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Select Committee · Health and Social Care Committee

The future of General Practice

Status: Closed Opened: 16 Nov 2021 Closed: 24 Jul 2023 20 recommendations 25 conclusions 1 report

The Committee has launched a new inquiry to explore the future of NHS general practice, examining the key challenges facing general practice over the next five years as well as the biggest current and ongoing barriers to access to general practice. General practice has seen significant changes in recent years, such as the development of … Show more

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Reports

1 report
Title HC No. Published Items Response
Fourth Report - The future of general practice HC 113 20 Oct 2022 45 Responded

Recommendations & Conclusions

3 items
22 Conclusion Fourth Report - The future of general p… Acknowledged

All patients benefit from continuity of care, even without expressed preference for it.

We recognise that continuity of care is valued differently by different patients. However, just because a patient does not necessarily express a preference for continuity of care, it does not mean that they will not benefit from receiving it. It is clearly the case that even a patient who is … Read more

Government response AI summary
The government partially accepts, agreeing on the importance of collecting outcomes data. It commits to look at ways to strengthen data collection and monitoring of outcomes as part of the planned Quality and Outcomes Framework consultation during 2023/24.
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Department of Health and Social Care
37 Conclusion Fourth Report - The future of general p… Acknowledged

Unfair primary care funding mechanisms exacerbate pressures in deprived areas and entrench regional variation.

It is unacceptable that areas already under significant pressure due to high levels of deprivation, ill health and under-doctoring have these pressures compounded by unfair funding mechanisms which fail to take account of deprivation. It is particularly concerning that new funding mechanisms in the Primary Care Network contract repeat this … Read more

Government response AI summary
The government partially accepts, acknowledging that NHS England keeps funding mechanisms like the Carr-Hill formula under review for appropriate weighting, but clarifies it will not be changed during the current five-year contract.
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Department of Health and Social Care
41 Conclusion Fourth Report - The future of general p… Acknowledged

GP partners faced regrettable uncertainty, now reassured Government will maintain partnership model.

It is regrettable that during a time of intense pressure for GPs, following a massive effort by GPs to lead the vital covid-19 vaccination programme, that GP partners were subjected to such open speculation and uncertainty about their futures. It is welcome that the Government and NHS England have confirmed … Read more

Government response AI summary
The government partially accepts by reaffirming there is no policy to abolish the GP partnership model, noting past investments, and expressing support for diverse primary care provision models.
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Department of Health and Social Care

Oral evidence sessions

4 sessions
Date Witnesses
12 Jul 2022 Dr Amanda Doyle · NHS England, Dr Nikki Kanani · NHS England, James Morris MP · Department of Health and Social Care, Matthew Style · Department of Health and Social Care View ↗
14 Jun 2022 Beccy Baird · King's Fund, Dr Margaret Ikpoh · Royal College of General Practitioners, Dr Peter Holden · Imperial Road Surgery, Mrs Heather Randle · Royal College of Nursing, Professor Mike Holmes · Haxby Group, Sir Robert Francis QC · HealthWatch England View ↗
18 May 2022 Dr Jacob Lee · Horfield Health Centre, Dr Kate Sidaway-Lee · St Leonard's Medical Practice, Dr Pauline Grant · Cheviot Road Surgery, Dr Rebecca Rosen · Nuffield Trust, Professor Steinar Hunskår · University of Bergen View ↗
15 Mar 2022 Dr Andrew Green, Retired GP, Dr Becks Fisher · The Health Foundation, Dr Kate Fallon · Somerton House Surgery, Dr Kieran Sharrock · British Medical Association (BMA), Professor Martin Marshall · Royal College of General Practitioners View ↗

Who gave evidence

20 witnesses
WitnessOrganisationSessions
Beccy Baird · Senior Fellow King's Fund 1
Dr Amanda Doyle · National Director for Primary Care and Community … NHS England 1
Dr Andrew Green, Retired GP — 1
Dr Becks Fisher · Senior Policy Fellow The Health Foundation 1
Dr Jacob Lee · General Practitioner Horfield Health Centre 1
Dr Kate Fallon · GP Partner Somerton House Surgery 1
Dr Kate Sidaway-Lee · Research Fellow St Leonard's Medical Practice 1
Dr Kieran Sharrock · General Practitioners Committee (England) British Medical Association (BMA) 1
Dr Margaret Ikpoh · Vice Chair Professional Development Royal College of General Practitioners 1
Dr Nikki Kanani · Director of Clinical Integration and Deputy SRO o… NHS England 1
Dr Pauline Grant · General Practitioner Cheviot Road Surgery 1
Dr Peter Holden · GP Partner Imperial Road Surgery 1
Dr Rebecca Rosen · Senior Fellow Nuffield Trust 1
James Morris MP · Parliamentary Under-Secretary and Minister for Pa… Department of Health and Social Care 1
Matthew Style · Director General for Secondary Care and Integrati… Department of Health and Social Care 1
Mrs Heather Randle · Professional Lead for Education and Primary Care Royal College of Nursing 1
Professor Martin Marshall · Chair Royal College of General Practitioners 1
Professor Mike Holmes · GP Partner Haxby Group 1
Professor Steinar Hunskår · Professor of Primary Care University of Bergen 1
Sir Robert Francis QC · Chair HealthWatch England 1

Correspondence

2 letters
DateDirectionTitle
11 Jan 2023 To cttee Letter from the Parliamentary Under Secretary of State for Primary Care and Pub…
6 Sep 2022 — Correspondence from the Parliamentary Under Secretary of State for Primary Care…