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# Enhanced Primary Care

Understanding, Supportive and Solution Focused

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## Posts

- [Blog](https://enhancedprimarycare.co.uk/blog/)
- [HPV self-testing has launched: what your practice might be asked about](https://enhancedprimarycare.co.uk/2026/09/08/hpv-self-testing-has-launched-what-your-practice-might-be-asked-about/) - HPV self-testing has launched through the NHS Cervical Screening Programme, giving an additional option to women aged 30 to 65 who haven't attended cervical screening after previous routine invitations. The offer is invitation-only and is being rolled out in phases, so not every eligible patient will see it straight away. Those who are invited can
- [Prescribing Mounjaro? The wraparound care referral isn't optional](https://enhancedprimarycare.co.uk/2026/09/03/prescribing-mounjaro-the-wraparound-care-referral-isnt-optional/) - As the phased rollout of tirzepatide (Mounjaro) for weight management continues in primary care, it's worth being clear on what the prescription is meant to sit alongside — because it isn't meant to stand alone. Wraparound care is a required part of the pathway, not an optional extra. The prescriber delivering clinical support should ensure
- [NEW: The Harmony CQC Confidence Scorecard](https://enhancedprimarycare.co.uk/2026/08/27/new-the-harmony-cqc-confidence-scorecard/) - Feeling good is not the same as knowing good. Most practices feel like they're doing fine. That feeling isn't proof. When we ran a live self-assessment at our May webinar, 224 practice managers rated their own evidence against the 10 quality statements CQC assess in a Returning to Good inspection — green if they knew
- [248 CQC Reports Later: The Practice That Slipped — Again](https://enhancedprimarycare.co.uk/2026/08/26/248-cqc-reports-later-the-practice-that-slipped-again/) - In May, we had 14 published Returning to Good reports to learn from. In July, that was 126. Today, it's 248. That's not a small dataset any more. It's a pattern. And this update is about what that pattern is telling general practice. The headline still holds Of the original 126 Returning to Good reports,
- [GPSS staff list submission: deadline is 1 September](https://enhancedprimarycare.co.uk/2026/08/25/gpss-staff-list-submission-deadline-is-1-september/) - The deadline for submitting staff lists for the 2026 General Practice Staff Survey (GPSS) is 1 September 2026. This isn't optional: GP practices and PCNs delivering primary medical care services under NHS contracts are required to submit staff details as part of the 2026/27 GP contract requirements. The survey itself doesn't run until later -
- [New UTI awareness resources for your waiting room](https://enhancedprimarycare.co.uk/2026/09/01/new-uti-awareness-resources-for-your-waiting-room/) - Urinary tract infections (UTIs) are a common health concern and a significant driver of NHS demand. In 2023/24, UTIs were responsible for 1.2 million bed days, and over half of E. coli bloodstream infections began as urinary infections. To support earlier identification and prevention, NHS England and UKHSA have put together a communications toolkit and
- [PPE and FIT testing: who's responsible for what in your practice](https://enhancedprimarycare.co.uk/2026/08/28/ppe-and-fit-testing-whos-responsible-for-what-in-your-practice/) - The National infection prevention and control manual (NIPCM) for England is the evidence-based practice manual that applies as mandatory guidance in NHS settings, and in any setting where NHS services are delivered — general practice included. Alongside it, the responsibilities for personal protective equipment (PPE) and FIT testing are worth checking against what's actually happening in your
- [New neighbourhood provider contracts: have your say before 10 September](https://enhancedprimarycare.co.uk/2026/08/26/new-neighbourhood-provider-contracts-have-your-say-before-10-september/) - NHS England has opened a consultation testing proposals for two new contracts — for single neighbourhood providers (SNP) and multi-neighbourhood providers (MNP). The aim is to make it easier for local teams to commission neighbourhood health services, and it's open for responses until 10 September 2026. This matters for general practice because these are the contract models
- [Seasonal vaccinations provider guide for autumn/winter 26/27 is now available](https://enhancedprimarycare.co.uk/2026/08/24/seasonal-vaccinations-provider-guide-for-autumn-winter-26-27-is-now-available/) - The provider guide for the autumn/winter 26/27 seasonal vaccinations programme has been published on FutureNHS. It brings together the key operational information providers need to deliver the adult flu, COVID-19 and children's flu programmes this season. All participating providers should review the guide and make sure their team is familiar with the sections relevant to
