{"response":{"docs":[{"system_create_dtsi":"2021-10-27T23:16:17Z","system_modified_dtsi":"2021-10-28T15:09:00Z","has_model_ssim":["PublishedWork"],"id":"000121300","accessControl_ssim":["a4e4cda3-532a-4e93-bf67-8708a6253af8"],"hasRelatedMediaFragment_ssim":["7w62f821k"],"hasRelatedImage_ssim":["7w62f821k"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["Understanding pressures in general practice."],"date_uploaded_dtsi":"2021-10-27T23:16:17Z","date_modified_dtsi":"2021-10-28T14:18:16Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["121300"],"abstract_tesim":["This report is accompanied by 'A day in the life of a GP'. This typical day in the life of a GP draws on the experiences of several GPs working in different practices who we spoke to as part of the research for this report. It has been reviewed by a number of GPs to ensure it accurately reflects a day working in primary care.","Increasing demands on general practice over the past five years - not just a heavier workload but the increasing complexity and intensity of work - have led to a feeling of crisis. The NHS is finding it difficult to recruit and retain sufficient GPs who want to do full-time, patient-facing work. This report looks at patient factors, system factors and supply-side issues to see what lies behind this increasing pressure on general practice. It finds that despite GPs being at the heart of the health care system, a lack of nationally available, real-time data has made their changing workload largely invisible to commissioners and policy-makers."],"date_published_tesim":["2016"],"date_published_ssi":"2016","official_url_tesim":["https://www.kingsfund.org.uk/publications/pressures-in-general-practice","http://www.kingsfund.org.uk/publications/articles/gp-day-in-the-life"],"pagination_tesim":["97p."],"place_of_publication_tesim":["London"],"creator_tesim":["Baird, Beccy","The King's Fund","Honeyman, Matthew","Maguire, David","Charles, Anna","Das, Preety"],"date_tesim":["2016"],"date_ssi":"2016","publisher_tesim":["The King's Fund"],"subject_tesim":["patient views","access to health services","general practitioners","supply \u0026 demand","financing","general practice prescribing","labour supply","clinical commissioning groups","chronic disease","deprivation","service demand","self care of patient","resource allocation","workload","general practice","working conditions","NHS reforms"],"thumbnail_path_ss":"/downloads/7w62f821k?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["7w62f821k"],"file_set_ids_ssim":["7w62f821k"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000121300"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714884685508640768,"timestamp":"2021-10-28T17:18:00.168Z","score":1.0},{"system_create_dtsi":"2021-10-27T21:27:20Z","system_modified_dtsi":"2021-10-28T14:03:11Z","has_model_ssim":["PublishedWork"],"id":"000129961","accessControl_ssim":["21fa0d2e-0ca3-4011-a052-ce6132959e57"],"hasRelatedMediaFragment_ssim":["pc289j04q"],"hasRelatedImage_ssim":["pc289j04q"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["Developing new models of care in the PACS vanguards :  a new national approach to large-scale change?"],"date_uploaded_dtsi":"2021-10-27T21:27:20Z","date_modified_dtsi":"2021-10-28T13:38:38Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["129961"],"abstract_tesim":["This independent report was commissioned by NHS England as part of a package of support provided to primary and acute care system (PACS) vanguard sites by The King’s Fund. The PACS model is an attempt to bring about closer working between GPs, hospitals, community health professionals, social care and others."],"date_published_tesim":["2018"],"date_published_ssi":"2018","official_url_tesim":["https://www.kingsfund.org.uk/publications/developing-new-models-care-pacs-vanguards"],"pagination_tesim":["61p."],"place_of_publication_tesim":["London"],"creator_tesim":["The King's Fund","Naylor, Chris","Charles, Anna"],"date_tesim":["2018"],"date_ssi":"2018","publisher_tesim":["The King's Fund"],"subject_tesim":["general practitioners","local authorities","community health services","integrated care","clinical commissioning groups","international perspectives","models of care","views","social care","acute care","primary care","interprofessional collaboration","health policy"],"thumbnail_path_ss":"/downloads/pc289j04q?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["pc289j04q"],"file_set_ids_ssim":["pc289j04q"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000129961"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714880077649412096,"timestamp":"2021-10-28T16:04:45.771Z","score":1.0}],"facets":[{"name":"creator_sim","items":[{"value":"Charles, Anna","hits":2,"label":"Charles, Anna"},{"value":"The King's Fund","hits":2,"label":"The King's Fund"},{"value":"Baird, Beccy","hits":1,"label":"Baird, Beccy"},{"value":"Das, Preety","hits":1,"label":"Das, Preety"},{"value":"Honeyman, Matthew","hits":1,"label":"Honeyman, Matthew"},{"value":"Maguire, David","hits":1,"label":"Maguire, David"}],"label":"Author"},{"name":"subject_sim","items":[{"value":"clinical commissioning groups","hits":2,"label":"clinical commissioning groups"},{"value":"general practitioners","hits":2,"label":"general practitioners"},{"value":"NHS reforms","hits":1,"label":"NHS reforms"},{"value":"access to health services","hits":1,"label":"access to health services"},{"value":"acute care","hits":1,"label":"acute care"},{"value":"chronic disease","hits":1,"label":"chronic disease"}],"label":"Subject"},{"name":"resource_type_sim","items":[],"label":"Resource type"},{"name":"date_range_sim","items":[{"value":"2016","hits":1,"label":"2016"},{"value":"2018","hits":1,"label":"2018"}],"label":"Date Range"},{"name":"file_format_sim","items":[],"label":"File format"},{"name":"member_of_collections_ssim","items":[],"label":"Collection"},{"name":"generic_type_sim","items":[{"value":"Work","hits":2,"label":"Work"}],"label":"Generic Type Sim"}],"pages":{"current_page":1,"next_page":null,"prev_page":null,"total_pages":1,"limit_value":10,"offset_value":0,"total_count":2,"first_page?":true,"last_page?":true}}}