Presentations and papers

We believe that evidence and research are key in making sustained improvements to medical care. All our claims can be backed up by charts or statistics and we are committed to on-going research to develop our approach. 

Papers and links are relevant to clinical and operational effects of access methods. Original material is free to quote for non-commercial use with acknowledgement.

Primary paper on discovery of method

pdf Comparison of mode of access to GP telephone consultation and effect on A&E usage  H Longman March 2012

Conference posters

pdf Clarendon practice case study wins poster prize at SAPC July 2013 Annual Scientific Meeting.  J Tankel, H Longman
pdf System change in a Liverpool GP cuts wait from 6 days to 1 day, A&E 40% below avg.  C Peterson, H Longman, BMJ Forum, London 2013
pdf Access & Continuity go hand in hand H Longman, S Coupe, poster at SAPC Society for Academic Primary Care, 3/10/2012 
pdf How a telephone call from a GP transforms patient access H Longman, S Swift, K Singh, BMJ Int’l Forum, Paris, April 2012

Large study draft proposal

pdf Dialogue with several professors has begun around a prospective evaluation. Please read and comment on the draft proposal

Presentations and papers

pdf Shedding light on the mystery of DNAs, H Longman 5/2013. Why DNAs will be reduced by thinking not in terms of patient behaviour, but by changing the system.
pdf What matters to patients in general practice H Longman 1/2013, the evidence for response time and continuity in driving patient satisfaction and support of change
pdf Demand for GP related to deprivation H Longman, analysis of unconstrained demand at Dot Community Health practices, range from 5.5% to 10% of list per week 
pdf Access & Continuity - the impact on secondary care S Coupe, H Longman, presented at Commissioning Show 2012, 28/6/2012 
pdf Preliminary research on why A&E is rising and the variation by GP practice factors H Longman, NHS copyright 2010
pdf Discovery of practices offering rapid GP phone call, linked to lower A&E attendance. H Longman, presented 9/3/11, Healthcare Innovation Expo, NHS copyright 
pdf A&E reduction effect FY1011 Dr S Swift, EMQO, NHS copyright 2011, also looks at smaller emergency admissions effect
pdf Survey of operational features and staff experience Also considers how fast a practice can change, and how patients react.
pdf A&E: is there a better way?  Examines the effect of the 4 hour target on waiting times and admission rates

Links to external research

pdf Effect of GP continuity on elective demand: Leicester University study 2012, JPH, M Chauhan, Richard Baker et al.
pdf Cochrane Review on telephone consultation & triage 2009  Wide ranging review of a number of models.  None quite like Dot Community Health
pdf Telephone Consultations BMJ 2003  Josip Car, Aziz Sheikh, positive review of the clinical evidence and issues 
pdf Evaluation of Advanced Access, Professor Chris Salisbury et al, 2007  Full scale review of a top down change programme.
pdf NHS Information Centre study linking A&E, deprivation, GP survey  A circle linking deprivation, low satisfaction with GP and high A&E. 
pdf First publication of evidence linking telephone access and A&E effect  through EMQO site for NHS East Midlands.