Upstream / Downstream - A fable for healthcare in 2021?

Primary care pressure

clock • 7 min read

'Rising patient numbers and NHS backlogs require a radical rethink not just a catch-up effort'

Another day, another depressing article about the dire state of our primary care services and the ever-increasing demand on thinly stretched resources.  Reading the feature on the BBC website entitled "Rising patient numbers threaten to overwhelm GPs" put me in mind of the ‘Upstream / Downstream' fable. For the uninitiated, this parable describes a ‘Downstream' community living by a river, who for many years have been rescuing bodies floating down the river from the ‘Upstream' community. Over time, a whole infrastructure has developed around rescuing and caring for those who have been sa...

To continue reading this article...

Join COVER for free

  • Unlimited access to real-time news, key trend analysis and industry insights.
  • Stay on top of the latest developments around health and wellbeing, diversity and inclusion and the cost of living crisis.
  • Receive breaking news stories straight to your inbox in the daily newsletter.
  • Members only access to monthly programme 'The COVER Review'
  • Be the first to hear about our CPD accredited events and awards programmes.

Join now

 

Already a Cover member?

Login

More on Adviser / Broking

Final day to enter COVER Women in Protection and Health Awards 2026

Final day to enter COVER Women in Protection and Health Awards 2026

Entries close 23 January, 2026

COVER
clock 23 January 2026 • 1 min read
MAB posts 2025 results

MAB posts 2025 results

19% increase in group revenue

Cameron Roberts
clock 22 January 2026 • 2 min read
Insurance broker platform launched amid Ascend Broking sale

Insurance broker platform launched amid Ascend Broking sale

Focus on the regional insurance broking market

Jaskeet Briah
clock 14 January 2026 • 1 min read