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More GP appointments available due to success of pilot scheme

An NHS scheme that has enabled GP practices to free up more time for doctors to see their patients i..

An NHS scheme that has enabled GP practices to free up more time for doctors to see their patients is to be extended following a successful pilot.

NHS England said the Time For Care scheme, tried out at certain sites since 2016, should be in place in three-quarters of GP practices by 2022.

The scheme encourages practices to try innovations to cut bureaucracy.

In 2018, 205,157 clinical hours – equivalent to GPs having 1.2 million more appointment slots – were freed up.

NHS England said that represents close to £40m in time saved, as the average cost of an appointment is £30.

The scheme also saved 330,096 administration hours in the past year.

Dr Nikita Kanani, NHS England's medical director for primary care and a south-east London GP, said the programme has had "significant benefits for patients and GPs alike, freeing up doctors' time and NHS resources to ensure people get the care they need as quickly as possible.

"GP services will continue to be at the heart of our health service, and it makes sense to invest for another three years in a programme that is delivering so much for patients while helping us to be more efficient."

The scheme in action: one practice's story

  • Routine GP appointment waiting times were reduced by 47% at Pickering Medical Practice in North Yorkshire after it took part in the scheme
  • The surgery had an average waiting time of 19 days, which led to a greater demand for urgent appointments, as patients' conditions worsened during the time they had to wait
  • Staff were stressed as there were high levels of patient complaints due to the long waiting time
  • After a staff suggestion, patients are now offered a telephone appointment first, leading to a 12% increase in telephone appointments. This has reduced the number of patients seeing a GP face-to-face by 8%
  • As patients are able to get the attention of a GP sooner, the demand for urgent care consultations has fallen from 48% of the total to 37%
  • They also freed up GPs' time by appointing a clinical pharmacist to deal with medication tasks and recruited a new nurse practitioner to increase the number of nurse appointments available
  • Helena Ebbs, a GP at the practice, said she was "proud" of the changes they'd made. She said it has "had a great impact on patients" and "energised" her "enthusiasm in a time of great pressure"

The scheme now aims to cover three-quarters of GP practices by 2022.

Dr Richard Vautrey, BMA GP committee chairman, said the extension of the scheme was "welcome" as there was potential for the scheme to go much further "with practices considering safe, effective automation within their systems in order to free up staff time and release time for care".

But he said "much more needs to be done to reduce the day-to-day pressures on practices so that we can make general practice a positive environment for all staff to work in.

"Unsustainable workload pressures have been the number one concern for many GPs and their practice teams in recent years, and have been a main cause of the recruitment and retention crisis in general practice."

In January NHS bosses unveiled a new 10-year plan focusing on prevention and early detection.

GPs, mental health and community care will get the biggest funding increases to shift the focus away from hRead More – Source

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A high-level delegation visited Yei River State to intensify Ebola preparedness in Sudan

Juba, 16 July 2019 – On 15 July 2019, a high-level delegation led by Dr Makur Matur Kariom, Undersec..

Juba, 16 July 2019 – On 15 July 2019, a high-level delegation led by Dr Makur Matur Kariom, Undersecretary, Ministry of Health and Mr Alain Noudehou, UN Resident/Humanitarian Coordinator and comprising Ambassadors of donor countries, heads of United Nations (UN) agencies, , and Representatives of international non-governmental organizations visited Yei town.

The objective of the visit was to among others reassure local authorities of the continued support of the development partners and the one UN in South Sudan; secure sustained commitment of the local authorities to the EVD preparedness efforts and publicize in the national press key messages to the general public regarding Ebola preparedness.
South Sudan is one of the four priority one countries (Burundi, Rwanda, South Sudan, Uganda) prioritized by WHO to enhance preparedness and operational readiness based on the proximity to the outbreak area as well as the capacity to manage Ebola virus disease (EVD) outbreaks in the Democratic Republic of Congo (DRC).

The risk of transmission of EVD into countries that share borders with DRC, including South Sudan, has been classified as “very high” by WHO. Cases of EVD have recently been confirmed in Uganda, Goma and in Ariwara, a town in DRC located just 70km from the border with South Sudan.

“Diseases such as Ebola dont respect boundaries, race or religion so all must ensure that they work together to prevent its cross border transmission into South Sudan”, said Mr Noudehou. He also reiterated the commitment of the UN to continue to support EVD preparedness in the country under the leadership of WHO.

As a priority one country for EVD preparedness, the Ministry of Health, National Task Force, WHO and partners are implementing the National EVD Preparedness Plan, including vaccinating front-line health workers, educating people about prevention and response measures, conducting screening at multiple locations to help with early detection of cases, training personnel in infection prevention and control as well as being preparing for safe and dignified burial processes if needed.

“Although South Sudan has not confirmed any EVD case, implementation of effective public health measures is critical to manage the risk posed by South Sudans complex humanitarian context, the history of previous (EVD) outbreaks, increasing global travel and proximity to DRC”, said Dr Olushayo Olu, WHO Country Representative to South Sudan.

