Select committee: Health and Social Care Committee
Conclusion 1
Fourth Report - The future of general practice
Published 20 Oct 2022
Paragraph 32
Addressed to Department of Health and Social Care
Health and Social Care Committee The future of General Practice All items in this report Report on parliament.uk ↗ Inquiry on parliament.uk ↗
Conclusion (the committee's words)
The first step to solving a problem is to acknowledge it and we believe that general practice is in crisis. It is clear from the latest GP Patient survey results that despite the best efforts of GPs, the elastic has snapped after many years of pressure. Patients are facing unacceptably poor access to, and experiences of, general practice and patient safety is at risk from unsustainable pressures. Patient access is at the heart of NHS general practice and we are very concerned about this decline in standards. Given their reluctance to acknowledge the crisis in general practice we are not convinced that the Government or NHS England are prepared to address the problems in the service with sufficient urgency. The Government’s Plan for Patients places a welcome emphasis on improving access to general practice but the measures set out so far will not be sufficient to make a meaningful difference to patient access and do not deal sufficiently with how to improve outcomes.
From: Health and Social Care Committee, Fourth Report - The future of general practice (HC 113), paragraph 32, 20 October 2022
Government response
The government responded to the whole report on 24 July 2023 (deadline 20 December 2022).
Summary written by Accountability Index from the government's response. It is not the government's own words.The Government welcomes the Committee's report and responds to each recommendation, accepting some, partially accepting most and not accepting others.
- It accepts recommendations on distributing GP trainees more equitably, receptionist training and simplifying the patient interface across Integrated Care Systems; it also accepts the call for more back-office organisational support for GPs.
- It "partially accepts" the call for 1,000 more GP training places a year and a four-year scheme: the Long Term Workforce Plan sets an "ambition" to rise from 4,000 to 6,000 places by 2031/32, and there is "no plan to extend GP training beyond three years".
- It does not accept the recommendations to return to personal lists, to cap list sizes, or to fund PCN continuity leads, saying PCNs and practices are best placed to decide their own workforce and approach.
- On a national continuity measure it will "consider how best to measure continuity of care" but says it "would not therefore be appropriate to commit to introducing a measure by 2024".