Primary Care in Scotland

Author: Lizzy Burgess

PDF Published: Wednesday 29 May 2019 (SB 19-32)

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Overview
Report

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Overview
Report
- Executive Summary
- Primary Care
- The Case for Change
  - Experiences of care
- Primary Care Policy
- The Primary Care Team
- Regulation of Healthcare Professionals
- Workforce Planning
  - Workforce Data
  - Training
    
    Cost of Training
- Cost of Primary Care
  - Cost Book
  - Paying for Services
- Primary Care Service Planning
- Independent Contractors
  - The 2018 Scottish General Medical Services (GMS) Contract
    
    Data
- Factors Impacting on Primary Care
  - Sustainability
  - Out of Hours and NHS 24
  - Remote and Rural Primary Care
  - Health Inequalities
  - The Role of Technology
  - Multidisciplinary Team Workforce
  - Sharing Best Practice and Evaluation
  - Conversation with the Public
- Audit Scotland
- Scottish Parliament Action
- Complaints
- Annex A: A vision for primary care in Scotland: 21 principles
- Annex B: The Scottish Government's key recommendation and actions in reforming primary care services, from the National health and social care workforce plan: part three
- Annex C: Primary Care Improvement Plans
- Annex D: Scottish Governments Oral Health Improvement Plan: Commitments
Sources

Image: Figure 1: Projected age of Scotland's population between 2017 and 2041

Image: Figure 2: The most common conditions for seeking a GP or practice nurse consultation 2012/13.

Image: Figure 3: The Scottish Government's Primary Care Outcomes

Image: Figure 4: Comparison of number (headcount) of primary care dentists, GPs and nursing and midwifery staff working in the community, 2014 to 2018.

Image: Figure 6: Health and Social Care Expenditure 2016/17 (£m)

Image: Figure 7: Family Health Sector Operating Costs, 2017/18

Image: Figure 9: General Practice contract types, 2008-2018

Image: Figure 10: Public Expenditure Forecast: Primary Care Consultations for people Aged 65+

Scottish Government. (n.d.) Primary Care Outcomes Diagram. Retrieved from https://www2.gov.scot/Resource/0051/00514411.pdf [accessed 28 March 2019]

Holyrood. (2016, September 2). Health professionals issue joint primary care vision. Retrieved from https://www.holyrood.com/articles/news/health-professionals-issue-joint-primary-care-vision [accessed 29 May 2019]

The Scottish Parliament. (2016, December 09). The National Health Service in Scotland. Retrieved from http://www.parliament.scot/ResearchBriefingsAndFactsheets/S5/SB_16-100_The_National_Health_Service_in_Scotland.pdf [accessed 20 March 2019]

ISD Scland. (2019, March 21). Personal Correspondence.

National Records of Scotland. (n.d.) Projected Population of Scotland 2016 (based) Key findings. Retrieved from https://www.nrscotland.gov.uk/files//statistics/nrs-visual/prog-pop-16/pop-proj-2016-scot-nat-pop-pro-info.pdf [accessed 05 March 2019]

Scottish Government. (2011, September). Strategic Narrative - Achieving sustainable quality in Scotland's healthcare. Retrieved from https://www2.gov.scot/Topics/Health/Policy/2020-Vision/Strategic-Narrative [accessed 17 January 2019]

Royal College of General Practitioners. (2011, July). It's Your Practice: A Patient Guide to GP Services. Retrieved from https://www.nhs.uk/choiceintheNHS/Yourchoices/GPchoice/Documents/rcgp_iyp_full_booklet_web_version.pdf [accessed 01 January 2019]

NHS Education for Scotland. (2013, July). Optometry in Scotland Education & Workforce Report. Retrieved from https://www.nes.scot.nhs.uk/media/3067450/nes_optometry_ed_wf_report_2013.pdf [accessed 01 February 2019]

Scottish Government. (2017, December 22). Transforming nursing, midwifery and health professions roles: advance nursing practice. Retrieved from https://www.gov.scot/publications/transforming-nursing-midwifery-health-professions-roles-advance-nursing-practice/ [accessed 03 April 2019]

Scottish Government. (2018, April). National Health and Care Workforce Plan - Part 3 - Improving workforce planning for primary care in Scotland. Retrieved from https://www.gov.scot/Publications/2018/04/3662 [accessed August 2018]

The Scottish Government. (n.d.) The 2018 Scottish General Medical Services (GMS) Contract. Retrieved from https://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=2ahUKEwjMnNaRj4niAhUxRxUIHcS3BLIQFjAAegQIARAC&url=https%3A%2F%2Fwww.bma.org.uk%2F-%2Fmedia%2Ffiles%2Fpdfs%2Fcollective%2520voice%2Fcommittees%2Fgpc%2Fgpc%2520scotland%2Fthe-2018-general-medical-services-contract-in-scotland-contract-framework.pdf%3Fla%3Den&usg=AOvVaw0WM8fFWchBu5C3lPTRHcFh [accessed 07 May 2019]

