
From crisis to capacity: how do we change our thinking on GP workforce challenges?
Dr Tom Davis, medical director and country manager at Livi, explores how greater efficiencies and embracing digital care can solve the GP workforce crisis.
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Read the latest reports, features and news from our content library.
Dr Tom Davis, medical director and country manager at Livi, explores how greater efficiencies and embracing digital care can solve the GP workforce crisis.
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A new nationally representative survey reveals more than one in four Brits (27%) have visited emergency departments because of delays in accessing GP appointments. More than one quarter (27%) of people of all ages have visited A&E because the waiting time to see a GP was too long. 41% of under 35s have visited A&E as an alternative to waiting for a GP appointment
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Johannes Schildt has been appointed as Chairman of the Board for Kry, with Kalle Conneryd Lundgren now taking over as Chief Executive Officer. Johannes Schildt, one of Europe’s leading entrepreneurs and founder of Kry will take up the role of Chairman of the Board of the digital-first healthcare company. While Kalle Conneryd Lundgren, who has been Deputy Chief Executive and Chief Operations Officer (COO) will take up the role as full time Chief Executive Officer (CEO)
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More than 400,000 patients in the Devon and Southampton Primary Care Networks (PCNs) are set to benefit from enhanced access to GP services, via online video consultations from Livi. The digital first healthcare provider, will provide evening and weekend appointments thanks to seven new Enhanced Access contracts awarded last month. According to the latest ONS winter survey, half a million more people – 18
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As medical professionals, Livi GPs are well accustomed to dealing with private, and often sensitive situations during digital consultations. As we reflect on Domestic Violence Awareness Month in November and review our own approach to this important topic, we’re pleased to be formally rolling out the Signal for Help hand gesture initiative across our service. It is an important time of the year for victims, as rates of domestic abuse increase around the seasonal period
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The education sector has a major staffing crisis. Workload, admin, and stress levels are rising, mental health is deteriorating, pay is generally inadequate, and in some cases budget pressures means that the availability of support staff, including teaching assistants, is under threat. This nexus of forces is creating an alarming inflection point that is affecting budgets, quality of teaching, talent attraction and retention, and importantly the health and wellbeing of the whole education sector
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Here our Country Managers share their thoughts on how companies like Livi can support the Government’s ambitions to reshape the NHS and what it will take to make it fit for the future.
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Attempting to do more with the same level of physical, financial and people resources just doesn’t work. This is the sentiment of many of our customers. And bandwidth crunch over the winter period brings this into sharp focus
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GP practices in the UK are facing increasing pressure, from an ageing population and rising chronic illnesses to growing mental health needs. Meanwhile, patient expectations for quicker access clash with current waiting times—one in 20 patients waits at least four weeks for a GP appointment, leaving millions anxious and in pain. In parallel to this, tackling inefficiencies in healthcare financing has been recognised as a key opportunity to create fiscal space for health systems
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London 16 September 2024: Livi has launched an instant GP access service to support small to medium sized enterprises (SME) with access to routine doctor’s appointments. Designed to enhance current employee benefits schemes, Livi’s new digital-first Employee Health Program offers access to on-demand video GP consultations, health and wellbeing content, prescriptions, fit notes and referrals for onward care and treatment. This app-based service enables SME employees to seek the care they need when they, or their family, need it, with access to Livi’s 500 healthcare professionals
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NHS England’s published guide on how to create optimal GP practice websites provides best-practice recommendations for practice managers, PCNs, ICSs and GP federations. Based on user testing, the publication outlines key considerations in a number of areas, from content and navigation through to accessibility. The goal is to support improved patient signposting and satisfaction, as well as a reduction in digital inequalities and access barriers
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Our UK Medical Director and Country Manager, Dr Tom Davis, explores how we can support the BMA’s strategy to Rebuild General Practice.
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A survey conducted by the analyst group, Forrester reveals that over half (54 percent) of organisations anticipate utilising generative artificial intelligence (AI) to boost employee productivity. While AI is commonly associated with enhancing customer service and detecting fraud, its transformative potential in healthcare systems is immense. AI can significantly improve waiting times, resource allocation, and employee wellbeing, as well as the financial rigour of both public and private healthcare sectors
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NHS healthcare manifestos must deliver the equity and efficiency of the commercial sector.
