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Monitor general practice services 17 09-13

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Monitor is conducting a review of general practice services in England to determine if commissioning and provision of GP services is operating in the best interests of patients. As part of this review, Monitor invited comments on patients' ability to access and switch GP services, providers' ability to develop new services and locations, and new models of primary care. Monitor has received written submissions, conducted stakeholder interviews and events, and will publish a statement on what they have heard and any next steps. They are interested in hearing from patients on topics such as the importance of seeing the same GP each time, ability to access a GP in a reasonable time frame, ability to see a GP or register at a convenient location, and ability to switch GP or practice

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Call for evidence on the general practice services sector in England Paul Dinkin 17 September 2013
Monitor’s primary duty is to protect and promote the interests of patients Supporting good governance Choice and competition Enabling integrated care Ensuring continuity of services Monitor protects and promotes interests of people who use health care services through: Pricing NHS services (working with NHS England) 22
GP sector: key facts and figures General practice is the first point of contact for the majority of patients • Around 8,100 GP practices in England • Around 310 million consultations per year or 6 million per week • National spend of around £7 billion per year, split about 60:40 between practice expenses and GP pay • Investment in services and average GP income doubled from 2002/03 to 2005/06 after introduction of new GP contract, but have declined steadily since, with real-term reductions of 3 per cent in expenditure and 12 per cent in average GP pay since 2006/07 3 General practice also has a significant impact on other parts of the health and social care system • Directly influences levels and patterns of expenditure on hospital referrals (£8 billion) and prescribing (£8 billion) • GP access/quality also affect emergency admissions and urgent care costs • Every GP practice is now a member of a clinical commissioning group and thus increasingly involved in commissioning both primary and secondary care
We invited comments on three sets of issues We invited stakeholders to comment on issues relating to: 4 1. Patients' ability to access GP services….including their ability to switch individual GPs or GP practices if they want to 2. The ability for new or existing providers of GP services to develop the scope of their offer to the NHS….including developing new services, operating in new locations, or expanding their staff or premises 3. New models of primary care that local health communities are planning or considering.…and the potential barriers to these being implemented We announced a call for evidence on 1 July 2013 to determine “the extent to which commissioning and provision of GP services is operating in the best interests of patients”.
We are about half way through our work 5 1. Receive written submissions and conduct desk- based research 2. Conduct stakeholder interviews and engagement events 3. Prepare publication setting out what we have heard and any next steps July 2013 Publication of call for evidence 9 December 2013 Publication of issues statement September 2013
Questions for patients Questions about which we are interested in hearing from patients include: 1. How important is it to patients to see the same GP each time? 2. Are patients able to access a GP or practice nurse in a reasonable amount of time when you need to? 3. Are patients able to see a GP or practice nurse or register at a GP surgery in a place which is convenient for you? 4. Are patients able to switch GP or GP practice when you want to? 5. Do patients feel that their GP and practice are responsive to their specific needs? 6
We are very happy to meet with all interested stakeholders Find us at: http://www.monitor.gov.uk/gpservices E-mail us at: gpservices@monitor.gov.uk 7

More Related Content

Monitor general practice services 17 09-13

  • 1. Call for evidence on the general practice services sector in England Paul Dinkin 17 September 2013
  • 2. Monitor’s primary duty is to protect and promote the interests of patients Supporting good governance Choice and competition Enabling integrated care Ensuring continuity of services Monitor protects and promotes interests of people who use health care services through: Pricing NHS services (working with NHS England) 22
  • 3. GP sector: key facts and figures General practice is the first point of contact for the majority of patients • Around 8,100 GP practices in England • Around 310 million consultations per year or 6 million per week • National spend of around £7 billion per year, split about 60:40 between practice expenses and GP pay • Investment in services and average GP income doubled from 2002/03 to 2005/06 after introduction of new GP contract, but have declined steadily since, with real-term reductions of 3 per cent in expenditure and 12 per cent in average GP pay since 2006/07 3 General practice also has a significant impact on other parts of the health and social care system • Directly influences levels and patterns of expenditure on hospital referrals (£8 billion) and prescribing (£8 billion) • GP access/quality also affect emergency admissions and urgent care costs • Every GP practice is now a member of a clinical commissioning group and thus increasingly involved in commissioning both primary and secondary care
  • 4. We invited comments on three sets of issues We invited stakeholders to comment on issues relating to: 4 1. Patients' ability to access GP services….including their ability to switch individual GPs or GP practices if they want to 2. The ability for new or existing providers of GP services to develop the scope of their offer to the NHS….including developing new services, operating in new locations, or expanding their staff or premises 3. New models of primary care that local health communities are planning or considering.…and the potential barriers to these being implemented We announced a call for evidence on 1 July 2013 to determine “the extent to which commissioning and provision of GP services is operating in the best interests of patients”.
  • 5. We are about half way through our work 5 1. Receive written submissions and conduct desk- based research 2. Conduct stakeholder interviews and engagement events 3. Prepare publication setting out what we have heard and any next steps July 2013 Publication of call for evidence 9 December 2013 Publication of issues statement September 2013
  • 6. Questions for patients Questions about which we are interested in hearing from patients include: 1. How important is it to patients to see the same GP each time? 2. Are patients able to access a GP or practice nurse in a reasonable amount of time when you need to? 3. Are patients able to see a GP or practice nurse or register at a GP surgery in a place which is convenient for you? 4. Are patients able to switch GP or GP practice when you want to? 5. Do patients feel that their GP and practice are responsive to their specific needs? 6
  • 7. We are very happy to meet with all interested stakeholders Find us at: http://www.monitor.gov.uk/gpservices E-mail us at: gpservices@monitor.gov.uk 7

Editor's Notes

  1. Choice and competition is one of a number of tools/ functions available to help us fulfil this duty.