Experience/ access 8. List closure (including application to This criteria is akin to the practice self-declaring that they have a problem. It is close list) a crude 'measure' however in that the practice may be struggling to meet an increase in demand or it may be a struggling practice unable to managing its current demand. It will be important to consider the reasons for list closure. 9. GP Patient Survey - Would you This is one of a set of patient experience criteria that could be usefully recommend your GP surgery to included. Patient advocacy is known to correlate with good quality care. someone who has just moved to your local area? (% no). 10. GP Patient Survey ease of getting Could be usefully included in that it provides an early indication where – through by phone (% not at all problems with matching capacity and demand are starting to be reflected in easy). the results. Organisational Issues 11. Practice leadership issues (partner This is a key criteria but difficult to define so will be for local commissioners to relationships) reflect a risk rating against this and provide justification. 12. Significant practice changes It is self-evident that this increases the vulnerability of the practice where a practice is splitting, less so for a practice merging which may be to for positive reasons and may make local practices stronger and more resilient. 13. Professional isolation This is a self-evident criteria, but there are many resilient single handed practices that continue to operate successfully. However by definition a single handed practice has less resilience than a larger practice. Again it would be for local commissioners to reflect a risk rating against this. External perspective 14. Other external perspectives not This is a key criteria. The risk score increases dependent upon how many covered in the above criteria, for local external bodies have significant concerns. example significant concerns from LMC, CCG or NHS England 15. Primary Care Web Tool negative Using this tool and in particular those practices that trigger 5/6 or more – triggers negative indicators provides an indication of some issues in a practice.
Experience/ access 8. List closure (including application to close list) This criteria is akin to the practice self-declaring that they have a problem. It is a crude 'measure' however in that the practice may be struggling to meet an increase in demand or it may be a struggling practice unable to managing its current demand. It will be important to consider the reasons for list closure. 9. GP Patient Survey - Would you recommend your GP surgery to someone who has just moved to your local area? (% no). This is one of a set of patient experience criteria that could be usefully included. Patient advocacy is known to correlate with good quality care. 10. GP Patient Survey – ease of getting through by phone (% not at all easy). Could be usefully included in that it provides an early indication where problems with matching capacity and demand are starting to be reflected in the results. Organisational Issues 11. Practice leadership issues (partner relationships) This is a key criteria but difficult to define so will be for local commissioners to reflect a risk rating against this and provide justification. 12. Significant practice changes It is self-evident that this increases the vulnerability of the practice where a practice is splitting, less so for a practice merging which may be to for positive reasons and may make local practices stronger and more resilient. 13. Professional isolation This is a self-evident criteria, but there are many resilient single handed practices that continue to operate successfully. However by definition a single handed practice has less resilience than a larger practice. Again it would be for local commissioners to reflect a risk rating against this. External perspective 14. Other external perspectives not covered in the above criteria, for example significant concerns from LMC, CCG or NHS England This is a key criteria. The risk score increases dependent upon how many local external bodies have significant concerns. 15. Primary Care Web Tool – negative triggers Using this tool and in particular those practices that trigger 5/6 or more negative indicators provides an indication of some issues in a practice.
NHS%20England%20letter%20-%20support%20for%20vulnerable%20GP%20practices%20final%20(2).docx