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Since its introduction in October 2022, Enhanced Access has seen PCNs and GP practices provide additional services from 6.30pm-8pm Monday to Friday, and 9am-5pm on Saturdays. Arrangements allow for a mixture of both face-to-face and remote consultations
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The past few years have seen an acceleration in the adoption of telemedicine. Yet, despite increased use of digital technology, there remain some common misconceptions. Here, we take a look at some myths and realities surrounding this topic
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Practice life is often a daily race against time. Addressing the needs of all patients in a given day under time pressure is becoming increasingly more challenging. So how can practices optimise time management? Let’s take a closer look
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The GP contract has been met with harsh criticism from GPs who are struggling to provide quality patient care in the face of increased costs, funding cuts and a significant administrative burden. And healthcare practices are also now seeing patient satisfaction drop. According to the headlines public satisfaction with the NHS has never been so low
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Foreword At Kry/Livi, we are on a mission to fast-forward the future of healthcare by ensuring that the care we deliver to our patients is accessible, personal and proactive. As almost 60% of our patients identify as female, we know it is critical to our success as a rapidly growing healthcare provider to understand and respond to the needs of those female patients. The Gender Pay Gap is a highly useful instrument for us as we measure and evaluate our progress towards gender parity
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It’s the start of the new financial year and this means that the NHS GP contract for 2024/2025 is being put in place. While the principle changes are centred around cutting bureaucracy, improving flexibility – financial and staffing flexibility – and improving access and patient experience, the contract has been met with widespread criticism. 99% of BMA members voted overwhelmingly to reject the government changes to their contract and will likely take industrial action based on the fact that the new GP Contract 2024/25 doesn’t go far enough to support practices with the resources they badly need
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Livi will continue to provide its digital platform and clinical services to enhance digital care journeys for members via the Vitality GP app Livi has announced an extended partnership with Vitality to provide digital GP consultations to Vitality customers via Vitality GP, an online app that provides members with virtual GP video consultations*. The extension will see the businesses working together for an additional two years. Through the app, Vitality GP delivers leading everyday care** benefits which members can access quickly and easily
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In recent years, the NHS has rapidly evolved with the widespread integration of digital technology. Continuing advancements have seen ICSs, and by extension, ICBs and GP practices leverage these tools in different ways to enhance patient experience, improve access to care, and promote patient-centric approaches. Now, with NHS plans for 2024/25 stating an aim to further “increase digital maturity and ensure a core level of infrastructure, digitisation and skills,” different systems will have their own individual priorities for health tech over the coming 12 months
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The new solution from Livi combines digital clinical resource with a suite of tech tools to meet rising patient demand and reduce DNAs across ICSs, Federations, PCNs and GP practices Livi is launching its new offer across the NHS to improve digital access routes and care delivery across the patient journey With primary care under pressure to meet rising patient demand and frequently deliver more with less, Livi’s new care provision model offers an all-in-one clinical and tech solution to enable practices to operate more efficiently. The new service from the UK’s leading digital-first healthcare provider, Livi, will serve as a ‘Virtual Practice Partner’ to Integrated Care Systems (ICS), Federations, Primary Care Networks (PCN) and GP practices across England. It combines clinical resources and appointment support with digital tools including patient app, remote monitoring, smart messaging and websites
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The cancellation or non-attendance of appointments at short notice remains a major challenge facing the NHS today.
