Access’ is a word used all the time within the context of Primary Care and the wider system; but what is it? People don’t all have the same understanding of the word ‘access’. Access is complex and multi-faceted, and much broader than about offering more appointments.
We worked together to pull together the 5 As of Access; a reminder of the different aspects of access, and benchmarks we can aim for when planning any work in Primary Care.
Approachability
Is the service easy to find and use?
- Clear access pathways and patient-friendly information
- Inclusive communication, considering accessibility needs
Acceptability
Is the service culturally and socially inclusive?
- Respect for diverse beliefs, backgrounds, and communication needs
- Systems in place to recognise and adapt to patient preferences
Availability
Can patients access care when needed?
- Flexible options tailored to different needs
- Solutions for digital and language barriers
- Timely service delivery
Affordability
Are cost concerns considered?
- Awareness of financial barriers (e.g., transport, time off work, care costs)
- Strategies to minimise financial strain on patients
Appropriateness
Is the service tailored to community needs?
- Designed with patient feedback and population health needs in mind
- Personalised, compassionate care for complex cases