Table 4. Advocacy and system change recommendations to improve access to general practice for inclusion health populations.
| Domain | Recommendation |
|---|---|
| National support for general practices on access and registration | A well-communicated, easily accessible centralised online registration tool that does not require proof of ID or address and that operates in addition to face-to-face and telephone registration options |
| Development of a central hub or telephone support line for patients to receive registration support and escalate concerns if they experience challenges with registration | |
| Communication support tools for practices on registration and appointment booking; step-by-step guides on how to register and access general practice | |
| Clarification of the role of general practice in emergencies and what are appropriate waiting times for non-urgent issues | |
| General practice funding or contracting | Additional practice funding for registering and caring for patients from inclusion health groups |
| National definition and coding of 'vulnerability' and inclusion health groups to ensure consistency and data availability | |
| Development of relevant incentives or quality markers that can promote access and quality of care for people from inclusion health groups with the aim of tackling health inequalities | |
| Staff roles, recruitment, and retention | Consideration of changing the name and role of practice receptionists to care navigators |
| Development and evaluation of recruitment and retention schemes for GPs and other practice staff in areas of high deprivation and health inequalities | |
| Training and education | Inclusion health training of clinical and non-clinical practice staff, including receptionists and practice managers |
| Collation and dissemination of training resources on inclusion health to be used as part of practice staff induction training | |
| National training opportunities on trauma-informed care and practice support or tools to create psychologically informed environments |
ID = identification.