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Integrated Care Systems (ICS) have been talked about for many years in the UK health system. Whether in their previous incarnations such as sustainability and transformation partnerships, vanguards or new models of care. The evolutionary road to ICSs has been indeed long, having only come into formal existence on 1 July 2022
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At Livi, we understand the pressures many are facing in the NHS. With a challenge to deliver more for patients with increasingly less, we’re here to help resources go further for your patient population. That’s why our services are developed bespoke to suit the needs of our NHS partners and budget, and can scale as required should needs change
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Today, high cholesterol remains a leading driver of chronic health issues such as heart disease, diabetes and stroke. Early intervention and prevention is essential. In the age of digital advancements, technology has become a powerful ally in cholesterol management
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This past summer saw the publication of the first digital maturity scores for integrated care systems. Scores were published on the basis of seven metrics from the ‘what good looks like framework’. These metrics seek to measure whether digital transformation is well-led, ensures smart foundations and is safe in practice
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By Dr Bryony Henderson, Associate Medical Director - Livi UK Menopause is the least exclusive club but it’s one that’s come a long way in the last few years. People are talking more openly about it than ever before. At Kry and Livi, we're seeing more people engage with menopause content
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In recent times, health insurers have increasingly focused on preventative care models. Providers have moved from reactionary care to more anticipatory approaches that seek to foster healthier lifestyles and early intervention. This provides opportunities to not only improve outcomes, but also manage cost of care by moving it upstream to tackle the root causes of disease
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Obesity is caused by multiple factors that differ from person to person. For care providers, designing effective interventions has just as many challenges. From capacity and cost to access and engagement
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September sees the return of the ‘Know Your Numbers’ campaign focused on raising awareness of high blood pressure (1). This vitally important campaign seeks to encourage and empower adults to know their blood pressure numbers, much in the same way as height or weight. Today, there are an estimated 6 million people living with undiagnosed high blood pressure or hypertension
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Urgent and emergency care services have faced immense pressure once again over the last few months. As temperatures rose this past summer, demand for services increased. Indeed, this June was the busiest ever for A&E attendances
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The NHS Winter Plan outlines a number of priorities to bolster resilience of urgent and emergency care. In anticipation of what has consistently been the most challenging period for services, its early publication has been greeted positively. But what of its content? And does it go far enough? Our short-read brief unpacks all the key points from proposals and provides analysis
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The recent paper from the House of Commons’ Health and Social Care Committee, Digital transformation in the NHS, arguably serves as a stocktake of the level of digital maturity achieved thus far. Put together by an expert panel, on the one hand it acknowledges major achievements such as the NHS App, but also highlights ‘substantial variation’ in the UK at present, characterised by outdated IT in many areas of the system, and a need to fill a persistent, ongoing digital skills gap. The paper outlines a number of recommendations in areas such as innovation, systems, interoperability and training
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The publication of the NHS Workforce Plan on the eve of its 75th birthday represents a landmark moment for the UK healthcare system. It both acknowledges the ongoing supply and demand mismatch within healthcare and seeks to provide a comprehensive long-term strategy. With a core focus on training, reform and investment, the plan contains a range of initiatives detailed to grow the NHS workforce
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As the UK’s leading digital healthcare provider, Livi offers a range of solutions to the NHS, private healthcare partners and employers. If there’s any questions you had about our services, you’ll find the answers all here in this handy FAQs. 1: How do you support GP practices? Livi provides access to quality digital healthcare, supporting practices, primary care networks and integrated care boards
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Over the last few years, many practice teams have looked to introduce new models of working into daily practice life. Changes have been precipitated by a number of different factors. From rising appointment numbers and finite resource, through to serving increasingly complex patient needs and growing, ageing populations
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In recent times, virtual wards have been a hot topic of conversation in healthcare. With the NHS seeing increasing demand in urgent care services and across the system as a whole, virtual wards have become one of the ‘silver bullets’ to solving current capacity challenges. Indeed, targets have been set for systems to have 40 to 50 virtual ‘beds’ per 100,000 population by December 2023
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It’s no secret many GP practices are under immense strain at present. But could poorly optimised practice websites be adding to current pressures in general practice? A new paper from policy research centre, Future Health found a third of practice websites to be inadequate in functionality and ease of navigation, which may be pouring unnecessary pressure on teams. Our Livi short report explores the key findings and outlines 5 practice website upgrades to make a difference
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The impact of Covid is still being felt across general practice today. Teams grapple with increasingly complex patient needs, pent-up demand and backlogs. Combined with ongoing capacity pressures, general practice is fighting battles on many fronts
