Dr Dan Roper Chairman

A&E is the first port of call for most patients Primary Care In the NHS A&E is the first port of call for most patients Myths Reality Around 90 % of care already takes place in primary care.

GP appointments are mainly taken up by patients with minor ailments Primary Care In the NHS GP appointments are mainly taken up by patients with minor ailments Myths Reality A significant percentage of GP workload relates to managing long-term conditions in the over 65s

GPs only work 9am-5pm and rarely at weekends. Primary Care In the NHS GPs only work 9am-5pm and rarely at weekends. Myths Reality In many cases GPs work 12-hour days. A recent survey showed that 9/10 GPs regularly worked over their contracted hours.

GPs will solve the problems with urgent care Primary Care In the NHS Having more GPs will solve the problems with urgent care Myths Reality We need a whole-system approach to service and workforce planning built around communities.

of the NHS are being privatised Competition In the NHS Large parts of the NHS are being privatised Myths Myths Reality Reality The NHS has contracted with a range of non-publicly-owned providers for decades, including the independent sector, charities and social enterprises.

GPs are putting everything out to tender Competition In the NHS GPs are putting everything out to tender Myths Myths Reality Reality A British Medical Journal study indicated that 5.5% of contracts were subject to a competitive tender since April 2013.

think that care should only be provided by NHS providers Competition In the NHS The public think that care should only be provided by NHS providers Myths Myths Reality Reality Two in three people (67%) say that they do not mind if health services are provided by a private company or the NHS as long as they remain free of charge

are treating more private patients Competition In the NHS NHS Hospitals are treating more private patients Myths Myths Reality Reality In 2013/14 1% of all hospital income came from patient private activities

many managers in the NHS and There are too many managers in the NHS and the numbers keep rising Myths Reality In 2013 less than 3% of the total NHS workforce were managers. Since 2009 there has been a decline of almost 20 percent in the number of NHS Managers.

Managers In the NHS The amount the NHS spends on management continues to increase Myths Reality Management costs have declined from 5 % in 1997/98 to 3% in 2008/09

no clinical background Managers In the NHS Most NHS Managers have no clinical background Myths Reality Over 50% of managers and about 1/3 of chief executives have a clinical background

       7 models of care Multi-specialty community providers Primary and acute care systems  Urgent and emergency care networks  Viable smaller hospitals  Specialised care  Modern maternity services  Enhanced health in care homes

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