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GPs go forth

GP practices to send out distress signals when facing ‘unsafe’ workload pressure

GPs in Devon will be able to use a new flagging system to notify their LMC when they have reached ‘unsustainable and unsafe workload levels’.

Practices are being asked to send an ‘alert status’ to Devon LMC through a weekly report, to help the group of GPs highlight the pressures they face due to rising patient demands. 

NHS Devon CCG will also be using the information to help it decide how it can best support local practices when they experience increased pressure. 

Devon LMC chair Dr Bruce Hughes said: ‘Our innovative new reporting system will help provide robust evidence about the pressure faced by our local GP practices – and greater recognition of the scale and challenges.

‘The pressure acute hospitals are under is well publicised and is captured by the OPEL (Operational Pressures Escalation Levels) Framework. General practice has had no equivalent and so the Government, healthcare providers, commissioners and patients can sometimes assume that things are not so bad for local GP practices.’

GPs are being encouraged to complete anonymous weekly reports for the LMC, choosing from four colour-coded alert levels. A black status would indicate a GP practice is ‘in distress’, at which point it would be able to identify itself and request support from the local health system.

Red would mean it is ‘running safely under significant pressure, but requiring immediate action to relieve the burden. Conversely, green would mean the practice is running normally with adequate resources and acceptable waiting times. 

The average county-wide alert level is publicly shared on the LMC website each week. Roughly 80 GPs in the area are already submitting weekly reports to the LMC with more expected to take part as it is fully rolled out. 

Dr Hughes said: ‘This is a ground-breaking move for general practice. Devon is believed to be the first area in the country to roll out a GP alert status. Our innovative scheme has attracted interest from several other LMCs who look set to follow suit.’

Clinical chair of NHS Devon CCG Dr Paul Johnson said: ‘We know there is a link between general practice being unusually busy and subsequent pressures elsewhere within the health system, so it can serve to provide an early warning to assist other providers in better assessing and planning for future demand.’

The BMA proposed a 'black alert' system for GP practices back on 2018, which would see GPs divert or cancel all routine appointments if their workload became unsustainable.

The Royal College of GPs (RCGP) called for the wholesale introduction of distress signals for GPs already in 2015, stressing the risk burnout poses to patient safety. 

A Medical Protection Society (MPS) survey published last year revealed two-thirds of all doctors go in to work despite feeling too tired, unwell or stressed and half do not feel supported in terms of their well-being.

A version of this story was first published by Pulse sister title Management in Practice.


Readers' comments (17)

  • Great. This will just become another stick to beat GPs with. If you don't raise the alarm the system will claim no knowledge when an error due to the perpetual high workload dumping occurs. If you do raise the alarm the commissioners will create more work and you'll have the CQC on your back.
    Perhaps the answer is for all practices to raise the alarm daily on the basis that it shouldn't be routine for practices to be permanently at full capacity for appointments and workload.

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  • Like sending out a red flare from a sinking ship whilst knowing the coastguard is colour-blind.

    If one tries hard enough, the wail of the siren can fuse with the white noise of silence...

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  • doctordog.

    Thanks for this article Pulse, I had a really good laugh about this.

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  • HAHAHA! My foundation trust was on constant black alert. It made no difference just sounded cool.

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  • Cobblers

    Bob Hodges | GP Partner/Principal13 Feb 2020 11:59am

    Evidence please. My imagination needs no encouragment.

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  • It is like drowning in the middle of the ocean. Fire all the flares you want. Nobody will come. Might as well save some time and have a coffee that is far more helpful to de-stress.

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  • just tell them you think you have seen a patient with coronavirus and have a few days off. if they come in weekly even better. this outbreak could last for months.

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