Recommendations & Conclusions
6 items
12
Conclusion
Fourth Report - The future of general p…
Rejected
NHS England should take further steps to address the administrative workload in general practice, including by introducing e-prescribing in hospitals and focusing on the primary-secondary care interface by encouraging ICSs to provide a reporting tool for GPs to report inappropriate workload transfer.
Government response. The government rejects the recommendation, stating it cannot establish requirements for a minimum fair share of administrative duties due to individual contractual arrangements between locums and practices.
Department of Health and Social Care
16
Conclusion
Fourth Report - The future of general p…
Rejected
As part of ongoing efforts to improve the retention of GPs, NHS England should include a specific focus on encouraging locum GPs back into regular employment by supporting GP practices to offer more flexible working patterns.
Government response. The government rejects the recommendation, stating that continuity should be balanced with other PCN expectations, and PCNs should be empowered to make their own workforce decisions rather than having top-down requirements.
Department of Health and Social Care
17
Conclusion
Fourth Report - The future of general p…
Rejected
Urgent work needs to be done to stop a bidding war for the serrvices of locums and establish requirements for a minimum fair share of administrative duties.
Government response. The government rejects the recommendation, arguing that a return to the personal list model is not the correct approach, and reiterates efforts to promote continuity of care through the named GP policy and the RCGP's Continuity of Care toolkit.
Department of Health and Social Care
29
Recommendation
Fourth Report - The future of general p…
Rejected
The Government should examine the possibility of limiting the list size of patients to, for example, 2500 on a list, which would slowly reduce to a figure of around 1850 over five years as more GPs are recruited as planned. These numbers should reflect varying levels of need in local …
Government response. The government rejects the recommendation to limit GP patient list sizes, stating that general practices determine their own workforce size and mix, patient care is delivered by a range of health professionals, and significant numbers of additional primary care professionals …
Department of Health and Social Care
30
Recommendation
Fourth Report - The future of general p…
Rejected
NHS England should re-implement personal lists in the GP contract from 2030 onwards. (Paragraph 103) General practice and new NHS organisations
Government response. The government rejects the recommendation to re-implement personal lists. It will instead promote continuity of care through the 2023/24 GP contract and the Quality and Outcomes Framework Quality Improvement module.
Department of Health and Social Care
38
Recommendation
Fourth Report - The future of general p…
Rejected
NHS England should revise the Carr-Hill formula to ensure that core funding given to GP practices is better weighted for deprivation. NHS England must also review new PCN funding mechanisms to ensure that they do not inadvertently restrict funding for areas which already have high levels of need.
Government response. The government partially accepts but rejects immediate revision of the Carr-Hill formula, stating it will not change during the current five-year contract. They note that NHS England keeps funding mechanisms, including PCN funding, under general review.
Department of Health and Social Care