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Following publication of the GP contract, the delivery plan to recover access to primary care details a number of initiatives to help ‘tackle the 8am rush'. On one hand, its focus on practical measures and open recognition of the current supply and demand mismatch in primary care has been welcomed. Yet, at the same time, others have highlighted the current limitations placed on the system to fully realise its vision due to these very issues
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Following recent changes to the GP contract, practices will be required to ‘provide appropriate response’ to patients upon first contact from 15 May. This may include: providing an appointment at the practice premises or via telephone or video; giving advice or care by another method; signposting patients to appropriate services that are available; communicating with the patient to request further information or providing information on when or how services may be provided to them. In terms of what this might mean for practices, this will undoubtedly pose additional capacity pressures at a time when many teams are already working to meet demand under considerable strain
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The recently published Hewitt Review into the oversight, governance and accountability of integrated care systems (ICS) makes a number of recommendations to increase autonomy. Welcomed by system leaders for its alignment in ethos with why many chose to enter into an ICS role, the review’s extensive findings call for greater freedom, control and flexibility: > “We have called for a shift from a top-down, centralised system of managing the NHS to a bottom-up system responsive and responsible to local communities.” Here, in this short read, we unpack the key takeaways
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In our Livi short report, we look at how digital healthcare is supporting patients with long-term conditions today. We examine the closing digital generational gap and present how we’re working across the health system with NHS partners to manage complex populations. Told through the voices of our patients, we explore how digital can support: Assessment and treatment Personalised care Risk stratification Long-term management
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With news of the 23/34 GP contract has also come one of the biggest shake ups in many a year to the Quality and Outcomes Framework (QOF). First introduced back in the 1990s, the main objective of QOF was to drive quality of primary care and provide an indication of achievement through a points-based system. Now more than two decades on, some have begun to reflect on how successful QOF has been as a system thus far
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Demand in general practice has reached unprecedented levels in recent times. With it, work-related stress and burnout in doctors has continued to increase, impacting health and wellbeing. For our whitepaper, Medical Minds, Livi commissioned a quantitative survey of GPs working across the UK to find out more, exploring the causes, impacts and what could be improved going forwards
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Foreword At Kry/Livi, we are on a mission to fast-forward the future of healthcare by ensuring that the care we deliver to our patients is accessible, personal and proactive. As almost 60% of our patients identify as female, we know it is critical to our success as a rapidly growing healthcare provider to understand and respond to the needs of those female patients. The Gender Pay Gap is a highly useful instrument for us as we measure and evaluate our progress towards gender parity
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NHS England’s overview of the GP contract for 2023/24 details changes in several key areas for practices. Notably, this includes updates to the Quality and Outcomes Framework (QOF) and with it, a ‘streamlining’ of indicators. With 23/24 marking the end of five-year framework agreement from Investment and Evolution, NHS England will now seek to engage stakeholders across the system to input into QOF’s future direction and form over the next few years
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Recently, GP practices have seen increasing demand as a result of the rising cost-of-living. Higher energy and food prices combined with stagnant financial growth have precipitated what has also been referred to as a ‘public health crisis’. More people are seeking support for both physical and mental health issues
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With many practices facing an ongoing challenge to manage clinical capacity in the midst of rising patient demand, there are many different scenarios where a practice or PCN might consider utilising an external partner.
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Following a series of practice mergers, Hazeldene Medical Practice contracted Livi to develop their digital clinical capabilities. Serving a population of over 58,000 patients, the team sought a strategic partner who could provide a standardised, stable solution for additional primary care capacity. In a short time, Livi Practice has helped Hazeldene to serve their growing patient list size, delivering outstanding care consistently
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We unpack key digital workstreams and their implications from NHS England’s urgent care plan.
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With primary care seeing record levels of demand at present, GPs and practice teams face a daily challenge to deliver an increasing number of appointments. Livi Practice has been specifically designed to support general practice in this regard, at both a system or individual practice level. Today, our service is trusted by over 4,500 practices and provides over 10,000 consultations every week
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A GP practice located in the south-west of England sought the support of Livi to provide additional clinical capacity at a time of crisis. With some members of the clinical team leaving general practice, there was an immediate and pressing need for clinical resource at speed. “We contacted Livi to look at how we might get some additional GP capacity into the practice using a remote consultation model,” says the surgery’s GP partner
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Following the recent announcement of a new series of nationwide dementia pilots to proactively screen patients in care homes, we look at how digital technology has supported dementia diagnosis and management over the last few years.
