Improving General Practice – A Call to Action – emerging findings report published

NHS England has published our emerging findings report on a future strategy for commissioning general practice services. Building on the outcome of engagement with stakeholders in 2013 under Improving General Practice – a Call to Action, the report focuses on the central role NHS England wants general practice to play in wider systems of primary care, and it describes our ambition for greater collaboration with clinical commissioning groups in the commissioning of general practice services. Transformational change will be led locally by area teams and CCGs, but we will outline the work underway nationally to support it.

In addition, we have published an Independent analysis of responses received during last year’s engagement around this call to action.  We will engage further with patient groups, other partners and stakeholders over the next few months at national and local level to further shape our thinking.  We will publish our strategic framework for commissioning primary care in the autumn, taking into account the outcome of similar engagements for NHS dental, community pharmacy and eye health services.

Related reports

Transforming Primary Care, produced by NHS England and the Department of Health, that outlines a new initiative to provide personalised and proactive out-of-hospital care, for those who need it most. Starting with patients that have the most complex health needs, including older people, it aims to deliver broad-based improvements for patients in a primary care setting.


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One comment

  1. Goolam Dustagheer mohammad riyaaz Nazid says:

    As a person who had the chance to be a patient in many different countries for different pathology including tumor ,sometimes very peculiar in my age group, my findings in parallel to my skills, aptitude, specialties and observations, can surely confirm with great pride that people in the Uk ,through the NHS, its employees, its technologies and the engineers/technicians operating the system must not be considered depriving at all.
    From very caring/contributing nurse in 99% of cases ,to the most risk taking and attentive doctors and practicians assisted by a culture of diversity, equal opportunity, personal performance chance and modern technology, perhaps in some rare cases , we may not always find the right man for the right job based on the minimum requirements sought or in some other times ,the right man has a handicap to do the right job .

    A continuous audit system check as to how far the system derived from the set up plans can be difficult to set up for optimum efficiency making accountability practically redundant quickly or costly.We may always continue to welcome suggestions from end-users to update current level and find better means to improve efficiency and reduce waste and thus costs.

    Depending on regional aging trends, the different use of community for routine health check has well been sought ,a suggestion as to remunerative incentive for an efficient system can be based on patients cured or from major/critical bands to routine checks following confirmation by the consultant who can liaise with the clinical nurse directly for advise and follow -ups rather to the patient who may not have the necessary skill to take care of himself besides medications and a changing life style as far as food and activities are concerned.

    Trained Clinical nurses will be the best person to educate poor health conditions at curing stage about a famous equation :
    Good health Acquisition= Corrective medications + appropriate food diet + desired oxygen intake during a routine/daily physical activity>
    At times many patients do not understand why a wait and waech approach is compulsory to get proper and correct reading for a consultant to diagnose a health issue

    New cases or undiagnosed cases can be left in the hands of consultants exclusively as outpatients where all the necessary department and specialists can be contacted for the most appropriate decision rather than the local GP to avoid duplication of efforts until a cure is determined to be transferred back to the community for follow ups.

    Children under 12 considered a priority at all time can be left to a walk in surgery practice at all time or specifically on some days for babies with repeat Polio/BCG etc/ A&E for serious cure .

    In other cases it is impossible to make change in already established system , perhaps a better pay/fringes benefit incentives based upon objectives achievement criteria can be a motivation.

    Suggestions of transfer in cases where employees are performing a job with no personal motivations and interest , can be helped by the NHS and its heads for a preferred zones when the skills and training are already acquired by the employee or has been appointed elsewhere for further clinical studies or field of medical interest at home and abroad .