About this action

While continuity benefits all patients, Focus Patients will benefit more. Proportionate continuity ensures those who benefit most from continuity and therapeutic relationships receive them. Approaches to implementation: - Identify Focus Patients who would most benefit from relationship continuity - The RCGP Continuity of Care toolkit supports identifying cohorts for prioritised continuity based on clinical and social risk factors. - Frequent attenders, patients with frailty, and those experiencing homelessness or trauma are among those who benefit most from continuity. - Allocate these patients to specific GPs with protected appointment capacity - Create systems that default to continuity for these patients - Monitor continuity rates specifically for high-need groups - Balance continuity with access by offering choice of same-day or rapid access or waiting to see preferred GP Key benefits: Provides intensive relationship-based care to those who need it most, demonstrates proportionate universalism in practice, and improves outcomes for complex patients through consistent therapeutic relationships.