The Recruitment, Retention And Return Of Nurses To General Practice Nursing In England

This report, authored by Ipsos MORI, outlines the findings of qualitative research into the drivers and barriers to entry into general practice nursing (GPN) | NHS England

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It finds that the general perception is that general practice is more suitable for older or more experienced nurses. As student placements in general practice are rare, there is a lack of opportunity for students to develop an understanding of the GPN role. The research also highlights the need for greater support for GPNs and the lack of standardisation in pay for GPN roles.

GP Forward View falling short on workforce but it is still the lifeline general practice needs

NHS England’s General Practice Forward View is falling short in its pledge to build the GP workforce by 5,000 more full-time equivalent family doctors by 2020, the Royal College of GPs has concluded today | RCGP

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Image source: RCGP

The College’s Annual Assessment of the plan, that was launched in April 2016, recognises that NHS England is making progress in delivering many of its approximately 100 pledges – and that the commitment to spend an additional £2.4 billion each year on general practice by 2020/21 is on track.

But the College’s analysis, based on the most up to date statistical and member feedback, raises concerns that the GP Forward View is not having the positive impact on frontline general practice and patient care to the extent and with the speed that is needed.

Today’s report follows an interim assessment by the College, published in January, that found whilst progress is being made, national ambition was not being matched by local delivery and many GPs had yet to see significant change.

General Practice Nursing – Developing confidence, capability and capacity

This Ten Point Action Plan for General Practice Nursing, describes the nursing element of the General Practice Forward View (GPFV) | NHS England

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Image source: NHS England

The GPN ten point action plan sets out the measures required to bring about the changes that are needed, which will be taken forward by NHS England, Health Education England, NHS Improvement, Public Health England, The Royal College of Nursing, The Royal College of General Practitioners, The Queens Nursing Institute and The British Medical Association. These organisations will support commissioners and providers to implement the actions at local level. Delivery of this Ten Point Action Plan at a local level will be supported by one of four Regional GPN Delivery Boards.

General practice at scale and new care models provide fresh opportunities for supporting general practice nurses to develop skills and advance their careers. This will assist recruitment and retention which will in turn ease GPs’ workload as well as improving the experience of care for individuals, the outcomes of care and treatment, the use of NHS resources and staff experience.

RCGP strategic plan 2017-2020

Great doctors, great care sets out the College’s four main objectives for the next three years. It also defines 12 ‘values’, applicable to College members and employees, that will shape how we go about achieving these goals | RCGP

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Image source: RCGP

Four objectives

The College has identified four objectives that explain its purpose and what it is aiming to achieve over the next three years:

  • Shape the future of General Practice
  • Ensure GP education meets the changing needs of UK primary care
  • Grow and support a strong, engaged membership
  • Be the voice of the GP (influence)

Vision and values

The College has also identified 12 values, which can be summarised in four ‘core’ values:

  • Excellence
  • Teamwork
  • Leadership
  • Care

Read the full plan here

Missing data has risked GPs’ patient care

Missing patient data that was mistakenly held in storage for years has led to around 1,700 cases of potential harm caused to GPs’ patients, according to a report published today by the National Audit Office (NAO) | OnMedica

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The NAO’s Investigation: clinical correspondence handling at NHS Shared Business Services report details the watchdog’s investigation into how NHS Shared Business Services (NHS SBS) – an agency contracted by the government to run some back-office operations in the NHS – handled unprocessed clinical correspondence.

Significant amounts of important data on patients including test results and diagnoses were delayed mistakenly between 2011 and 2016 by the NHS Shared Business Services agency before they were delivered to hospitals and GP surgeries.

This data, which included copies of test or screening results, and communications about planned treatment following appointments with other healthcare providers, was sent by hospitals and other GPs to practices where the patient had moved away or was unknown, so needed to be redirected.

Over half of sessional GPs suffer work-related stress

At least half of sessional GPs suffer from work-related stress, according to a new survey by the BMA | OnMedica

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The BMA reported that work-related stress has led more than one in ten sessional GPs to take time off work in the past year.

The BMA also found that a staggering 70% of locums would consider leaving the profession if a locum cap was introduced in general practice. It warned against anything – such as measures that harm locum pay – that could lead to an ‘exodus’ of locum and salaried doctors, who it said play a key part in solving the NHS’s current problems.

The BMA wanted to understand the issues that sessional GPs face, to ensure that its discussions with government accurately address their needs. So its sessional GP subcommittee conducted a UK-wide survey of salaried and locum GPs from 1st March to 6th April 2017.