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Central to this inquiry is the question on what impact Government policies such as the Five Year Forward View and GP Forward View have had in managing demand and how we can move towards that much sought after whole-system NHS?
The Group is seeking views from across the health sector on questions covering the following areas:
The first week of January saw 65 out of 152 hospital trusts in England declaring major alerts, unable to cope with the extra demands of winter pressures. A&E departments have been particularly affected resulting in the Red Cross being drafted in to help with what they described as a “humanitarian crisis” in the NHS.
The Secretary of State for Health said that people have to recognise what accident and emergency is for, calling on GPs to help with the “40 % of people in A&E that don’t have to be there” (data shows there are 3.7m¹ visits to A&E for self treatable conditions such as flu and muscle sprains). Primary care however, also faces challenges in managing demand. According to the GP Forward View, published in April 2016, GPs and their staff report that “workload is their single biggest issue of concern”. The number of GP consultations increased by 15 per cent between 2010/11 and 2014/15² whilst, according to the Health and Social Care Information Centre (HSCIC), full-time GP numbers fell by 2 per cent in 2015 in England.
 IMS Health Study of self-treatable conditions presenting in A&E units 2014. Data source: HES data. Health Episode Statistics. Re-used with the permission of the Health and Social Care Information Centre. All right reserved.
 King’s Fund: Understanding Pressures in General Practice, May 2016