To achieve greater activity, British health system (NHSfor its acronym in English) has made a decision that the system Main care offer services during longer working hours, with a focus on care in the evening and on Saturdays, as detailed in the UK Government’s plan to improve access to health care. As described in written The NHS itself, the purpose of this change is eliminate the variability that exists in the care provided domestically, as well as to increase understanding of patient care.

In this way, UK health centers will remain “available” until 8:00 pm from Monday to Fridaywhile Saturday attention will be given from 8 am to 5 pm. Likewise, every center belonging to the UK Primary Care Network (PCN) must provide this service. from October.

As the NHS states with this change, apart from seeing a GP or nurse, patients will also be able to access other services outside of office hours, including screening, vaccination and health check.

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

As defined in the document consolidated by the UK health system, the primary network can also provide: upgraded after hours of access set. For example, early in the morning or on a Sunday, when this suits the local needs of the patient and agree with the notary.

With this new reform, patients cannot go to their usual consultations during after-hours appointments, local media reported. In addition, the charter outlining the new contractual arrangements for general practitioners in the UK also states that the practice will be able to book at least 25 percent of appointments for online booking, to avoid a large number of patients waiting a long time on the phone. According to the NHS, the move was “according to the preferences and needs of the patient”.

Spain, waiting to execute its PA Plan

Extrapolating the encouragement and reinforcement of assistance provided in first-level care with this national paradigm, the situation has been on ‘standby’ 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 results from the commitments achieved in the first CISNS monograph on first-level care held in October 2021 in Gran Canaria.

As announced by the minister during his presentation, the initiative is in line with two ‘concrete and ambitious’ objectives: to effectively implement the priority actions contained in the strategic framework during 2022 and 2023 and to streamline the conclusions of the ministers’ opinions. Reconstruction Commission of the Congress of Deputies.

The National Plan is waiting to determine the financing formula to make it happen

Now just waiting for the formulation of financing that can be realized. For now, Health is just announcing that autonomous community must implement the finalist financing project for Primary Services before the end of the first period of 2022 and which will be implemented through a co-financing framework.

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

Madrid, a community ‘at the forefront’

Meanwhile, it’s CC. A A. ​​who has decided to take a step forward with the aim of strengthening this service. The example is Comprehensive Plan for Improvement of Primary Services 2022-2023 Madrid communitywhich includes an investment of 200 million euros to strengthen care in community health centers over the next two years.

Many of the steps envisaged involve the field human Resourcessuch as the creation of 1,200 positions in various professional categories, salary increases, digitization of consulting and new infrastructure.

Disbursement of 200 million euros is planned for strengthening between 2022-2023

In addition, designed Health Center Reorganization Project Assistance so that health workers, voluntarily, develop organizational measures for patient care, depending on the time of year, prevalence of illness or professional category absence.

In the same way, he considered launching measures to facilitate citizen access to these spaces, as well as to expedite citations through different channels; there will be a program to guarantee that phone calls that exceed the waiting time will be answered; or make Telephone Service Center (CAT) who will complete the procedures and administrative questions raised by the patient.

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