Clinical commissioning group representatives have called on NHS England to support CCGs taking a greater role in primary care, following their first major survey of the organisations.
Thousands of doctors did not immediately pass a new set of skills checks during the first year of assessments, figures show.
The GP pay for performance framework has been significantly pared back, with some of the proceeds used to pay practices to provide more comprehensive care for those at risk of admission to hospital.
The government’s allocation of £3.8bn for integration across the NHS and social care “will be used to fund yet more structural change”, and “cannot succeed without behaviour change of all actors in the system”, according to a report.
The health sector regulator has suggested primary care payment mechanisms and commissioning responsibilities should be reorganised, to improve contracting of walk-in centres.
The chair of the British Medical Association’s GP committee has called for practices to “form network arrangements” and share staff to provide extended opening services and a “stronger community-based provision of care”.
NHS England’s primary care contract managers will be reorganised and reduced by September next year, with the services potentially being outsourced.
New primary care providers are being stifled by GP commissioner hostility, and the inability of existing practices to sell their businesses, the health sector regulator has been told.
The Care Quality Commission will “campaign” for longer consultations and greater increases in the GP workforce, its professional adviser on primary care has said.
The health service should contract single services that link general practice with community health and care, the Department of Health’s policy director has said.
The professional body that represents over 46,000 family doctors has appointed its new honorary secretary of council.
GPs will be offered money to open their surgeries seven days a week and out of office hours under proposals unveiled by the prime minister today.
Jeremy Hunt has called on GPs to “rediscover family doctoring”, and again said he wants to make changes to their contracts to encourage them to “take better care of older patients and ensure that fewer of them end up in hospital”.
Patients of GP practices that remain directly responsible for out of hours primary care may attend accident and emergency more often than others, analysis suggests. However, the research also indicates they may be admitted to hospital as an emergency less regularly.
A “much better way” is needed for “vulnerable old people to journey through the NHS”, health secretary Jeremy Hunt has said.
The Royal College of GPs is proposing to set up a back to work scheme to create a “short term surge” in GP numbers and help fill what it says is an urgent shortage.
The chair elect of the Royal College of GPs has condemned the prime minister’s £500m accident and emergency bailout plan as “voodoo med-economics” and said it was driven by “political priorities ahead of a forthcoming general election”.
The proportion of NHS funding spent on hospital care increased in 2012-13, with general practice slightly reducing its share, official figures obtained by HSJ indicate.
NHS England has acknowledged concerns raised about services at some of the 22 practices in Liverpool and Sefton which were taken over by a GP-led company in the spring.
The outgoing Royal College of GPs chair Clare Gerada has been appointed to lead a project to overhaul primary care across London.
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