- [1,000 members, and a white paper on what's really behind CQC ratings slipping](https://enhancedprimarycare.co.uk/2026/08/05/1000-members-and-a-white-paper-on-whats-really-behind-cqc-ratings-slipping/) - The Harmony CQC community has just welcomed its 1,000th member. It started as a small group of practice managers comparing notes on the one letter that frightens every practice — the CQC inspection notice — and has grown into the place hundreds of practices now turn to when that letter lands. To mark the milestone,
- [Your August CQC Update: What 126 Returning to Good Inspection Reports Reveal About Preparing for Your Next CQC Assessment](https://enhancedprimarycare.co.uk/2026/08/05/your-august-cqc-update-what-126-returning-to-good-inspection-reports-reveal-about-preparing-for-your-next-cqc-assessment/) - The Care Quality Commission (CQC) continues to publish Returning to Good inspection reports, providing valuable insight into how practices are performing under the new Single Assessment Framework. At Harmony CQC, we’ve analysed all 126 focused Returning to Good assessments published between February and June 2026, and the findings provide one of the clearest pictures yet of what
- [Introducing the Rapid Implementation Day: Bring It to Your Area, and Your Place Is Free](https://enhancedprimarycare.co.uk/2026/08/07/introducing-the-rapid-implementation-day-bring-it-to-your-area-and-your-place-is-free/) - Every GP practice knows the same quiet worry: you think you're doing fine, right up until the inspection tells you otherwise. That's the pattern behind almost every practice we work with. The care is rarely the problem — the proof is. Being able to show what you already know to be true is where most
- [Same-day appointments for clinically urgent patients: what practices need to know](https://enhancedprimarycare.co.uk/2026/08/02/same-day-appointments-for-clinically-urgent-patients-what-practices-need-to-know/) - The 2026/27 general practice contract requires that any request identified as clinically urgent — as determined by the GP practice — must be dealt with on the same day. The requirement is designed to support timely access to care where a delay could result in harm or deterioration for the patient. For practices, this brings
- [Winter 2026/27: what general practice needs to know now](https://enhancedprimarycare.co.uk/2026/07/27/winter-2026-27-what-general-practice-needs-to-know-now/) - NHS England has published a letter setting out the national approach to winter 2026/27, spelling out the actions every part of the NHS — and local government — needs to take to prepare. Two dates matter most for practices. Draft winter plans have to be completed by the end of August 2026, and those plans will
- [New NHS Leadership and Management Framework Launched – What It Means for General Practice](https://enhancedprimarycare.co.uk/2026/08/17/new-nhs-leadership-and-management-framework-launched-what-it-means-for-general-practice/) - The NHS has launched a new Leadership and Management Framework, setting out clear, consistent and professional standards for leaders and managers across the health service – including those working in general practice. The framework applies to both clinical and non-clinical leaders and is designed to support the development of leadership capability across all areas of the NHS. It
- [One Week to Go: What 126 CQC Inspection Reports Can Teach You Before Your Next Assessment](https://enhancedprimarycare.co.uk/2026/08/19/one-week-to-go-what-126-cqc-inspection-reports-can-teach-you-before-your-next-assessment/) - In just one week’s time, we’ll be hosting our free webinar, Your August CQC Update: 126 Inspections Decoded – The One Practice That Slipped and Why It Matters to You. If your practice is currently rated Good or Outstanding, and your last inspection took place between 2017 and 2022, this webinar has been designed specifically for you. We’ve analysed every focused
- [The Tiny Mistake That Cost a GP Practice Thousands of Pounds](https://enhancedprimarycare.co.uk/2026/08/10/the-tiny-mistake-that-cost-a-gp-practice-thousands-of-pounds/) - Every autumn, practices across England work tirelessly to deliver the seasonal influenza vaccination programme. It’s one of the busiest times of the year, requiring careful planning, additional clinics and a huge team effort. But in 2021, one GP practice made a tiny administrative mistake that had a major financial impact. The practice delivered its influenza
