BMA’s GPCE (England GP Committee)’s Safe Working Guide for GPs

BMA’s GPCE(England GP Committee)’s Safe Working Guide for GPs

The services offered by general practitioners are referred to as “general practice.” Similar services are also known as primary care or family medicine in some countries.

Because of under-investment in general practice and a physician shortage, there has been a sharp increase in workload. Due to the ageing population’s continued growth in demand, it is crucial that general practitioners (GPs) be able to safeguard their patients and themselves from the workload and its adverse effects on patient health and care quality. That’s the reason, people are searching for private gp clinic near me for their health concerns to see GP immediately.

The current crisis at NHS is so serious that we(BMS) advise practices to act quickly in order to maintain patient care and safeguard the health of their staff.


Appointment times extension

Immediate implementation of 15-minute appointments would allow for better decision-making and case management. Encouraging more activity during the appointment also increases the workload outside clinic hours. Longer consultations ensure safe and high-quality patient care, as patients may have complex conditions. The use of phone triage increases the potential variables because it is obvious that patients, clinics, and doctors have different needs and expectations. However, this proposal does meet the bare minimum requirements for the system, and as a result, it gets closer to what the NHS requires. Adequate breaks for rest must be taken within consultation parameters.

Remote consultation and triage are both safe and efficient methods of providing care. Using these methods may enable the following practices:

●        To provide more flexibility for patient appointments

●        Suggest the best healthcare provider to patients

●        Prioritize care for the most vulnerable patient.

Lists of people on the wait list

The demand for appointments currently far exceeds capacity, so we advise general practices to switch to a waitlist system. No matter how urgent a patient’s condition is clinical, it is difficult to evaluate and manage all of their problems almost immediately. General practices ought to be determined by clinical need. This is the method used in secondary care. This allows doctors to concentrate their efforts on those in the greatest need.

While on the waiting list, a patient’s clinical condition may change. If you have the capacity in your practice, you might consider reviewing the urgency now. A different service could be recommended to the patient in that case like NHS11 or UTC (Urgent Treatment Center).

Cutting down on the weekly clinical contacts

A safe number of consultations per day should be the goal, so practices should act quickly. One should contact extended access hubs, NHS 111, or other providers when demand exceeds safe levels.

It is unrealistic to expect practices to be able to extend appointment times to safely manage a patient population. Especially when the population is becoming more diverse while maintaining the same number of clinical contacts each week. Therefore, practices will need to consider how to restrict the number of consultations that are available.

Patient Participation Organizations (PPGs)

PPGs for practices are an important ally and resource. We urge practices to involve their PPGs and openly talk about the difficulties and pressures that general practices face nationally and locally. It’s critical to speak with PPGs and obtain their approval before making any changes.

 Some benefits of PPGs are

          ❖      Assist practices in their interactions with ICBs by lobbying them directly and demonstrating patient engagement in practices.

❖ Priorities patient population and provide critical insight into the needs

❖ Explains changes and justifications to the larger patient population.

Prioritisation of workload

Practices should stop all non-contractual work immediately and shift their focus to providing core services. The core GMS contract’s definition of “patient care” is what practices are required to give to their patients. In DES, LCS, QOF, and IIF agreements, care is described that is not covered by the core GMS contract. Providing patient care under these arrangements is optional for practices and is compensated separately from core GMS.

Primary care network-directed enhanced service

In the context of their larger practice and their current workforce, practices will need to determine whether the PCN DES allows them to provide effective and safe patient care. Practices may express their desire to leave the DES. If practices remain in the DES, they are contractually obligated to meet the requirements. In DES, practices typically get paid £1.76 for each patient, while PCNs get paid £1.50. The DES-related payments to your practice would cease if you decided to leave it.

Contracts for unsafe work

It is good for practices to act quickly in order to achieve safe consultation volumes on a daily basis. Extended access hubs, NHS 111, or other providers should be contacted if there is high demand. Some GPs can manage their workday and patient demand through the widely available options for remote working. Remote access can foster a work culture in which doctors work longer hours. Since this workplace culture can disproportionately affect women and part-time doctors of medicine, it should be avoided.

Additionally, it is appropriate to abandon the unrestricted “duty doctor” system. For instance, clinicians might anticipate having multiple appointments every day. Alternative resources should, whenever possible, be utilised to add to the capacity for patient care. Alternative plans could include:

●        ARRS personnel whose roles have been shifted to focus on core patient care provision.

●        Services provided by walk-in clinics

●        appointments with extended access

●        service of clinical pharmacy consultation (CPCS)

Sessional GPs are an essential component of practices. When making changes, we encourage you to include them in all discussions.

The fundamentals of core general practise

The provision of commissioned and resourced services and care must be the focus of GPs and practices’ time and effort. Which services fall under the heading of “core GMS” is not always obvious. There is a chance that different practices in various fields will have varying interpretations of what services are included. This may lead to some practices offering services that aren’t specifically commissioned and resourced.

In general, a service that is locally commissioned in one region of the nation cannot be a component of the core GMS anywhere across the nation. Knowing what the core offering of general practice allows us to offer the best care for our clients. This also allows us to avoid diverting patients to underserved areas.

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