Accessing out-of-hours care following implementation of the GMS contract: An observational study

British Journal of General Practice

Volumn 58, Issue 550, 2008, Pages 331-338

  Richards, Suzanne H ^a   Winder, Rachel ^a   Seamark, David ^a   Seamark, Clare ^b   Ewings, Paul ^c   Barwick, Angela ^a   Gilbert, James ^d   Avery, Sarah ^e   Human, Sarah ^d   Campbell, John L ^a  

^a PENINSULA MEDICAL SCHOOL   (United Kingdom)

^b Honiton Surgery   (United Kingdom)

^c TAUNTON AND SOMERSET HOSPITAL   (United Kingdom)

^d Hospiscare and Palliative Care Consultant ^*  (United Kingdom)

^e Devon Doctors   (United Kingdom)

Author keywords

Cancer care; Cohort study; Healthcare delivery; Out of hours medical care; Primary health care

Indexed keywords

ADULT; ARTICLE; CANCER PALLIATIVE THERAPY; CANCER PATIENT; CONTROLLED STUDY; EMERGENCY HEALTH SERVICE; HEALTH CARE ACCESS; HEALTH CARE DELIVERY; HEALTH CARE NEED; HEALTH CARE QUALITY; HOSPITAL ADMISSION; HUMAN; INTERPERSONAL COMMUNICATION; LONGITUDINAL STUDY; MAJOR CLINICAL STUDY; MEDICAL SERVICE; OBSERVATIONAL STUDY; PRIMARY MEDICAL CARE; PROFESSIONAL PRACTICE; QUALITY CONTROL; TELEPHONE; TIME; UNITED KINGDOM;

ADOLESCENT; ADULT; AFTER-HOURS CARE; AGED; COHORT STUDIES; FEMALE; GREAT BRITAIN; HEALTH SERVICES ACCESSIBILITY; HOUSE CALLS; HUMANS; MALE; MIDDLE AGED; NEEDS ASSESSMENT; NEOPLASMS; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PALLIATIVE CARE; RISK FACTORS; STATE MEDICINE; TRIAGE;

EID: 43849110736     PISSN: 09601643     EISSN: None     Source Type: Journal    
DOI: 10.3399/bjgp08X280191     Document Type: Article

References (21)

1. NHS Confederation, British Medical Association. The new general medical services contract. London: The NHS Confederation, 2003.
2. Thomas K. Out-of-hours palliative care - bridging the gap. Eur J Palliat Med 2000; 7(1): 22-25.
3. National Audit Office. The provision of out-of-hours care in England. Report no: HC 1041. London: The Stationery Office, 2006.
4. Salisbury C. The demand for out-of-hours care from GPs: a review. Fam Pract 2000; 17(4): 340-347.
5. Healthcare Commission. Local health services questionnaire 2003. London: http://www.healthcarecommission.org.uk/NationalFindings/Surveys/ PatientSurveys/fs/en?CONTENT_ID=4004644&chk=V%2BlTtB (accessed 6 Feb 2008).
6. Grol R, Giesen P, van Uden C. After-hours care in the United Kingdom, Denmark, and the Netherlands: new models. Health Aff (Millwood) 2006; 25(6): 1733-1737.
7. Carson D. Raising standards for patients. New standards in out-of-hours care. London: Department of Health, 2000.
8. Department of Health. National quality requirements in the delivery of out-of-hours services. Gateway No. 3776. London: Department of Health, 2004.
9. Murray S, Boyd K, Sheikh A, et al. Developing primary palliative care. BMJ 2004; 329(7474): 1056-1057.
10. Lakhani M, Fernandes A, Archard G. Urgent care. A position statement from the Royal College of General Practitioners. London: Royal College of General Practitioners, 2007.
11. Worth A, Boyd K, Kendall M, et al. Out-of-hours palliative care: a qualitative study of cancer patients, carers and professionals. Br J Gen Pract 2006; 56(522): 6-13.
12. Office of the Deputy Prime Minister. The English indices of deprivation 2004. London: Office of the Deputy Prime Minister, 2004.
13. Sackett DL, Richardson WS, Rosenberg W, Haynes R. Evidence-based medicine. How to practice and teach EBM. New York: Churchill Livingstone, 1997.
14. World Health Organization. Cancer pain relief and palliative care. Technical Report Series 804. 1990. Geneva ed. Cited on page 21 of Thomas K, (ed). Caring for the dying at home. Abingdon, Oxon: Radcliffe Medical Press, 2003.
15. Kirkwood B, Sterne JAC. Medical statistics: 2nd ed. Oxford: Blackwell Science, 2003.
16. Bland M. An introduction to medical statistics. Oxford: Oxford Medical Press, 1995.
17. Department of Health. The NHS cancer plan. London: The Stationery Office, 2000.
18. Burt J, Barclay S, Marshall N, et al. Continuity within primary care palliative care: an audit of general practice out of hours cooperatives. J Public Health Med 2004; 26(3): 275-276.
19. British Medical Association. Revisions to the GMS contract 2006/ 2007. http://www.bma.org.uk/ap.nsf/Content/revisionnGMSFeb20062 (accessed 6 Feb 2008).
20. Thomas K. The Gold Standards Framework in community palliative care. Eur J Palliat Care 2003; 10(3): 113-115.
21. Thomas K, Free A, Gold Standards Framework Team. Prognostic indicator guidance to aid identification of adult patients with advanced disease, in the last months/year of life, who are in need of supportive and palliative care. http://www.goldstandardsframework.nhs.uk/content/ gp_contract/Prognostic%20Indicators%20Guidance%20Paper%20v%2025.pdf (accessed 8 Apr 2008).