- [Expect an Increase in MMR Vaccination Enquiries This Summer](https://enhancedprimarycare.co.uk/2026/07/15/expect-an-increase-in-mmr-vaccination-enquiries-this-summer/) - GP practices may notice an increase in calls from parents and carers over the coming weeks as NHS England launches its 2026/27 national MMR/V catch-up campaign. As part of the annual national vaccinations and immunisations campaign, NHS England is focusing this year’s programme on measles, mumps, rubella and varicella (MMR/V) vaccination, following recent measles outbreaks and the
- [New Type 2 Diabetes Local Data Packs Published to Support Primary Care Improvement](https://enhancedprimarycare.co.uk/2026/08/19/new-type-2-diabetes-local-data-packs-published-to-support-primary-care-improvement/) - NHS England has published its 2024/25 Type 2 Diabetes Local Data Packs, providing practices and Primary Care Networks (PCNs) with valuable insight into local population need, diabetes prevalence and care delivery. The packs are designed to help primary care teams identify variation, target quality improvement activity and plan services more effectively to improve outcomes for people
- [Levemir insulin discontinuation: time to identify affected patients](https://enhancedprimarycare.co.uk/2026/08/20/levemir-insulin-discontinuation-time-to-identify-affected-patients/) - General practice teams are reminded that Levemir® (insulin detemir) is being discontinued, with existing stock expected to be exhausted by the end of December 2026. If you have not already done so, now is a good opportunity to begin identifying patients who are still prescribed Levemir and ensure they have a documented plan to transition
- [Why The Simple Path Works: Real Progress Happens One Small Step at a Time](https://enhancedprimarycare.co.uk/2026/07/30/why-the-simple-path-works-real-progress-happens-one-small-step-at-a-time/) - If you’ve ever looked at improving compliance in your practice and thought… “Where do I even start?” You’re not alone. It’s one of the biggest challenges we see when practices begin their compliance journey. Not because people don’t care, or because they aren’t capable, but because they’re trying to take in everything at once. Policies.
- [New podcast explores online access to general practice](https://enhancedprimarycare.co.uk/2026/07/22/new-podcast-explores-online-access-to-general-practice/) - NHS England has released a new episode of the Transforming Primary Care podcast, exploring how online access is changing the way general practice delivers care. Recorded in March 2026, the episode brings together a panel of GPs and Practice Managers, chaired by Mary Hudson, Deputy Director for Primary Care Transformation and Improvement at NHS England,
- [National Neighbourhood Health Community of Practice Webinar Brings Together Best Practice from Across England](https://enhancedprimarycare.co.uk/2026/07/16/national-neighbourhood-health-community-of-practice-webinar-brings-together-best-practice-from-across-england/) - NHS England recently hosted its latest Community of Practice webinar as part of the National Neighbourhood Health Implementation Programme, bringing together primary care, system leaders and healthcare professionals to share learning on neighbourhood health. The session focused on how neighbourhood health is being delivered alongside a range of NHS England improvement programmes, highlighting practical examples
- [Using Healthcare Assistants for flu this year? The consent step has changed](https://enhancedprimarycare.co.uk/2026/07/21/using-healthcare-assistants-for-flu-this-year-the-consent-step-has-changed/) - If you use Healthcare Assistants (HCAs) to help deliver flu, there’s a fair chance you’ll run this year’s clinics much the way you ran last year’s. Nothing on the ground looks any different, so why wouldn’t you? But something has quietly changed, and it’s easy to miss: the guidance on consent has been made explicit — and
- [2026 GP Patient Survey results published this week](https://enhancedprimarycare.co.uk/2026/07/07/2026-gp-patient-survey-results-published-this-week/) - The 2026 GP Patient Survey results will be published at 9.30am on Thursday 9 July. Commissioned by NHS England and delivered by Ipsos, the survey is one of the most widely used sources of patient feedback on primary care. It provides valuable insights into patients’ experiences of general practice, community pharmacy and NHS dental services,
- [Group Clinics: Why This NHS Webinar Is Worth a Look](https://enhancedprimarycare.co.uk/2026/07/08/group-clinics-why-this-nhs-webinar-is-worth-a-look/) - Group clinics continue to gain momentum across the NHS, and it’s easy to see why. As general practice balances increasing demand with limited capacity, practices are constantly looking for new ways to deliver high-quality care without simply adding more appointments to already full diaries. Group clinics are increasingly being recognised as one way to achieve
