Health inequalities, multimorbidity, and primary care in Scotland

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

Scotland has an ageing population and the widest health inequalities in Western Europe. Multimorbidity develops some 10-15 years earlier in deprived areas than in affluent areas. General practice is central to the effective and safe management of such complex multimorbidity, but the inverse care law has permeated deprived communities (‘Deep End’ general practices) for the last 50 years. A new, radical, Scottish GP contract was introduced in April 2018, which has a vision to improve quality of care through Cluster working and expansion of the multidisciplinary team (MDT), enabling GPs to deliver ‘expert generalism’ to patients with complex needs. It states a specific intention to address health inequalities, and also to support the integration of health and social care. In this commentary, we discuss recent evidence on whether the ambitions of the new GP contract, reducing health inequalities and the wider agenda of integration of care are being achieved.
[149 words, max 150]
Keywords: Scottish GP contract; Integration; multimorbidity; health inequalities
Original languageEnglish
Pages (from-to)219-225
Number of pages7
JournalFuture Healthcare Journal
Issue number3
Publication statusPublished - 30 Nov 2023

Keywords / Materials (for Non-textual outputs)

  • Scottish GP contract
  • Integration
  • multimorbidity
  • health inequalities


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