Intended for healthcare professionals

Views And Reviews

Are disruptive innovators in GP provision strengthening or weakening the NHS?

BMJ 2017; 359 doi: (Published 29 November 2017) Cite this as: BMJ 2017;359:j5470
  1. Rebecca Rosen, GP1
  1. 1Greenwich, London, UK
  2. 2Nuffield Trust, UK
  1. rebecca.rosen{at}

GP at Hand speaks to enthusiasts for “segmenting” general practice

The launch of GP at Hand has triggered a mass of Twitter activity, much of which has focused on the cost of this tech driven new service. GP at Hand suggest, at the NHS’s request, that the service maybe not be appropriate for patients with complex needs.

There has been a fair bit of maths in the tweets, including whether being paid six times more to treat older people than working age adults will tackle GP at Hand’s challenge to traditional GP practices if some of their (probably younger) patients move to the app.

This misses the point. The majority of the population falls into the 15-64 age bands that attract lower funding. While this group is formed of mostly healthy adults …

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