https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517638/lessons/2835524
Getting to the GP practice is something many people take for granted — but for some patients, transport and accessibility challenges are a major barrier to receiving timely care. Whether it’s mobility difficulties, disability, financial limitations, or lack of transport services, these barriers can delay treatment, increase health risks, and lead to widening health inequalities.
General practice plays a crucial role in identifying and addressing these challenges to ensure equity of access for all.
Why This Audit Was Created
This week’s audit focuses on Patient Transport and Accessibility Support, in line with the following CQC regulations:
- Regulation 9: Person-centred care
- Regulation 12: Safe care and treatment
- Regulation 17: Good governance
And the linked CQC “We” statements:
- Equity in access (Responsive)
- Treating people as individuals (Caring)
- Involving people to manage risks (Safe)
The audit helps practices review whether transport and accessibility needs are identified, whether support is offered, and whether governance processes are in place to monitor equity of access.
Why It Matters
- Equity of care: Patients without reliable transport are at risk of poorer health outcomes and missed appointments.
- Inclusion: Recognising and responding to transport and accessibility needs ensures no patient is left behind.
- Trust and confidence: Patients feel reassured when practices acknowledge and act on practical barriers to care.
- CQC assurance: Demonstrating proactive support for accessibility provides strong evidence of person-centred, safe, and responsive care.
What Good Practice Looks Like
- Identifying transport and accessibility needs at registration and regular reviews.
- Offering signposting to NHS or local authority patient transport schemes.
- Providing home visits or remote consultations for those unable to attend in person.
- Ensuring information is clearly communicated in accessible formats (website, leaflets, noticeboards).
- Reviewing accessibility issues in governance meetings and patient participation groups.
Final Thoughts
Transport and accessibility are often overlooked — but they are fundamental to equitable care. By embedding this audit, practices can ensure that:
- Patients with additional needs are identified early.
- Support and alternatives are consistently offered.
- Feedback is captured and used to improve access.
This not only strengthens compliance with regulations but also demonstrates a genuine commitment to fairness, inclusion, and patient-centred care.
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