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Workstream 4: Service redesign in primary care: realist reviews and mixed methods

Over 50 million people in England are cared for by the NHS, and about 90% have their first NHS contact with a GP. However, primary care services, specifically UK general practice, are currently under considerable pressure. The NHS England GP Forward View advocates investing in and developing new models of care, however, these innovations should be underpinned by a robust evidence base. This stream of work will answer key questions to support the redesign of primary care. By systematically identifying and synthesising existing evidence, our work will support improved services for patients, clinicians and policymakers.

Workstream 2: End of life care and bereavement

The “average” GP practice in England has 54 deaths per year, leaving 260 people affected by bereavement. Bereavement is an important cause of mortality and morbidity especially among older people and those who are socially isolated, influencing both physical and mental health, and the ability to function at work. Around 10% of bereaved people develop complicated grief following the loss of a loved one, which requires specific targeted treatment for which there is currently little guidance.