The Council for Healthcare Regulatory Excellence. (2010, February). Protecting the public from unregistered practitioners Tackling misuse of protected title. Retrieved from https://www.professionalstandards.org.uk/docs/default-source/publications/policy-advice/tackling-misuse-of-protected-title-2010.pdf?sfvrsn=d8c77f20_10 [accessed 03 April 2019]

Scottish Government. (2018, April). National Health and Social Care Workforce Plan: Part 3 - Improving Workforce Panning for Primary Care in Scotland.. Retrieved from https://www.gov.scot/publications/2018-gms-contract-scotland/ [accessed 01 February 2019]

ISD Scotland. (2018, December 2018). General Practice - GP Workforce and practice list sizes 2008–2018. Retrieved from https://www.isdscotland.org/Health-Topics/General-Practice/Publications/2018-12-11/2018-12-11-GPWorkforce2018-Report.pdf?57906740904 [accessed 20 March 2019]

ISD Scotland. (2018, March 6). Primary Care Workforce Survey Scotland 201. Retrieved from https://www.isdscotland.org/Health-Topics/General-Practice/Publications/2018-03-06/2018-03-06-PCWS2017-Summary.pdf [accessed 22 January 2019]

ISD Scotland. (2018, September). Dentists (September 2018). Retrieved from https://www.isdscotland.org/Health-Topics/Workforce/Publications/2018-12-04/Dentists_S2018.xls [accessed 08 May 2019]

ISD Scotland. (2018, December 04). Non-medical trend. Retrieved from https://www.isdscotland.org/Health-Topics/Workforce/Publications/2018-12-04/Non-Medical_Trend_S2018.xls [accessed 08 May 2019]

Scottish Government. (2019, April 23). Personal Correspondence.

NHS Education for Scotland. (2018, November 14). The Dental Workforce in Scotland 2018. Retrieved from https://www.nes.scot.nhs.uk/dental-workforce-2018.html#25_dentists_on_the_general_dental_council_register [accessed 08 May 2019]

The Scottish Government. (2018, April 23). TRANSFORMING NURSING, MIDWIFERY AND HEALTH PROFESSIONS ROLES. Retrieved from https://www2.gov.scot/Topics/Health/NHS-Workforce/Health-Professionals [accessed 06 March 2019]

Chief Nursing Officer Directorate. (n.d.) Paper 2 Advanced Nursing Practice. Retrieved from https://www.nes.scot.nhs.uk/media/4031450/cno_paper_2_transforming_nmahp_roles.pdf [accessed 06 March 2019]

Scottish Government. (n.d.) Personal Correspondence.

Scottish Government. (2018, December 12). Scottish Budget 2019-2020. Retrieved from https://www.gov.scot/publications/scottish-budget-2019-20/ [accessed 28 January 2019]

ISD Scotland. (2018, November 20). Scottish Health Service Costs Year ended March 2018. Retrieved from https://www.isdscotland.org/Health-Topics/Finance/Publications/2018-11-20/2018-11-20-Costs-Report.pdf?53498476744 [accessed 07 March 2019]

BMA. (2019, January 15). Why GPs sometimes charge fees. Retrieved from https://www.bma.org.uk/advice/employment/fees/why-gps-charge-fees [accessed 22 May 2019]

Scottish Dental Practice Board. (30, October 2018). Primary Care Dentistry in Scotland Annual Report 2017/18. [accessed 12 March 2019]

The Scottish Parliament. (2016, August 24). Integration of Health and Social Care. Retrieved from http://www.parliament.scot/ResearchBriefingsAndFactsheets/S5/SB_16-70_Integration_of_Health_and_Social_Care.pdf [accessed 2019 March 2019]

Scottish Government. (2015, July 3). Localities Guidance. Retrieved from https://www.gov.scot/publications/localities-guidance/pages/12/ [accessed 14 March 2019]

Scottish Government. (2015, July). Localities Guidance. Retrieved from https://www2.gov.scot/resource/0048/00481100.pdf [accessed 28 March 2019]

ISD Scotland. (2019, March 21). Personal Correspondence.