At the end of the visit, the Governor of the state, the state Health Ministry and partners on the ground reiterated their commitment to intensify key interventions and increase public awareness by providing adequate information through all communication channels, religious and community leaders.

In his closing remarks, the Undersecretary, Dr Makur appreciated WHO and other partners for the strong partnership and support rendered to enhance capacities to effectively implement the International Health Regulations (IHR, 2005) and address the threats of EVD and other infectious diseases.

Ebola Virus Disease (EVD) is one of the most fatal and highly infectious diseases known to the world. The on-going outbreak in the Democratic Republic of Congo (DRC) is the second largest outbreak reported globally. As of 13 July 2019, 2 489 confirmed cases and 1 665 deaths have been reported.

WHO is working in Jubek, Gbudue, Tambura, Maridi, Torit, Wau and Yei River states alongside their respective state health ministries and partners to provide strategic public health leadership and support required to ensure that all the high-risk counties are operationally ready and prepared to implement timely and effective EVD risk mitigation, detection, and response measures. (more…)

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Winning the hearts of communities fearful of Ebola

Goma, Democratic Republic of the Congo, 24 June 2019 – “You cant take my son away because I know you..

Goma, Democratic Republic of the Congo, 24 June 2019 – “You cant take my son away because I know you will go kill him. You will inject him with Ebola. Thats what everybody here knows.”

This response from an angry father, faced with the possibility that his son would be moved from a local hospital to an Ebola Treatment Centre, reflects the reality of containing an epidemic in an area where folklore, rumour and suspicion of outsiders abound.

For Dr. Ramses Kalumbi, Surveillance Team Leader for the World Health Organization (WHO) in Goma, reassuring his patients and their families is all in a days work. Empathy, patience and compassion are a vital part of the treatment offered by his team of doctors, psychologists and health workers.

The Ebola-affected city of Butembo, where the 27-year-old man has been working as a driver, is 350km away – an eight-hour journey by road. He had returned home to visit his family when he started to feel unwell.

Initial symptoms indicated malaria but his high fever and diarrhoea have rung alarm bells, and now he is terrified. So far, the tiered system of surveillance set up by the government and WHO have kept the disease out of Goma, but nobody can afford to take any chances.

His case came to the attention of a surveillance team combing health facilities and neighbourhoods to identify patients with symptoms that might indicate Ebola infection.

Such cases are quickly sent to the alert centre which deploys investigators to assess the patient and decide whether to authorise a transfer to the nearest Ebola Treatment Centre for blood tests. If the test returns positive, the patient is isolated for treatment and if negative the patient is returned to the initial health facility or to their family to continue previous treatment.

Coupled with distrust of health workers is a belief among many people in Goma that Ebola does not exist.

“They do not have family members in the regions affected by the disease. They are people who have not travelled to see the devastation,” says Bahati Sabimana Faustin, a traditional healer who works in the Bujavu area of Goma.

Support from traditional healers like Faustin who have had training in how to recognise Ebola symptoms play an important role in containing the disease and in encouraging the community to take precautions. (more…)

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As post-cyclone resettlement, 200 000 people lack access to health services in Mozambique

Maputo, 21 June 2019 – 94 health facilities damaged or destroyed by Cyclones Idai and Kenneth remain..

Maputo, 21 June 2019 – 94 health facilities damaged or destroyed by Cyclones Idai and Kenneth remain unsafe and 200 000 people who have been resettled live more than 5 km away from a functioning health facility, according to a recent Post-Disaster Needs Assessment and latest data.

“The ongoing relocation of families to new resettlement areas presents new challenges for access to heath,” said Dr Djamila Cabral, WHO Representative in Mozambique. “At the resettlement sites, there is limited access to essential health care, limited or no access to water and sanitary facilities. The fact that some health facilities remain damaged is a huge risk to health.”

Humanitarian partners continue supporting the population affected by Cyclone Idai in Mozambique shifting gradually from emergency to early recovery interventions. Urgent health priorities include delivery of basic health services for the affected population – especially at resettlement sites – building back better, strengthening surveillance and laboratory capacities.

Build back better with safe hospitals

With 14 per cent of the health infrastructure in the affected provinces damaged, there is an urgent need for construction of health facilities in districts that already had few health facilities and are now hosting resettled families.

Strengthen disease surveillance, response and laboratory capacity

Many communities in resettlement sites have no disease surveillance. There is need for health-facility based, event-based and community-based surveillance and to strengthen the national surveillance system to address acute vulnerability in the coming days and weeks.

There is also need to strengthen laboratory capacities at national and provincial levels and in health facilities to ensure timely processing of specimens.

Delivery of health services to affected population

Resumption of health service delivery is in progress with many challenges. Access to power is disrupting the immunization programmes cold chain; damaged infrastructure is a barrier to service delivery; and the settlement of population far from health facilities is overstretching the already weak health system. (more…)

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