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At Livi, we understand the pressures many healthcare providers are facing. With a challenge to deliver more with increasingly less, we’re here to help resources go further for your patient population. That’s why our services are developed bespoke to suit the needs of our NHS partners and budget, and can scale as required should needs change
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With the new year upon us, we take a closer look at the NHS’ recently published planning guidance and its key priorities for the health system over the next two years.
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It’s more important than ever for practices to be hitting as many of The Quality and Outcomes Framework (QOF) targets as possible, to support their income in these ever-challenging times. Mjog by Livi is working with practices up and down the country to increase and improve patient engagement, and to help achieve QOF success. Find out what some of our customers say about our platform
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Recently, Livi reached a historic milestone serving its millionth patient here in the UK.
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A report on increasing access, system-wide working and the benefits of digital inclusion
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There are an estimated 1.2 million people living with diagnosed chronic obstructive pulmonary disease (COPD) in the UK today.
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North Yorkshire CCG requested support from Livi to assist with winter pressures.
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We recently sat down with Simon Lucas, Livi UK Managing Director, to discuss pressure points facing general practice this coming winter, and possible approaches to address them.
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Declan Mullaney, Livi Head of Policy and Public Affairs, explores why ongoing demand challenges point to a need for long-term support for primary care in winter and beyond.
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Digital hubs can be a release valve on pressure points in the health system this winter and beyond.
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How organisations managed winter pressures to meet rising patient demand
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Recent developments have seen a renewed focus on targets in general practice to achieve speed of patient access. However, with many practices already operating at capacity with limited appointments and available GP hours, just as vital will be a continued focus on ensuring patients receive the right care appropriate to their needs. ‘Right care, right time’ may be an overused phrase in healthcare
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Following the publication of the UK government’s Women’s Health Strategy, we explore key challenges surrounding the gender health gap and present how we’re working to address them.
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We sat down with Dr Nikki Ramskill where she talks about how she became a digital GP and the improvements it's made to her work-life balance.
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We recently interviewed Dr Nikki Ramskill to find out more about the day-to-day of being a digital doctor. Here’s what she had to say.
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In a guest article for Healthcare IT Today, Juliet Bauer, Chief Growth and Marketing Officer at Livi, explores challenges surrounding the gender health gap in the UK and how digital technology can support better women’s health.
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At Livi, we’re working to make healthcare more accessible to all, supporting NHS, private and employer organisations. Here are 10 reasons why Livi is a good choice for patients, partners and healthcare professionals alike.
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Livi is offering free women’s health training to more than 10,000 GPs in a series of live and recorded UK events. Livi’s recent research reveals how medical data bias is failing women, with 57% fearing they have been misdiagnosed at some point in their health journey. The research found 28% of women don’t believe that doctors are properly trained in all aspects of women’s health
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How practices can take every opportunity to gather QOF points, and help to create more effective, efficient care.
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The transfer of enhanced access to primary care networks poses a number of challenges for organisations. How should services be designed? What will the clinical workforce look like? And what is the optimal operational and IT infrastructure to support delivery? Our Livi report looks at some of the ways organisations can ensure a smooth transition, both pre- and post-transfer of services and covers: How CCGs and PCNs can adapt between now and October Potential models for enhanced access Next steps and Enhanced Access Plans Along the way we look at how GP federations and PCNs are currently delivering forms of extended access, and the digital solutions to support primary care at scale.
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Dr Bryony Henderson discusses how she copes with the pressures of being a GP and why taking care of those who give care is of vital importance.
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In our latest interview, Dr Bryony Henderson shares her experiences of remote consulting for women’s health conditions, diagnoses and more. Q: What women’s health issues do you tend to see? B: Usually period, menopause and contraception related. Also on occasion infertility, and pregnancy, although that is more rare
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The recent publication of the Plan for Digital Health and Social Care welcomingly outlined key digital transformation priorities in a single action plan. The plan may be summarised through the lens of its three core goals – to digitise, connect and transform, with a number of objectives and workstreams contained within them. First, to expand electronic records across both integrated care systems and NHS trusts
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Just as in traditional general practice, building a positive doctor-patient relationship is essential to a successful remote or digital consultation.
