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    • Making life easier for customers - Burrows Furniture and PlushCareBurrows Furniture simplifies furniture shopping with easy assembly, color choices, durable seating, and fast free shipping. PlushCare offers online doctor consultations, weight loss med prescriptions, and accepts most insurances.

      Both Burrows Furniture and PlushCare focus on making life easier for their customers. Burrows Furniture offers easy assembly, requested colors, durable modular seating, and fast free shipping. PlushCare provides online access to board certified physicians who can prescribe weight loss medications, accepting most insurance plans. In the healthcare sector, Dr. Phil Whittaker from The New Statesman discusses the NHS crisis and suggests structural changes without requiring more funding. Going back to 2010, the government decided against the historical 3.8% increase in NHS funding, leading to a funding squeeze. Sir David Nicholson's vision was to move activity out of hospitals and into the community, reducing costs. These ideas, presented by Dr. Whittaker, aim to address the NHS crisis without additional billions.

    • The UK's healthcare crisis: Solving the backdoor and front door problemsThe UK's healthcare crisis isn't about funding but spending priorities. Focus on community care and prevention, tackle inefficiencies at hospital discharge and unnecessary A&E visits.

      The UK's healthcare crisis is not about lack of funding but rather about how the funds are being spent. The focus should be on investing in community care and preventing hospital admissions, as it is much more expensive to care for someone in a hospital than in the community. However, there are two main issues hindering this: the backdoor problem and the front door problem. The backdoor problem refers to the inability to discharge patients who are medically fit to leave hospitals due to a lack of community care packages or suitable care places. This leads to an expensive situation where patients remain in hospitals unnecessarily, occupying beds and causing delays for other patients and ambulances. The front door problem, on the other hand, is the influx of unnecessary activity into A&E departments and ambulance services. Since 2010, the NHS has been using computer programs like NHS Pathways for triaging calls, which often result in unnecessary ambulance dispatches and hospital visits. This not only costs a lot of money but also causes delays for emergency cases and puts additional strain on the system. In conclusion, addressing the healthcare crisis in the UK requires a shift in focus towards investing in community care and preventing hospital admissions, while also addressing the inefficiencies at both the backdoor and front door of the healthcare system.

    • The Importance of Primary Care in Addressing Pressure on Emergency ServicesUnderstaffing and lack of focus on primary care, particularly GPs, lead to increased pressure on emergency services. Addressing primary care challenges can reduce the burden and improve healthcare efficiency.

      The understaffing and lack of focus on primary care, particularly general practitioners (GPs), are leading to increased pressure on emergency services, such as ambulance services and A and E departments. This issue, known as the "front door problem," is causing a significant number of non-emergency cases to be funneled into these services, while the "backdoor problem" clogs up hospitals with patients who could have been treated in primary care. Politicians often overlook the importance of primary care, lacking the necessary experience to understand its value. GPs deal with the majority of the population's health needs and can efficiently identify who requires hospital care. By addressing the challenges in primary care, we can effectively reduce the burden on emergency services and improve overall healthcare efficiency.

    • The importance of continuity of care between GPs and patientsContinuity of care with GPs is vital for efficient healthcare delivery and effective diagnosis. It allows GPs to understand patients' circumstances and provide appropriate care, preventing unnecessary hospital visits.

      Continuity of care between a General Practitioner (GP) and their patient is crucial for efficient healthcare delivery and effective diagnosis. This long-term relationship allows GPs to understand their patients' circumstances, families, and work, enabling them to provide appropriate care and avoid unnecessary hospital visits. GPs serve as the primary providers of healthcare in the UK, handling around 90% of all health care needs. If the capacity of these primary care providers is diminished, the healthcare demand doesns't disappear; it shifts to more expensive sectors like hospitals and ambulance services. Regarding patients attending Accident and Emergency (A&E) departments unnecessarily, it's essential to acknowledge that most individuals don't intentionally misuse the system. Instead, they may be following advice or guidance from various sources, including NHS 111 services, which can sometimes direct them to A&E unnecessarily. Therefore, focusing on improving communication and education for patients, as well as enhancing the primary care system, would be more beneficial than placing blame on patients.

    • Out-of-hours care gap leads to ER overburdeningThe absence of adequate out-of-hours care and walk-in clinics in the UK healthcare system forces patients to seek care in emergency rooms for non-critical needs, resulting in longer wait times, overcrowded hospitals, and potentially harmful outcomes. Investing in these services is essential to improve patient care and reduce pressure on A&E departments.

      The lack of adequate out-of-hours care and walk-in clinics in the UK healthcare system is leading patients to overburden emergency rooms with non-life-threatening health concerns. This issue started around 2004 when general practices no longer had 24/7 responsibility for patient care, leaving a gap in the system. The impact of this change has been significant, with patients often having no other option but to go to A&E for urgent but non-critical care needs. This not only results in longer wait times and overcrowded hospitals but also potentially harmful outcomes for patients. To address this issue, it is crucial to reinstate and invest in out-of-hours care services and walk-in clinics to ensure patients receive appropriate care when and where they need it.

