Commissioners are being asked to identify the 20% of practices locally with the lowest level of face-to-face GP appointments, as well as the 20% with the highest A&E attendances. The practices support to ‘improve’, and this includes smaller practices partnering with larger practices. Where practices do not ‘engage with the support’, they may face contractual action.
The £250m being provided by the NHS is predicated on reaching pre-pandemic levels of activity by November. Those who don’t reach these won’t get any funds.
Patients are to receive texts straight after finishing their consultation to be asked about their levels of satisfaction. The investment and impact fund will incentivise patient satisfaction, and the scale of the incentives ‘will be increased significantly in 2023/24 within the planned GP contract envelope’.
The funding is to be used to expand the locum pool, hire retired geriatricians, extra admin staff and support the increased use of urgent care centres.
There are some measures to reduce bureaucracy, including a reduced appraisals process, and enabling more professionals to issue fit notes and DVLA certification. There will be a reform of the transfer of data from secondary care. There are no plans to protect QOF income, however.
The plans claim that the full-time equivalent GP workforce has increased by 1,200 – although these estimates has been questioned.
There will be a campaign launched to counter abuse of GPs and their staff alongside other measures.
Pharmacists joining PCNs will automatically be trained to prescribe.
NHS England is to enable cloud-based telephony across the country.
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