卫报The Guardian·2026.11.09

GPs to offer 300,000 patients extra support to ease winter strain on NHS

Andrew Gregory Health editor·The Guardian·Guardian Open Platform (Developer)·阅读原文
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£40m scheme in England aims to keep most vulnerable people well at home and avoid unnecessary hospital stays

Hundreds of thousands of vulnerable patients in England are to receive extra support from their GP as part of a £40m drive aimed at keeping them out of hospital this winter.

As the NHS gears up for the pressures of the coming months, family doctors will offer 300,000 people with frailty and long-term conditions health checks, medication reviews and respiratory tests designed to prevent avoidable hospital admissions.

Funded by cash reallocated from existing GP budgets for 2026-27, the scheme will allow surgeries to identify and provide extra care to the patients they believe are most at risk of becoming seriously unwell in the winter. Groups of GP practices can use £126 for every eligible patient supported.

The prime minister said the scheme would be targeted at patients with heart disease, frailty and lung conditions such as emphysema and other types of chronic obstructive pulmonary disease (COPD).

Andy Burnham said he was “not going to pretend this winter will be easy” but the programme would help keep people well at home and avoid unnecessary trips to hospital.

“If we want to take the pressure off our hospitals this winter, we’ve got to keep people well at home. So we’re backing GPs to reach the most vulnerable people early, before a small problem turns into a trip to A&E,” he said.

“People deserve the right care in the right place. And our NHS staff, who work so hard, deserve the right tools to provide it. I’m not going to pretend this winter will be easy. But with new technology, upgrades for hospitals and more care available closer to home, we’ll make sure the NHS is there for everyone when they need it.”

The health secretary, Yvette Cooper, said the scheme had been designed to offer greater support to the frailest patients.

“After such a heavy summer for our NHS as a result of the heat, everyone is working together to prepare for more challenging winter pressures,” she said. “That includes the rollout of flu vaccinations, investing in extra urgent care capacity and strengthening partnerships with social care.

“With thousands more GPs in post and millions more GP appointments this year, the £40m programme to support vulnerable patients in the community is part of our plan to help patients, improve primary care and also to support our NHS through the heavier winter months.”

Prof Victoria Tzortziou Brown, the president of the Royal College of GPs, said she welcomed the focus on prevention and supporting patients at greatest risk of avoidable hospital admission this winter.

“GPs’ clinical expertise, knowledge of their patients and continuity of care are central to identifying those most in need and providing personalised, coordinated support,” she said.

But she also said short-term initiatives alone could not deliver “sustained improvements in care” that patients with complex health needs required. Instead, she said, a longer-term approach to prevention was necessary, which must be backed by “sustainable investment in general practice”.

重点词汇

  • vulnerable/ˈvʌlnərəbl/adj.— easily harmed or made ill; needing special care脆弱的Hundreds of thousands of vulnerable patients are to receive extra support.文中指因体弱或患病更易受冬季压力影响的人。
  • frailty/ˈfreɪlti/n.— weakness and poor health, especially in older people虚弱Family doctors will offer 300,000 people with frailty health checks.文中指身体虚弱状态,属于重点支持对象。
  • medication/ˌmedɪˈkeɪʃn/n.— drugs used to treat illness, or their use药物Family doctors will offer health checks and medication reviews.medication reviews 指对患者正在使用的药物进行复查。
  • respiratory/rəˈspɪrətri/adj.— relating to breathing or the organs used for breathing呼吸的The support includes respiratory tests to prevent avoidable hospital admissions.与呼吸系统有关的检查。
  • reallocate/ˌriːˈæləkeɪt/v.— to move money or resources to a different use重新分配The scheme is funded by cash reallocated from existing GP budgets.文中指把原有预算改用于新计划。
  • eligible/ˈelɪdʒəbl/adj.— allowed or able to receive a particular benefit or service有资格的GP practices can use £126 for every eligible patient supported.指符合参与该计划条件的患者。
  • emphysema/ˌemfɪˈsiːmə/n.— a lung disease that makes breathing difficult肺气肿Patients include those with lung conditions such as emphysema and COPD.一种导致呼吸困难的肺部疾病,文中与COPD并列。
  • chronic/ˈkrɒnɪk/adj.— lasting for a long time and difficult to cure慢性的The scheme targets people with chronic obstructive pulmonary disease.慢性阻塞性肺疾病(COPD)中的 chronic 表示长期性的。

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共 4 道题目

4 题
1.[单选]

What is the main aim of the £40m scheme?

2.[单选]

According to the article, which patients will the scheme especially target?

3.[单选]

What does Prof Victoria Tzortziou Brown say is necessary for sustained improvements?

4.[判断]

The scheme is funded by new money that has not come from existing GP budgets.

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