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Technology has the ability to join up healthcare, creating efficiencies and reducing inequalities.
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Digital accessibility removes the barriers that prevent interaction with, or access to websites, digital tools and technologies, by people with disabilities.
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The recent publication of the Fuller Stocktake report sets out a new vision for the role of primary care in integrated care systems. With primary care the bedrock of the NHS and at ‘the heart of communities’, the paper’s recommendation to similarly establish it at the centre of new ICS systems and foster greater collaboration is a welcome one that has been greeted positively in many quarters. Certainly, the signatures of the 42 new system leaders appended to the report indicate both support and appetite for this vision and its ‘philosophy of partnership’
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Read how Livi has supported Woosehill Medical Centre to meet growing patient demand and offer a blended approach to appointments.
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Juliet Bauer discusses why a grounded approach to digital transformation in healthcare is vital for success.
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We recently interviewed Drs Farah Virjee and Ewan O’Farrell on what it’s like to work as a GP at Livi. In our latest film, they share their views on digital working, appointments, wellbeing and more.
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What’s it really like to work as a digital GP? We recently sat down with Drs Farah Virjee and Ewan O’Farrell to find out. In our roundtable, they share their views on the practicalities of daily life as a GP at Livi, quality of care, support and much more.
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To help GP practices tackle current levels of demand, support is available via the GPRP. Our short explainer provides further information.
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Many of the practice managers we work with tell us they know their website is no longer serving its purpose, but that they don’t know how to go about improving it. The nation’s rapid reliance on and shift into digital healthcare post-pandemic has significantly increased the need for better, more streamlined digital services in primary care, but many practices are still trying to catch up. The problem for patients with GP websites; Without consistent language, designs and formats, websites can become difficult to navigate Content is written offline and poorly translated when viewed online Accessibility issues make online transactions difficult if GOV
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We take a closer look at the challenges facing general practice at a local level and the evolving role of digital technology.
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Livi’s gender pay gap is closed, but should this really be seen as an achievement in 2022? Managing Director Juliet Bauer explains why this announcement is about transparency, not triumph.
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Livi has supported Woosehill Medical Centre since January 2022. We recently sat down with the team to discuss their key challenges and experience with Livi to date.
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Practices go to great lengths to ensure their surgeries are accessible to every patient’s individual needs. But do their websites offer the same support?
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As we head into 2022, the enormous challenges we face are all too clear – waiting lists at an all-time high, thousands struggling to get support for mental health conditions, inequalities starkly exposed by two years that have seen healthcare staff stretched to the limit. And for too many patients, accessing an over-stretched primary care system feels like negotiating a maze, blocked at every turn by an opaque triage system or a phone that’s always engaged. Finding solutions to these challenges is what drives me, so I want to explore three words that I believe will help us transform healthcare: scale, technology and data
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With Urgent Care services easing pressure on A&E departments it is important to continue pursuing efficiency and allocating capacity within Urgent Care.
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We discuss why we shouldn’t view tech with a one-size-fits-all mindset, and explain how collaborative partnerships, such as our Flagship programme help get the most out of digital tools.
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For the second time, the planned transfer of CCG-commissioned extended access services to PCNs has been postponed by a further six months, until October 2022.
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The pandemic has helped to accelerate new technology-driven approaches in primary care, but digital transformation must be at the heart of the government’s strategy for the NHS to continue to utilise new and evolving digital tools.
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I’m pleased to announce today that Livi has acquired our long-term partner VIX Digital, bringing on board some of the most experienced NHS systems developers in the industry.
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This week Livi received its inspection rating from the Care Quality Commission, which regulates the quality of NHS care. We were rated ‘Outstanding’ overall for the services we deliver, joining only 5% of other primary care providers in reaching this accolade and becoming the first digital provider to do so. We are obviously delighted and very proud to know the care we provide to our patients is among the best in the country
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