The British journal of general practice : the journal of the Royal College of General Practitioners
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Observational Study
GP working time and supply, and patient demand in England in 2015-2022: a retrospective study.
English primary care faces a reduction in GP supply and increased demand. ⋯ Population demand per GP has increased, particularly in terms of chronic conditions. This increase is driven by several factors, including a reduction in GP contracted time commitments. Persistent deprivation gradients in GP supply highlight the need to recruit and retain GPs more equitably.
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First contact physiotherapy practitioners (FCPPs) are embedded within general practice, providing expert assessment, diagnosis, and management plans for patients with musculoskeletal disorders (MSKDs), without the prior need for GP consultation. ⋯ FCPP-led models of care provide safe, clinically effective patient management, with cost-benefits and reduced opioid use in this cohort.