    • Challenges in UK's Out-of-Hours Healthcare SystemThe UK's out-of-hours healthcare system faces challenges due to cost-cutting measures, leading to decreased clinician availability and increased pressure on other parts of the healthcare system. Investing in technology and training more clinicians is crucial to address these issues and ensure timely, holistic care for patients.

      The UK's out-of-hours healthcare system has faced significant challenges since the responsibility for providing it was transferred from practices to Primary Care Trusts (PCTs) in 2004. This led to a trend of commercial organizations providing these services at lower costs, but at the expense of clinician time. The result is a decrease in the availability of clinicians for out-of-hours care, which has led to increased pressure on other parts of the healthcare system. This issue is not unique to the UK, as many countries face similar challenges due to aging populations and increasing healthcare needs. However, it is crucial to learn from other countries' experiences in addressing these issues effectively, such as investing in technology and training more clinicians for out-of-hours care. Ultimately, restoring capacity to the out-of-hours system and ensuring that patients receive timely, holistic care is essential for the wellbeing of patients and the sustainability of healthcare systems as a whole.

    • Lessons from Norway's Primary Healthcare ModelNorway's focus on continuity of care and community-based healthcare has led to reduced hospital activity and mortality, offering insights for improving UK's NHS

      There's much to learn from other Western countries, particularly Norway, when it comes to organizing healthcare systems. Norway's primary healthcare model, which emphasizes continuity of care through named GPs and a reasonable patient load, has led to a significant reduction in hospital activity and mortality. The UK, once a gold standard for primary care, could benefit from rebalancing health and social care towards community care and restoring capacity in primary care. Despite the current challenges and strikes in the NHS, there's optimism in the ideas gaining traction towards a more effective and sustainable healthcare system.

    • Continuity of care crucial for NHS efficiency and qualityPolicymakers need more awareness and understanding to restore NHS efficiency and quality through continuity of care. GPs play a significant role, and strong leadership is required.

      Continuity of care is a crucial issue for reducing costs in the NHS and enhancing patient care and experience. It's gaining recognition on the political agenda, but more awareness and understanding from policymakers is needed to restore the NHS to its former efficiency and quality. GPs play a significant role in achieving this goal, and the private healthcare industry's resurgence highlights the need for improvement. To achieve this, we require strong leadership and an appreciation of healthcare issues from those in power. Ideally, a health secretary with a healthcare background would be ideal, but anyone is welcome to visit a GP practice for a firsthand experience. By addressing this issue, we can reverse the trend of people turning to private healthcare and restore the NHS's reputation as a responsive and effective healthcare provider.

    • Flexible UnitedHealthcare Insurance Plans for Various Life SituationsUnitedHealthcare Insurance Plans offer flexibility for job transitions, parent's plan expiration, side hustle growth, and missed open enrollment periods. Visit uhone.com to explore options and prioritize health.

      UnitedHealthcare Insurance Plans offer flexibility for various life situations. These plans can be particularly beneficial for those who are between jobs, coming off their parents' plan, transitioning a side hustle into a full-time business, or missed the open enrollment period. By visiting uhone.com, individuals can explore these options further and find a plan that suits their unique circumstances. This flexibility is a significant advantage, as it allows people to prioritize their health and wellbeing, even when faced with unexpected changes in their professional or personal lives.

    Recent Episodes from The New Statesman Podcast

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    This episode has been fully funded by MSD who, as sponsors, have reviewed and inputted to the final content. The report referenced by Office for Health Economics throughout this episode was fully funded by MSD. Ultimate editorial control for this episode and the OHE report rests solely with the New Statesman and the Office for Health Economics, respectively. MSD is one of the world’s leading pharmaceutical companies active in several key areas of global health, including immunisation and oncology.



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    Up all night to Bet Lucky

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    Rishi Sunak is campaigning through gritted teeth

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    Is there still momentum for Scottish independence?

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    Andrew Marr: Labour must prepare for the turning tide

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    Related Episodes

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    #117 The Crisis in Family Medicine with Dr. Ramsey Hijazi

    #117 The Crisis in Family Medicine with Dr. Ramsey Hijazi

    In this episode of Hart2Heart with host Dr. Mike Hart, Dr. Hart sits down with Dr. Ramsey Hijazi.  They dive into the complexities of the healthcare system, emphasizing the crisis in family medicine in Ontario. They discuss the shortage of family doctors providing comprehensive care the impact of administrative burdens and funding cuts on patient care and ultimately how this is leading to burnout in Canada’s health care system.  

