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‘Unclear’ which routes offer best leadership experience to new GPs, report suggests

It is ‘unclear’ to newly qualified GPs which routes provide the best leadership experience, a major review into NHS leadership has suggested. Led by Sir Gordon Messenger, the review identified ‘significant variation in leadership structures within and between GP practices, in their networks’. The report authors were told ‘it is unclear to a newly qualified […]


Two ICBs triple their required primary care posts

Two Integrated Care Boards (ICBs) have outlined they will appoint three primary care representatives to their Board: two more than is mandated. According to their constitutions – published last week – both Bedfordshire, Luton and Milton Keynes ICB and Hertfordshire and West Essex ICB have stated they will appoint three members to represent primary care […]


Pharmacists, nurses and physios to ease GP fit note burden from next month

A wider range of health professionals will be able to sign off fit notes from next month to ease pressure on GPs. New legislation being laid down tomorrow will enable nurses, occupational therapists, pharmacists, and physiotherapists to legally certify fit notes, the Department for Work and Pensions has confirmed to Pulse. It is the biggest […]


Case study: Providing complex diabetes care at PCN level

Case study: Clinical director of Herne Bay PCN, Dr Jeremy Carter, outlines the diabetes pilot at his network of two practices covering 41,500 patients in coastal Kent. Herne Bay PCN is currently engaged in an East Kent health and care partnership diabetes multi-disciplinary team (MDT) pilot, looking to provide diabetes care for our more complex […]


NHS England to assess ICBs’ takeover from April 2023

NHS England will subject Integrated Care Boards (ICBs) to a pre-delegation assessment to determine how ready they are to assume responsibilities from clinical commissioning groups (CCGs). In a letter sent to ICB and CCG leaders, NHS England confirmed that from 1 April 2023, all ICBs will be expected to take on responsibility for all pharmaceutical, […]


Dr Claire Fuller: CCGs are just about the NHS, ICSs are about partnership

Following the publication of her primary care stocktake report, GP and ICS executive Claire Fuller speaks to Healthcare Leader on the end of clinical commissioning groups (CCGs) and the challenges facing primary care in their absence. Her report offers a series of sweeping recommendations to improve the way ICSs and primary care work together, in […]


NHS has lost 25,000 beds over 10 years

Over the last ten years, the NHS has lost 25,000 beds across the UK resulting in ‘unsafe’ bed occupancy levels, according to the Royal College of Emergency Medicine. The College said that 13,000 staffed beds are required across the NHS to ensure significant improvement in A&E waiting times, response times and a return to safe […]


More than 4m practice appointments missed this year

More than 4 million general practice appointments have been missed this year, with patients being urged to inform their practice if they expect not to attend their consultation. According to data published by NHS Digital, nearly 4.5 million appointments were left unattended between January and April this year, with 1.04 million skipped in April alone. […]


Targets to reduce outpatient numbers ‘risk’ exacerbating GP pressure, NHS England admits

NHS England has admitted that its policy to reduce outpatient appointments risks putting ‘added pressure on primary care’. Under national targets for 2022/23, trusts have been asked to reduce outpatient follow-ups and expand the uptake of patient initiated follow-up (PIFU) – where patients are given appointments when they request them rather than at routine intervals […]


NHSE blocks support to practices missing childhood immunisations targets

NHS England has blocked local support to practices unable to reach childhood immunisations targets, it has been revealed. Last month, Pulse revealed that practices were set to lose tens of thousands in income from child immunisations due to stricter targets, including one practice set to lose £66,000. But in an email to local primary care […]