Scottish Government. (2017, April 19). Community Eyecare Services Review. Retrieved from https://www.gov.scot/publications/community-eyecare-services-review/pages/7/ [accessed 09 May 2019]

Scottish Government. (2016, September 15). Scotland's Oral Health Plan: consultation on the future of oral health. Retrieved from https://www.gov.scot/publications/scotlands-oral-health-plan-scottish-government-consultation-exercise-thr-future/pages/5/ [accessed 2019 May 2019]

Scottish Government. (n.d.) Pharmacy. Retrieved from https://www2.gov.scot/Topics/Health/NHS-Workforce/Pharmacists/Pharmacy [accessed 2019 May 2019]

The Scottish Parliament. (2009, May 07). Tobacco and Primary Medical Services (Scotland) Bill. Retrieved from https://www.parliament.scot/SPICeResources/Research%20briefings%20and%20fact%20sheets/SB09-34.pdf [accessed 21 March 2019]

Scottish Government. (2017, November). THE 2018 GENERAL MEDICAL SERVICES CONTRACT IN SCOTLAND. Retrieved from https://www.gov.scot/publications/2018-gms-contract-scotland/pages/3/

The Scottish Government. (2017, November 2017). Memorandum of Understanding between Scottish Government, British Medical Association, Integration Authorities and NHS Boards. Retrieved from https://www2.gov.scot/Resource/0053/00534343.pdf [accessed 27 March 2019]

Audit Scotland. (2018, October). NHS in Scotland 2018. Retrieved from http://www.audit-scotland.gov.uk/uploads/docs/report/2018/nr_181025_nhs_overview.pdf [accessed 20 March 2019]

NHS Circular: PCA(M)(2019)0. (2019, February 22). Retrieved from https://www.sehd.scot.nhs.uk/pca/PCA2019(M)02.pdf [accessed 21 May 2019]

NHS 24. (n.d.) Our Strategy 2017-2022. Retrieved from https://www.nhs24.scot/data/uploads/PDF/NHS_board/Plans/corporate/Strategy%20_2017_2022.pdf [accessed 21 March 2019]

Rural GP Association of Scotland. (2017, December 12). Realistic Rural Medicine and the Proposed New GP Contract. Retrieved from http://ruralgp.com/wp-content/uploads/2017/12/171212-Shona-Robison.pdf [accessed 25 March 2019]

The Scottish Government. (2018, December 21). Scottish Government submission of 21 December 2018. Retrieved from http://external.parliament.scot/S5_PublicPetitionsCommittee/Submissions%202019/PE1698_G.pdf [accessed 26 March 2019]

The Scottish Government. (2017, December 01). 800 more GPs for Scotland. Retrieved from https://www.gov.scot/news/800-more-gps-for-scotland/ [accessed 26 March 2019]

Scottish Dental. (2019, January). STATEMENT OF DENTAL REMUNERATION. Retrieved from https://www.scottishdental.org/wp-content/uploads/2019/01/Amendment-No-140.pdf [accessed 21 May 2019]

McCartney, G. (2013, January 09). What would be sufficient to reduce health inequalities in Scotland?. Retrieved from https://www2.gov.scot/Topics/Health/Healthy-Living/Health-Inequalities/Equally-Well/Equally-Well/MTF3a [accessed 26 March 2019]

Medical Research Council. (2007, October). Inequalities in health in Scotland: what are they and what can we do about them?. Retrieved from https://www.gla.ac.uk/researchinstitutes/healthwellbeing/research/mrccsosocialandpublichealthsciencesunit/programmes/

Pulse. (2019, February 22). Funding for deprived practices under Scottish contract may ‘worsen health inequalities’. Retrieved from http://www.pulsetoday.co.uk/news/hot-topics/nhs-finances/funding-for-deprived-practices-under-scottish-contract-may-worsen-health-inequalities/20038301.article [accessed 26 March 2019]

The Scotsman. (2017, December 23). New GP contract is unfair, say Govan doctors Read more at: https://www.scotsman.com/news/uk/new-gp-contract-is-unfair-say-govan-doctors-1-4646468. Retrieved from https://www.scotsman.com/news/uk/new-gp-contract-is-unfair-say-govan-doctors-1-4646468 [accessed 26 March 2019]

The Scottish Parlaiment. (2017, July). Principles for a technology-enabled health and social care service. Retrieved from http://www.parliament.scot/S5_HealthandSportCommittee/Inquiries/TINN062_Collaborative_response_from_health_professions_working_in_primary_care.pdf [accessed 26 March 2019]

Scottish Government. (2018, April 25). Scotland's Digital Health and Care Strategy. Retrieved from https://www.gov.scot/publications/scotlands-digital-health-care-strategy-enabling-connecting-empowering/ [accessed 26 March 2019]

Scottish Government. (2019, March 27). Primary care: national monitoring and evaluation strategy. Retrieved from https://www.gov.scot/publications/national-monitoring-evaluation-strategy-primary-care-scotland/pages/3/ [accessed 21 May 2019]

Scottish Government. (2018, April 30). National health and social care workforce plan: part three. Retrieved from https://www.gov.scot/publications/national-health-social-care-workforce-plan-part-3-improving-workforce/pages/10/ [accessed 22 January 2019]

Last Updated: 21/8 7:08pm

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