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
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.
This Ten Point Action Plan for General Practice Nursing, describes the nursing element of the General Practice Forward View (GPFV) | 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.
Improving training available in GP practice settings and raising the profile of the role is key to helping to retain and expand the General Practice Nursing (GPN) workforce | Health Education England.
Key report recommendations include:
improving training capacity for the general practice nurse workforce by providing access to accredited training to equip them for each level of their role;
raising the profile of general practice nursing, to increase the uptake of the role as a first-destination career;
developing GPN educator roles to cover all CCG areas, including the promotion of mentor training for all GPNs to retain the knowledge and expertise of existing GPNs; and
the development of a sustainable and easily accessible ‘how-to’ toolkit and web based resource to support the implementation of general practice nursing workforce initiatives.
a nationwide standardised general practice nursing ‘return to practice’ education programme which includes a general practice placement, mentorship and appropriate support to meet the NMC requirements for ‘return to practice’.
Nearly a third of GP partners in England have been unable to fill staff vacancies during the past 12 months | BMA
Thirty-one per cent of partners responding to the association’s GP survey admitted they had had to put up with vacancies, having not been able to recruit over the year-long period.
The survey also found that one in five partners reported their practice taking between three to six months to appoint staff to a vacant posts, while only one in eight said they had had no gaps to fill.
Areas with the highest levels of unfilled vacancies include the west midlands and east of England, each at 35 per cent reporting, and the east midlands at 34 per cent.
New guidance supporting greater patient access to physiotherapists in primary care may help to alleviate pressures faced by GPs, the BMA has said. The guidance document, Physiotherapists in General Practice, published by the Chartered Society of Physiotherapy, outlines how physios can be better used to support general practice. It is accompanied by an online calculator designed to help estimate costs for a surgery considering whether to include physios within their teams.
GPC policy lead for education, training and workforce Krishna Kasaraneni, who provided one of the forewords to the guidance report, welcomed the plans. He added that initiatives designed to diversify and widen expertise within general practice had the potential to reduce workload pressures as well as improve access to specialist musculoskeletal services for patients.
It is believed that between 20 to 30 per cent of consultations within GP surgeries relate to musculoskeletal complaints, with physiotherapists able to assess, diagnose and treat a wide range of conditions autonomously.
Read the overview and find the cost calculator here
Policy Research Unit in Commissioning and the Healthcare System | Published online: 4 November 2016
This report presents an evidence synthesis on GP recruitment, retention and re-employment. It finds that overall the published evidence focuses primarily on attracting GPs to rural areas however the literature does provide some useful insights to factors that may support the development of specific strategies for the recruitment and retention of GPs. The report suggests that medical students should be exposed to successful GP role models and general practice and that supporting intrinsic motivational factors and career determinants can influence recruitment.
The money will also go towards developing multidisciplinary teams involving nurses, pharmacists and other staff in GP surgeries. NHS England pledged £206m to implement workforce measures from the General Practice Forward View earlier this year.
HSJ has learned £20m from the total pledged by NHS England will be used by HEE to train new GPs and meet its target to have 3,250 doctors choosing to train in general practice each year. HEE said the funding, which has been allocated for 2016-17, will be used to cover “additional GP expenditure such as salaries and placement of fees for practice as there are now more GP trainees in the system than in previous years”.