    Guest Bio and Links:

    Dr. Ramsey Hijazi is a family doctor based in Ontario, actively involved in addressing the challenges faced by family physicians. You can learn more about OUFP at their website https://oufp.ca/ 

    Show Notes:

    • [0:00] Welcome back to the Hart2Heart Podcast with Dr. Mike Hart. Dr. Hart introduces guest, and family doctor, Dr. Ramzi Hijazi to the listeners 

    • [3:30] Patient access to specialist care

    • [5:00] Discussing the Union of Family Physicians in Ontario and healthcare system challenges

    • [9:00] “People are being driven away from comprehensive family practice because, I think the conditions are so poor.”

    • [15:30] Underlying problems with OHIP 

    • [18:00] Funding cuts and administrative work on family medicine

    • [21:00] Strategies for addressing physician burnout and system inefficiencies

    • [24:00] Proposals for Government action and improving patient care 

    • [32:30] The role of MPs and nurse practitioners in primary care

    • [37:30] Lack of staffing in the medical field 

    • [41:00] The importance of patient-physician interaction

    • [44:00] Addressing mental health in family medicine

    • [48:30] “I think a lot of burnout is also derived from feeling like you're not doing the best job you could and not spending the time you can with patients.”

    ---

    Dr. Mike Hart is a Cannabis Physician and Lifestyle Strategist. In April 2014, Dr. Hart became the first physician in London, Ontario to open a cannabis clinic. While Dr. Hart continues to treat patients at his clinic, his primary focus has shifted to correcting the medical cannabis educational gap which exists in the medical community. 

    Connect on social with Dr. Mike Hart:

    Social Links:

     

    Depression in Teens - How can the GP Help?

    Depression in Teens - How can the GP Help?
    “What is the impact of depression on school aged teens?”
    GP, Dr Bianca Forrester, continues the conversation with Child and Adolescent Psychiatrist A/Prof Sandra Radovini about mental health problems in teens. In this episode Bianca and Sandra explore the role of the GP in assessing and managing depression in practice. “What predisposes adolescents to depression”? In seeking to understand the young persons experiences in context, for anxiety she poses the question “What are the pressures”? With depression as a presenting problem she poses a different question….tune in to find out....

    This Podcast was recorded at the PodHub on the 30th May, 2019
    Presented by: Bianca Forrester
    Produced by: Bianca Forrester
    Audio Engineering: Chris Hatzis
    Post-Production: Arch Cuthbertson
    Music: Space Cadet Lullabies
    Graphics: Gaal Creative


    SSRIs- We discuss the indications, effects, benefits associated with SSRIs. Check out these resources for more information.
    About SSRIs in GP:
    About SSRIs in adolescents
    About optimal doses

    For more information about Assessment and management of Depression check out these reources.
    Orygen -National Centre of Excellence in Youth Mental Health
    Treating Depression in young people.

    Other recommended Guidelines
    Simply input: Depression in Children and Young People
    Great interactive guidelines by NICE Guidance

    Exerpt from NICE guidelines regarding Brief Psychological Intervetions (BPI);
    This intervention is based on the brief psychosocial intervention (BPI) carried out in the IMPACT trial (Goodyer et al. 2017)1.
    Core components of BPI include:
    · psychoeducation about depression and action-oriented, goal-focused, interpersonal activities as therapeutic strategies
    · building health habits,
    · planning and scheduling valued activities
    · advice on maintaining and improving mental and physical hygiene including sleep, diet and exercise
    · promoting engagement with and maintaining school work and peer relations, and diminishing solitariness.
    BPI does not involve cognitive or reflective analytic techniques.
    1 Goodyer IM, Reynolds S, Barrett B et al. (2017) Cognitive-behavioural therapy and short-term psychoanalytic psychotherapy versus brief psychosocial intervention in adolescents with unipolar major depression (IMPACT): a multicentre, pragmatic, observer-blind, randomised controlled trial. Health technology assessment 21(12), 1–94.

    Finally, for patient resources and education:
    provides good patient information, advice and digital health options.

    S02 E04: Three simple ideas to connect as a team that are easy and help build your capacity

    S02 E04: Three simple ideas to connect as a team that are easy and help build your capacity

    In this episode, Sarah and Morgan highlight three ideas that came out of the recent Learning Cycle on primary care system resilience and the feedback from the BC Team-Based Care Advisory Committee members who participated in a constructive workshop that was part of that learning cycle. These ideas are intentionally small ideas that feel more manageable to try. At the time of the recording (February 2022) we all have such little capacity, so these are small ideas that all give back a little capacity when tried out.

    Please send us feedback at isu@familymed.ubc.ca



    In this episode you also heard from:

    • Dr. Terri Aldred
    • Dr Bruno Malagamba

    Links:

    As always thanks for listening