Publications/guidance

Targeted investment in recruiting returning doctors pilot for 2016. The Targeted Investment in Recruiting Returning Doctors Scheme is a pilot scheme that invests resources in GP practices which can evidence that they have historically encountered difficulty in recruiting GPs (held vacancies for a minimum of 12 months). The pilot scheme offers support to practices to promote and advertise their posts. Practices will be invited to apply for the scheme by their NHS England local team. This NHS England gives further information on the scheme. 

Estates and Technology Transformation Fund (Primary Care): Guidance for CCGs – How to submit recommendations for funding. Guidance to support CCGs with their submissions for investment from the Estates and Technology Transformation Fund (ETTF). This is a multi-million pound investment to accelerate the development of infrastructure to enable the improvement and expansion of joined-up out of hospital care for patients. Additional capital will also be invested in general practice. 

Outpatient services and primary care: Scoping review, sub-studies and international comparisons. This study by the National Institute for Health Research suggests that with appropriate safeguards, training and support, substantial parts of care given in outpatient clinics can be transferred to primary care. The review also highlights the lack of evidence on the cost-effectiveness of these new models of care. 

Securing Excellence in GP IT Services: Operating model 3rd edition (2016-18). NHS England has published a revision of the GP IT operating model for the provision of high quality GP IT support services. It outlines clear accountability and commissioning responsibilities, together with a number of enhancements to the 2014/16 model. The revised arrangements provide increased local flexibilities to enable commissioners to develop digital services that are able to respond to local needs, support emerging models of care, extended working and integration of health and care. It is aligned with and supports the delivery of local digital roadmaps, service transformation plans and the ambitions outlined within the General Practice Forward View (GPFV).

Royal College of General Practitioners (RCGP): The future of GP collaborative working. This report showcases how GPs are designing and leading innovative schemes to improve the integration of care in the best interests of patients. It highlights seven case studies spanning a wide range of services across the UK, covering different specialties, different population groups and different ways of addressing complex issues. 

Comparing per patient funding levels with published Care Quality Commission (CQC) ratings of practice. The new report examined the amount of funding each GP practice in England received per patient and cross referenced this with the recent ratings given to the GP practice by the CQC. This research demonstrates a link between CQC ratings allocated to GP practices and the level of funding they receive. It found that GP practices that scored an "outstanding" or "good" rating received £152 and £140 per patient respectively; whereas those who scored "inadequate" or "needs improvement" received £128 and £111 per patient. 

Understanding pressures in general practice. This King's Fund report examines how increasing demands on general practice over the past five years have led to a feeling of crisis, with the NHS finding it difficult to recruit and retain sufficient GPs who want to do full-time, patient-facing work. It looks at patient factors, system factors and supply-side issues to see what lies behind this increasing pressure on general practice. It finds that despite GPs being at the heart of the health care system, a lack of nationally available, real-time data has made their changing workload largely invisible to commissioners and policy-makers. 

Medical indemnity guidance for GPs. Guidance from the BMA outlining the legal requirement for indemnity and difficulties posed by rising indemnity costs. 

News

Outstanding care highlighted as CQC publishes more GP reports. Steve Field, chief inspector of general practice at the Care Quality Commission (CQC), has said the vast majority of GP practices in England are providing a good service, with 157 practices rated outstanding. His statement follows publication of 82 more inspection reports on GP practices, of which 62 were rated good and three rated outstanding. 

New BMA research demonstrates link between CQC ratings and levels of funding for GP practices. New research from the BMA has shown a link between the Care Quality Commission (CQC) ratings allocated to GP practices and the level of funding they receive. This is despite the CQC failing to take resources into account when publishing their verdicts on the performance of GP practices. The new report examined the amount of funding each GP practice in England received per patient and cross referenced this with the recent ratings given to the GP practice by the CQC. Overall, results from inspections carried out at 2,814 GP practices in 2015 were included in the research.