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In response to the shortage of healthcare workers in the UK, the NHS has significantly increased its investment in training, education, and retention of health workers, including PAs [17]. The NHS in England allocates around £40 million per year on PA education [18], and the number of NHS employers employing PAs is forecast to reach 41,000 by 2024 [19]. The PA workforce in the UK is composed of 19,000 qualified PAs [15]. While the increase in PA workforce is associated with positive patient outcomes [20], such as a reduction in hospital admissions and emergency visits [21], there is also evidence that the PA workforce causes an increase in the demand for general practitioners (GPs) and nurses [21], which are already very scarce in rural areas [21]. Although there have been limited studies examining the impact of PAs on the efficiency and quality of healthcare services, the evidence is encouraging. A recent report commissioned by the DoH, the RNBP, and the National Institute for Health Research (NIHR) has concluded that the PA workforce is likely to have a positive impact on long-term health care outcomes, helping to tackle the challenges of growing numbers of patients with long-term conditions [22].
A large body of evidence shows the benefits of primary care [3]. It is responsible for a large proportion of the primary care activity, and it is also the main entry point into the NHS for patients [17]. The Health Survey for England (HSE) – an annual survey of the general population – suggests that over 70% of adults see a GP at least once a year and that this is increasing. It also shows that many patients use complementary and alternative therapies [18].
To meet the increased demand for primary care, the majority of general practices (GP) are being reconfigured to be more patient-focused. This includes the expansion of GP ‘care teams’ with the addition of new roles and wider responsibilities. The main support for this is extra funding to fund the expansion of GP teams. One of the major developments is the introduction of a new model of primary care, called General Practice Plus , funded by the NHS England and developed by NHS Digital, the body that runs the NHS. GP Plus aims to reorganise general practice around GP care teams with the addition of extended roles, such as a more reactive system of ‘health checks’ for populations that are harder to reach.
Some applications, such as Java, require that the application directories and libraries are updated to a newer version before the user can update. However, there are some applications that are not explicitly API-specific, such as the X Window System, the X server source code, are automatically updated as required.
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