Source · Select Committees · Health and Social Care Committee

Recommendation 12

12 Rejected Paragraph: 58

Further steps needed to address general practice administrative workload.

Conclusion
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 summary AI-generated
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.
Summary of the government's response below — read the verbatim text to verify.
Paragraph Reference: 58
Government Response Rejected
HM Government · verbatim extract Rejected
Partially accept. The Department partially accepts this recommendation. We agree that e-prescribing should be introduced in hospitals. Work is already underway, with NHS England working on a 3-year programme for hospitals. The Academy of Medical Royal Colleges review of the interface between general practice and hospital service identified a range of insights and practical improvements and this has been shared with systems to action within their local contexts. NHS England will continue to emphasise the importance of improving interface working and gathering systematic GP feedback to inform this. However, we do not agree that mandating a single approach at national level, such as a standardised reporting tool, would be appropriate. Rather, each Integrated Care Board should decide on its own approach, proportionate to local circumstances, to identifying issues, improving communication and agreeing changes to local pathways.
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