iiinova — where your digital self keeps evolving

Reposted by Liam Loftus

Nuffield Trust @nuffieldtrust.org.uk · 10/03/2025

With the numbers of GP partners falling significantly, and relatively few early career GPs aspiring to the role, our new briefing from @becksfisher.bsky.social looks at whether it’s time to change the GP partnership model. www.nuffieldtrust.org.uk/resource/the...

nuffieldtrust.org.uk

The partnership model in general practice predates the NHS. Is now the time to change it?

The partnership model in general practice in England has been in place since before the NHS was formed, but its future is uncertain. The number of GP partners has fallen significantly, and relatively ...

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Liam Loftus @liamloftus.bsky.social · 07/03/2025

That is a very, very interesting perspective. Thank you very much for sharing it!

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Reposted by Liam Loftus

Nuffield Trust @nuffieldtrust.org.uk · 07/03/2025

Up next at #NTSummit: Is the GP partnership model fit for purpose? @nigel-edwards.bsky.social, @becksfisher.bsky.social, @drkatie.bsky.social, @liamloftus.bsky.social and Richard Sloggett are about to debate the pros and cons of the current model. Watch now: buff.ly/3EMgXuR

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Reposted by Liam Loftus

Helen Buckingham @hbuckingham.bsky.social · 07/03/2025

We're at a crossroads, says @liamloftus.bsky.social. Carry on as we are, partnership won't exist in 15 years. Young GPs like the positive things which come with partnership, but the risk/reward ratio is skewed too heavily to risk - the financial cost, the personal toll. #NTSummit

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Becks Fisher @becksfisher.bsky.social · 06/03/2025

Now seems like a particularly important time to resist polarisation and to encourage nuance. I’m excited to have this conversation - and publish a paper on the future of partnership - tomorrow #ntsummit

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Reposted by Liam Loftus

Nuffield Trust @nuffieldtrust.org.uk · 02/03/2025

Is the #GP partnership model fit for purpose? #NTSummit 🩺 Hear from @nigel-edwards.bsky.social @becksfisher.bsky.social @drkatie.bsky.social @liamloftus.bsky.social & Richard Sloggett at our Summit. Livestream info: buff.ly/3EMgXuR

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Reposted by Liam Loftus

GPonline @gponline.bsky.social · 28/02/2025

This week Dr John Ford and @liamloftus.bsky.social speak to @emmabower.bsky.social about the work of the Health Equity Evidence Centre @qmul.ac.uk and how it can help clinicians and policymakers address health inequalities. Listen here or wherever you get your pods www.gponline.com/podcast-evid...

gponline.com

Podcast: An evidence-based approach to addressing health inequalities

Talking General Practice speaks to Dr John Ford and GP Dr Liam Loftus from the Health Equity Evidence Centre at Queen Mary University in London.

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Liam Loftus @liamloftus.bsky.social · 09/01/2025

I completely agree there’s the sharp rise in activity. I also agree that the fall in % of NHS spend on general practice has been damaging. On the latter, I really hope the money pre-Christmas that reverses this trend is a sign of things to come 🤞 A very interesting debate - thanks Steve!

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Liam Loftus @liamloftus.bsky.social · 08/01/2025

This PCN (non-ARRS) funding can then be used by the PCN to employ staff (including GPs), which will in turn increase practice activity. If I've understood correctly, I still think it's a bit confusing to exclude PCN funding from calcs, but include activity which has been paid for using PCN funding.

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Liam Loftus @liamloftus.bsky.social · 08/01/2025

Thanks Steve. I see. So ARRS alone accounts for some but not all of the activity increase. But in addition to ARRS, there is other funding attached to being a part of a PCN, such as the Core PCN Funding payment, and the Capacity and Access Support Payment.

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Liam Loftus @liamloftus.bsky.social · 08/01/2025

It feels a little confusing to exclude PCN sources when it comes to funding, but then include PCN sources when it comes to activity. That's providing I'm not missing something? Cheers Steve!

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Liam Loftus @liamloftus.bsky.social · 08/01/2025

Thanks for the reply Steve! I understand your numbers, but you talk about providing 20% more appointments with 20% less funding. Are a big portion of those 20% extra appointments not undertaken by staff employed by non-"GP practice funding," such as via the ARRS scheme?

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Liam Loftus @liamloftus.bsky.social · 08/01/2025

The graph you shared with me (below) showed a real terms increase in overall general practice funding over the time period you state. As we know, general practice funding is a very complex area to get our heads around, so do say if I'm missing something. Graph: www.health.org.uk/reports-and-...

