 9.4 million. Over the same period, there was an increase of 35% in emergency admissions.

But the researchers found that a 1% increase in the proportion of patients able to see a particular doctor was associated with a reduction of 7.6 elective admissions per year in the average-sized practice for 2006–07 and 3.1 elective admissions for 2007–08.

This potentially could lead to significant annual cost savings by GP practices by reducing non-emergency admissions.

Professor Baker, Head of Health Sciences at the University of Leicester, said: “The NHS needs to save money, and reducing use of hospitals is key to this. There is now a good deal of evidence that continuity in general practice – that is, patients are able to book appointments with a doctor they have come to know and trust – is associated with reduced hospital admissions. Unfortunately, however, various changes in the health system in recent years have tended to reduce continuity.

“We found that GP practices with a higher proportion of patients aged 65 years or greater and of white ethnicity had higher rates of elective hospital admissions. Practices with more male patients and with more patients reporting being able to consult a particular GP had fewer elective hospital admissions.

“Non emergency admissions into hospitals increase in line with reduction of a patient’s ability to see their chosen GP. Interventions to improve continuity should be investigated. Practices face major problems in managing the increased need for planned care as the population ages.”

Researcher Mitum Chauhan added: “Improving patient satisfaction through continuity of care in general practice, and the resulting potential savings within the NHS, is an example where the pragmatism of health economics can be in harmony with the fundamental improvement of patient care.”

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