The future of General Practice

Health and Social Care Committee Closed Inquiry
Opened: 16 Nov 2021 Closed: 24 Jul 2023 Parliament page
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, … Read more
20 Recommendations
25 Conclusions
1 Report
4 Oral sessions
2 Letters
4 Events
Activity timeline 12 events
24 Jul
2023
Report published
11 Jan
2023
Correspondence
20 Oct
2022
Report published
6 Sep
2022
Correspondence
12 Jul
2022
Oral evidence
12 Jul
2022
Formal meeting (oral evidence session) · Room 6, Palace of Westminster
14 Jun
2022
Oral evidence
14 Jun
2022
Formal meeting (oral evidence session) · Room 16, Palace of Westminster
18 May
2022
Oral evidence
18 May
2022
Formal meeting (oral evidence session) · Room 15, Palace of Westminster
15 Mar
2022
Oral evidence
15 Mar
2022
Formal meeting (oral evidence session) · Room 8, Palace of Westminster
Oral evidence sessions 4 sessions
12 Jul 2022
View on parliament.uk
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
14 Jun 2022
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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
18 May 2022
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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
15 Mar 2022
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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
Title HC No. Published Items Response
Fourth Report - The future of general practice HC 113 20 Oct 2022 45 Responded
Recommendations & Conclusions
6 results
Clear
12 Conclusion Rejected
Fourth Report - The future of gene…
Further steps needed to address general practice administrative workload.
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 … Read more
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
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16 Conclusion Rejected
Fourth Report - The future of gene…
Need to encourage locum GPs back into regular employment with flexible patterns.
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
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17 Conclusion Rejected
Fourth Report - The future of gene…
Prevent locum bidding wars and ensure fair administrative duty allocation.
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
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29 Recommendation Rejected
Fourth Report - The future of gene…
Examine limiting patient list sizes to 2500, reducing to 1850 over five years.
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. … Read more
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 have already been recruited.
Department of Health and Social Care
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30 Recommendation Rejected
Fourth Report - The future of gene…
Necessity for re-implementing personal lists in the NHS GP contract from 2030.
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
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38 Recommendation Rejected
Fourth Report - The future of gene…
Revise Carr-Hill formula and PCN funding to better account for deprivation and high need.
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 … Read more
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
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Government Response AI assessment · 45 of 20 classified
Accepted 11
Accepted in Part 7
Acknowledged 3
Deferred 18
Rejected 6
Total 20 recs + 25 conclusions
Correspondence 2 letters
11 Jan 2023 To committee Letter from the Parliamentary Under Secretary of State for Primary Care and Public Health (HSCC Report - The Future of General Practice) 23.12.22
Parliament page
6 Sep 2022 Correspondence from the Parliamentary Under Secretary of State for Primary Care and Patient Safety on the Future of General Practice dated 28.08.22
Parliament page