Delivering a prudent approach to primary care in Wales

31 July 2020

This week has seen the publication of the College’s joint report with the Bevan Commission: Delivering a Prudent Approach to Primary Care in Wales.

This is the culmination of around 12 months’ work which began with some very insightful round table discussions that brought together clinicians, patients and policy thinkers to get to the crux of how the principles of prudent healthcare could be practically applied to the day to day delivery of excellent primary care.

The impact of the pandemic

Of course, 2020 has brought some very specific challenges. While we knew one day there would be a large-scale pandemic to confront us, that is a very different matter to responding to the immediacy of a specific, new infectious disease.

To reflect the last few months the report also has a COVID-19 supplement. 

The report has seven key recommendations:

  • A clearer political commitment to rebalancing health and social care policy towards a more prudent, social model of health and care
  • The level of management and accountability of resources needs to be reviewed
  • Health and social care strategy and decision-making should be much better integrated and with devolved and flexible budgets reflecting local needs
  • There should be far more ‘real’ engagement with people and communities
  • Medical education for doctors and allied health professionals should include a health literacy assessment of patients and shared decision-making skills
  • Primary Care clusters are key to implementing a prudent and social approach, engaging with local people
  • A digitally enabled Primary Care service should be embedded in Primary Care clusters.

Thanks for your support for our #RecoverGPWales campaign

A copy of the joint report has been sent to the minister and senior Welsh Government officials.

Indeed, they are getting plenty of reading material to spark their policy thinking from us at present as it is only recently that we issued the College’s General practice in the Post-Covid World report (337 KB PDF).

I’m aware that nearly 200 of our members and supporters have written to members of the Senedd to highlight this important piece of work, diolch yn fawr.

Only a few months ago we were talking about how important it was that RCGP was at the forefront of shaping the much over-used phrase, the 'new normal'.

Now we are doing so, I’m proud that our College is at the forefront of this vital debate.


Post written by

Dr Mair Hopkin, Joint Chair of RCGP Wales

Dr Mair Hopkin qualified in 1980 and was a partner at the Old School Surgery in Pontyclun until 2019. She has served as Chair and Provost of the South East Wales Faculty, as well as being Faculty Representative to RCGP’s UK Council.

Mair has a keen interest in child development and children's and women’s health. She introduced a Well Baby clinic before it became part of the GP contract, and has co-authored a book on child health development in Wales. She has also developed an interest in medical education. She is currently an Associate Dean in the Wales Deanery.

She married a farmer and lived on a working farm for three decades. She has three children, one of whom is a GP, and four grandchildren. She is a Welsh learner.

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