On the risks of general practice by smartphone, and who’s excluded by (and through) mHealth initiatives

Answers to some questions about GP at Hand come from a recent independent evaluation.2

The evaluation confirms that GP at Hand caters principally to a healthy, affluent, young, and working population: 98.5% of patients are aged 20-64,3 two thirds live in affluent areas, and only 0.1% are cared for by the service’s “chronic care team.”

Registered patients found GP at Hand convenient and used the service more often than they did their previous practice, also reducing their previous high use of other urgent NHS services. However, a quarter of GP at Hand’s newly registered patients move back to a conventional NHS practice, many within two weeks.

— Read on www.bmj.com/content/366/bmj.l4713