To achieve greater activity, the UK health systemnhsfor the acronym in English) have made the decision that the system Main treatment offers services during extended hours, focusing on care in the evenings and on Saturdays, as detailed in the UK Government’s increased access to health care plan. As explained in a written The NHS itself, the goal of this change is Eliminate the variability that exists in the care provided in the country, as well as increasing understanding of care by patients.

In this way, UK medical centers will remain “available” until 20.00 from Monday to Fridaywhile Saturday attention will be given from 8 am to 5 pm.. Similarly, any center that is part of the UK Primary Care Network (PCN) must provide this service. from October.

As stipulated by the NHS with these changes, apart from seeing a family doctor or nurse, patients can also access other services outside of office hours, including screening, vaccinations and health checks.

Each of the UK’s 1,250 Primary Care networks is based on patient registers registered by general practitioners, who typically serve a population of between 30,000 and 50,000 people.

As set out in a letter consolidated by the UK health system, the main network can also provide a enhanced access after hours set. For example, early in the morning or on Sunday, where this is according to the local needs of the patient and approved by a notary.

With this new reform, patients cannot go to regular consultations during after-hours appointments, as various local media outlets have reported. In addition, the letter outlining the new contractual arrangements for general practitioners in the UK also states that practice is possible book at least 25 percent off appointments for your online bookings, to avoid a large number of patients waiting a long time on the line. According to the NHS, the procedure is “aligned with the patient’s preferences and needs”.

Spain, waiting to implement its PA Plan

Extrapolating the encouragement and reinforcement of care provided at the first level of care to the national paradigm, the situation has been ‘alert’ since mid-December, when Interregional Council (CISNS) give the green light to Primary Care Action Plan. It is part of the Strategic Framework for Primary Care approved in 2019 and the result of the commitments achieved in the first CISNS monograph on first-level care held in October 2021 in Gran Canaria.

As announced by the minister in his presentation, the initiative complies with two “concrete and ambitious” goals: effectively implementing the priority actions contained in the strategic framework for 2022 and 2023 and making effective the conclusions of the Council’s opinion Reconstruction Commission of the Congress of Deputies.

The National Plan awaits to determine the financing formula to be able to make it happen

Now all that remains is to determine the financing formula to make it happen. For now, Health just announced that the autonomous community must carry out the finalist financing project for Primary Services before the end of the first period in 2022 and carried out through a co-financing framework.

Likewise, and in the absence of defining this new formula, that PGE 2022 raised a budget of 176 million euros to strengthen Primary and Community Care.

Madrid, a community ‘at the forefront’

Meanwhile, CC. AA who have decided to take a step forward with the aim of strengthening this service. An example of this is Comprehensive Plan for Improving Primary Services 2022-2023 Madrid societywhich envisages an investment of 200 million euros to strengthen care in public health centers over the next two years.

Many of the steps it gives have to do with the ground human Resourcessuch as the creation of 1,200 jobs in various professional categories, increased salaries, digitalization of consulting and new infrastructure.

Disbursements of 200 million euros are planned for strengthening between 2022-2023

Moreover, it has been designed Puskesmas Assistance Reorganization Project so that health workers, on a voluntary basis, develop organizational measures for patient care, depending on the time of year, the prevalence of the disease or the category of professional absence.

In the same way, he considers implementing steps for easy access for residents to these spaces, as well as to expedite calling through different channels; there is a program to guarantee phone calls that exceed the waiting time to be answered; or will make Call Center (CAT) who will complete the procedures and questions of an administrative nature raised by the patient.

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