Every GP surgery in England will this week receive a copy of a new document setting out nine 'high-impact' changes that their practice should introduce to improve care and efficiency.

Every GP surgery in England will this week receive a copy of a new document setting out nine 'high-impact' changes that their practice should introduce to improve care and efficiency.

The booklet, by the NHS Institute for Innovation and Improvement and the Improvement Foundation, contains examples of nine changes for primary care teams, with contact details for practices already carrying out the changes.

In a joint forward, Improvement Foundation head Sir John Oldham, a GP from Glossop in Derbyshire, and the institute's Professor Bernard Crump, say they hope the examples will be taken up across England as they have been identified 'by frontline people for front-line people'.

NHS Alliance chair Dr Michael Dixon said that while some of the changes might be seen as nothing new to those on the conference circuit, 'they might be of practical use to the practice managers and lead GP beavering away on the front line'.

Suggestions include ways of promoting better self-care and self-management, improving the management of long-term conditions and redesigning roles in primary care - for example, by employing a healthcare assistant.