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Liam Loftus @liamloftus.bsky.social · 08/01/2025

Hi Steve, hope you don't mind me asking... Do you think saying GP practices receive 20% less funding is an accurate representation of the full picture? Would it be more accurate to say one funding source (core GP contract) has fallen, but others have risen, resulting in a real-terms increase?

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Liam Loftus @liamloftus.bsky.social · 08/01/2025

✅ Cultural & language tailoring: Materials in multiple languages & relevant to communities ✅ Visual aids: Pictograms, animations, & narrated videos ✅ Sustained training: Long-term programs meeting real-world needs ✅ Digital tools: Pair literacy training with access to personal health records (3/4)

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Liam Loftus @liamloftus.bsky.social · 08/01/2025

At the Health Equity Evidence Centre, we recently explored this in an evidence brief! 📚 Our focus: What can policymakers & practitioners do to meaningfully improve health & digital literacy in underserved communities? So, what works? 👇 (2/4)

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Liam Loftus @liamloftus.bsky.social · 08/01/2025

Earlier this week, the Reforming Elective Care for Patients plan emphasised care becoming increasingly digital, and the need to address digital inequalities. 💻📉 This raises a critical question: ❓ What works to improve health & digital literacy in disadvantaged groups? ❓ (1/4)

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Liam Loftus @liamloftus.bsky.social · 27/12/2024

All of this information is very helpful. Thank you so much for sharing!

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Liam Loftus @liamloftus.bsky.social · 27/12/2024

This is really interesting - thanks for sharing Steve. 👍 The 18-25% real terms funding loss since 2015 - do you know whether that figure is based only on money going into general practice? Do you know whether it takes into account money practices receive via PCNs?

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Liam Loftus @liamloftus.bsky.social · 23/12/2024

I see - that is interesting. Thank you for taking the time to share this insight - much appreciated

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Liam Loftus @liamloftus.bsky.social · 23/12/2024

Interesting. Do you know of any maths that would back this up? @drstevetaylor.bsky.social’s numbers below would suggest it’s a pretty significant uplift, after accounting for budget and inflation? bsky.app/profile/drst...

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Liam Loftus @liamloftus.bsky.social · 23/12/2024

I agree - I don’t think this alone will fix everything, but I do think it’s a big step in the right direction 🤞

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Liam Loftus @liamloftus.bsky.social · 23/12/2024

Do you think last week’s uplift announcement will help here, Steve? It won’t fix everything, but a big step in the right direction?

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Reposted by Liam Loftus

Nuffield Trust @nuffieldtrust.org.uk · 21/12/2024

Fairer funding for general practice in England: what’s the problem, why is it so hard to fix, and what should the government do? Read our briefing about why the outdated Carr-Hill formula should be replaced: buff.ly/3ZC1Mva

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Liam Loftus @liamloftus.bsky.social · 21/12/2024

That is very understandable…! I’m optimistic - increasing the percentage of the NHS budget directed to general practice feels significant, and a positive step on the shift “from hospital to community.” Hopefully more to follow!

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Liam Loftus @liamloftus.bsky.social · 20/12/2024

I’d say good news, Phil. What do you think? bsky.app/profile/liam...

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Reposted by Liam Loftus

Dr Jo Maher NHS GP @drjomaher.bsky.social · 20/12/2024

Funding for primary care should recognise clinical need which is currently not the case. To future proof the NHS this is more important than any reform. @nuffieldtrust.bsky.social @becksfisher.bsky.social & team thank you for articulating brilliantly what we see & feel on the ground in practice

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Liam Loftus @liamloftus.bsky.social · 20/12/2024

Is today's intervention the complete package that will solve all of the challenges that general practice faces? No. It this a significant step in the right direction, at the start of what I'm sure will be a long journey? In my own view, yes it is.

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Liam Loftus @liamloftus.bsky.social · 20/12/2024

➡️ A real-terms uplift in funding ➡️ An increase in the share of NHS spend that goes to general practice, reversing the recent trend ➡️ A tone that feels constructive and collaborative

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Liam Loftus @liamloftus.bsky.social · 20/12/2024

Is today a positive day for general practice? In my personal view, yes - I think it is. Earlier today, GPs received the letter below. The positives? For me, they are...

