The British journal of general practice : the journal of the Royal College of General Practitioners
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Dementia is a rapidly growing problem projected to rise steepest in ethnic minority communities; nearly 600% over 40 years compared to the UK population. Despite this, patients from ethnic minorities are referred less to memory clinics, diagnosed at more advanced stages, and present more often in crisis. ⋯ Participatory action research project using Photovoice qualitative methodology was co-designed with communities. Stakeholders to co-produce complex intervention prototype seeking to improve dementia services for ethnic minority communities.
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A range of measures to improve service delivery have been introduced among persisting concerns about staff shortages in general practice. Innovations include practice networks, multidisciplinary roles, and use of digital technologies. Yet challenges remain that affect both patient care delivery and staff. Therefore, identifying what matters from a workforce perspective will help identify what matters to those delivering services. ⋯ The top 10 service delivery priorities require future policy solutions that are holistic and address underlying causes. Future research needs to explore interdependencies across the patient-workforce-service delivery nexus.
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General practice experienced significant challenges throughout the COVID-19 pandemic. There has been little exploration of the experiences of nurses working in general practice and the impact on care delivery, job satisfaction, workload, stress and professional support. Understanding these experiences can inform future practice. ⋯ The pandemic has laid bare challenges faced by nurses in general practice. Nurses require specific support to maintain professional wellbeing and to aid retention.