Funding, workforce, policy, politics... big picture stuff with the pragmatic and articulate GP Dr Becks Fisher. This episode will hit the spot if you want to know more about what’s happening now and what might be coming next at a system level to try and tackle health inequalities in primary care.
We discuss loads including;
- The Inverse Care Law (3mins) - what it is and why we should be interested in this in primary care. Becks’ work at The Health Foundation has shown that once you adjust for the extra need in areas of deprivation there is less funding, fewer GPs and the quality of care suffers in areas of deprivation.
- Funding of General Practice - Becks tells us about The Car-Hill Formula (10mins) and why funding isn’t currently and hasn’t been previously distributed to where it is needed most. Becks gives us her insights into possible future funding solutions in General Practice to try and shift the inverse care law (16mins). We discuss personal values and how we bring our colleagues and policy makers with us in trying to support (and fund) health equity (19mins).
- Recent politics and government priorities - We ponder potential optimism (23mins) in trying to demonstrate the persistence of the Inverse Care Law at a national level.
- Banging a health inequality drum (26mins) - Becks gives her insights into rationale and strategies for making reversing the inverse care law a bigger priority.
- Becks' personal interest in health inequality - We dig deeper into why Becks feels so strongly on this topic. (28m 30s)
- Juggling two roles and what each role brings to the other- What Becks brings to her policy role from her work as a GP (30mins 30s) but also what she brings to her role as a GP from her work at the health foundation (33mins).
And of course, we finish with:
- Becks’ resource/book recommendation (35m 30) – Julian Tudor Heart – Inverse Care Law
- Becks’ genie wish (37mins)
Want to find out more...
- The (very recent) Health foundation Report- Tackling the inverse care law. Analysis of policies to improve general practice in deprived areas since 1990
- Also..Comparing General practice in high and low socioeconomic deprivation in England
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