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Liam Loftus @liamloftus.bsky.social · 17/12/2024

The datapacks for the ICBs in the East of England are all available on our website, here: www.heec.co.uk/resource/gen... If you'd like the datapack for your own ICB, please drop me an email on l.loftus@qmul.ac.uk #FairerGeneralPractice #HealthEquity #Inequalities

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Liam Loftus @liamloftus.bsky.social · 17/12/2024

Each datapack covers the following topics: 𝗥𝗲𝘀𝗼𝘂𝗿𝗰𝗲𝘀: (supply): Payments, Workforce 𝗣𝗼𝗽𝘂𝗹𝗮𝘁𝗶𝗼𝗻: (demand): Disease prevalence, Health-related behaviours 𝗦𝗲𝗿𝘃𝗶𝗰𝗲 𝗤𝘂𝗮𝗹𝗶𝘁𝘆: QOF achievement 𝗔𝗰𝗰𝗲𝘀𝘀: Patient experience, Appointments 𝗜𝗺𝗽𝗮𝗰𝘁 𝗼𝗻 𝗦𝗲𝗰𝗼𝗻𝗱𝗮𝗿𝘆 𝗖𝗮𝗿𝗲: Emergency admissions, A&E attendances

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Liam Loftus @liamloftus.bsky.social · 17/12/2024

🌟 NEW RESOURCE 🌟 We know there are stark inequalities in general practice. We also know that ICBs can take action to address these. At the Health Equity Evidence Centre, we’ve developed a series of inequalities datapacks - one for each ICB in England... www.heec.co.uk/resource/gen...

heec.co.uk

General Practice Inequalities Datapacks - Health Equity Evidence Centre

There are stark inequalities in the supply, demand and need of general practice. ICBs can take action to address these inequalities. We've developed datapacks for each ICB England to help them unders...

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Reposted by Liam Loftus

Victoria Tzortziou Brown @victoriatb.bsky.social · 15/12/2024

“Replacing the Carr-Hill formula with a needs-based formula is the best and most sustainable way to make general practice funding more equitable.” @becksfisher.bsky.social @nuffieldtrust.bsky.social @rcgp.bsky.social @drkatie.bsky.social @qmul.ac.uk

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Liam Loftus @liamloftus.bsky.social · 12/12/2024

We've known for some time that general practice funding is inequitable... ➡️ But why is it so hard to fix? ➡️ And what should the Government do to fix it? It has been a pleasure to work with @becksfisher.bsky.social, John and Ian on this #CarrHill @nuffieldtrust.bsky.social

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Reposted by Liam Loftus

Nuffield Trust @nuffieldtrust.org.uk · 12/12/2024

NEW BRIEFING by @becksfisher.bsky.social in collaboration with Health Equity Evidence Centre calls for the outdated GP funding formula to be replaced by a needs-based payment to better address health inequalities. 💷 Read here: www.nuffieldtrust.org.uk/resource/fai...

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Dr Farzana Hussain @fhussain73.bsky.social · 12/12/2024

The Carr Hill formula for general practice funding negatively impacts practices in deprived areas the most reinforcing the inverse care law. Changing the formula is necessary but not easy- we need a needs based or activity based approach. The briefing from @nuffieldtrust.bsky.social poses some ideas

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Liam Loftus @liamloftus.bsky.social · 23/11/2024

I’ll be looking to post here on a range of topics - health, equity, social justice, and policy, to name a few… - and I’m very much looking forward to connecting…! 👋

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Liam Loftus @liamloftus.bsky.social · 23/11/2024

The other half of my week is spent working at Cambridge City Foodbank (cambridgecity.foodbank.org.uk). We don’t think anyone in our community should have to hungry. We meet the need for affordable and emergency food, while looking to tackle the upstream causes of poverty.

cambridgecity.foodbank.org.uk

Cambridge City Foodbank | Helping Local People in Crisis

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Liam Loftus @liamloftus.bsky.social · 23/11/2024

I currently spend half my week working at the Health Equity Evidence Centre (www.HEEC.co.uk). We are dedicated to generating solid evidence about what works to address health and care inequalities, and then empowering policymakers and practitioners to make evidence-informed decisions.

heec.co.uk

Welcome to the Health Equity Evidence Centre - Health Equity Evidence Centre

A new hub with evidence-informed solutions for equitable health and care

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Liam Loftus @liamloftus.bsky.social · 23/11/2024

Hello, BlueSky! 👋 I’m Liam, a newly qualified GP based in Cambridge. My passion is tackling inequalities at all levels of the system - from local, to national.

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