Primary care estate

Reform has published A design diagnosis: reinvigorating the primary care estate.  This report looks at financing options for GPs who wish to upgrade their estate and finds private sector finance can upgrade the estate at value for money for the taxpayer.   It suggests GPs need to be well-informed on financing options and building design to ensure public-private partnerships deliver value for money and that STPs have a critical role in supporting GPs when they are interacting with estate developers.

Additional link: Reform blog


Clinical pharmacists in GP surgeries

NHS England has announced additional funding for GP surgery-based clinical pharmacists.   The funding will cover an additional 160 pharmacists.  NHS England is encouraging applications to the next wave of the scheme which has a cut-off date of 19 January 2018.

General practice case studies

NHS England has published the following case studies relating to general practice:

Improving general practice: case studies

NHS England has published the following case studies illustrating efficiency improvements in general practices:

The financial challenges facing general practice

Future-Focused Finance and the HFMA have worked together to produce this briefing on the current financial challenges facing general practice.

We asked general practitioners (GPs) and practice managers about the current financial challenges they are facing Their responses highlight a number of serious concerns about the issues facing general practice and in this briefing we make a number of recommendations to address some of the most pressing issues.

General practice is facing unprecedented pressures and, with GPs managing heavier and more complex workloads, uncertainty about a sustainable future in a rapidly changing landscape is understandable. In such a stretched environment general practice needs guidance and support to manage the status quo, let alone deliver the increasing expectations set out in Next steps on the NHS five year forward view.

Further information is available here.

Never Events in UK General Practice: A Survey of the Views of General Practitioners on Their Frequency and Acceptability as a Safety Improvement Approach.

Background: Never events (NEs) are serious preventable patient safety incidents and are a component of formal quality and safety improvement (Q&SI) policies in the United Kingdom and elsewhere. A preliminary list of NEs for UK general practice has been developed, but the frequency of these events, or their acceptability to general practitioner (GPs) as a Q&SI approach, is currently unknown. The study aims to estimate (1) the frequency of 10 NEs occurring within GPs’ own practices and (2) the extent to which the NE approach is perceived as acceptable for use.

Methods: General practitioners were surveyed, and mixed-effects logistic regression models examined the relationship between GP opinions of NE, estimates of NE frequency, and the characteristics of the GPs and their practices.

Results: Responses from 556 GPs in 412 practices were analyzed. Most participants (70%-88%, depending on the NE) agreed that the described incident should be designated as a NE. Three NEs were estimated to have occurred in less than 4% of practices in the last year; however, two NEs were estimated to have occurred in 45% to 61% of the practices. General practitioners reporting that a NE had occurred in their practice in the last year were significantly less likely to agree with the designation as a NE compared with GPs not reporting a NE (odds ratio, 0.42; 95% CI = 0.36-0.49).

Conclusions: The NE approach may have Q&SI potential for general practice, but further work to adapt the concept and content is required.

Journal of Patient Safety: Post Author Corrections: April 27, 2017