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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.

Planned Reviews

4.1 The impact of telephone triage on workload and quality in primary care: a realist review

4.2 What is the role of care navigators on quality of care and workload in primary care?

4.3 Primary health care community hubs: what do they look like? What are they aiming to do? Are there any data to suggest they are effective in their aims?

4.4 Do early visiting services improve quality of care in primary care?

4.5 Which service innovations have been implemented into NHS primary care to reduce GP workload?


Understanding the impact of delegated home visiting services accessed via general practice by community dwelling patients: a realist review protocol

 Workstream leads

Chris Salisbury (Bristol) Gene Feder (Bristol), Kamal Mahtani (Oxford)