- [A Year In: What Three Workshops Taught Me About the Work I Was Meant to Do](https://enhancedprimarycare.co.uk/2026/07/14/a-year-in-what-three-workshops-taught-me-about-the-work-i-was-meant-to-do/) - Daniel Vincent · Harmony CQC · July 2026 At about half past ten last Monday morning, I watched a number go down — and it was one of the most encouraging things I've seen all year. Let me explain. At the start of every Inspection Readiness Audit Workshop, I ask the room to score their
- ["Partners All Red": What Mandatory Training Is Actually For](https://enhancedprimarycare.co.uk/2026/08/18/partners-all-red-what-mandatory-training-is-actually-for/) - Daniel Vincent · Harmony CQC · July 2026 At our most recent Inspection Readiness Audit Workshop, twenty-five practices pulled up their live mandatory training figures and RAG-rated them against what an inspector would expect to see. Four rated green. And into the anonymous free-text box, three separate practices — independently, within minutes of each other
- [Same-Day Appointments for Clinically Urgent Patients: What General Practice Needs to Know in 2026/27](https://enhancedprimarycare.co.uk/2026/08/13/same-day-appointments-for-clinically-urgent-patients-what-general-practice-needs-to-know-in-2026-27/) - The 2026/27 General Practice Contract introduces a new requirement that all requests identified as clinically urgent must be dealt with on the same day. While many practices already prioritise urgent clinical need, the contractual requirement places additional emphasis on ensuring that urgent requests are identified, managed appropriately, and recorded consistently. What Does the Requirement Mean?
- [Missed the webinar? Using group clinics to support weight management and GLP-1 care](https://enhancedprimarycare.co.uk/2026/08/12/missed-the-webinar-using-group-clinics-to-support-weight-management-and-glp-1-care/) - Weight management continues to be a major priority across primary care, with practices increasingly looking at how they can support patients beyond traditional one-to-one appointments. Experience Led Commissioning (ELC) recently hosted a lunch and learn webinar exploring how primary care teams are using group clinics within weight management pathways, including providing wraparound clinical care for patients
- [New Green Social Prescribing Guidance Published: What GP Practices Need to Know](https://enhancedprimarycare.co.uk/2026/06/25/new-green-social-prescribing-guidance-published-what-gp-practices-need-to-know/) - The National Academy for Social Prescribing (NASP) has launched new Green Social Prescribing Practitioner Guidance, providing practical support for organisations delivering nature-based activities that improve health and wellbeing. Developed in partnership with Thrive and the cross-government Green Social Prescribing Programme, the guidance is designed to help providers deliver safe, effective and impactful green social prescribing interventions. What is
- [Fully Funded Nye Bevan Places Available for Senior Clinical Leaders in Primary Care](https://enhancedprimarycare.co.uk/2026/06/23/fully-funded-nye-bevan-places-available-for-senior-clinical-leaders-in-primary-care/) - Senior clinical leadership in primary care has never been more important. As general practice continues to operate within increasingly complex local systems, there is a growing need for confident, strategic leaders who can influence beyond their own organisation and contribute to wider system improvement. A one-off opportunity is now available for registered clinical healthcare professionals
- [Flu Programme Update: Homeless Patients Now Included](https://enhancedprimarycare.co.uk/2026/08/11/flu-programme-update-homeless-patients-now-included/) - A small but important change to the 2026/27 flu programme that practices shouldn’t overlook. NHS England has confirmed that, from 1 October 2026, people experiencing homelessness aged 16 and over will be eligible for an NHS flu vaccination following advice from the Joint Committee on Vaccination and Immunisation (JCVI). For most practices, the immediate question is: How do we identify
- [From Crisis to Confidence: One Practice’s Journey Through CQC](https://enhancedprimarycare.co.uk/2026/07/02/from-crisis-to-confidence-one-practices-journey-through-cqc/) - When Spring Gardens Group Medical Practice found itself with a practice manager vacancy, a data breach, and inaccessible governance documents, the news that CQC was inspecting in Worcester felt like a nightmare waiting to happen. Here’s how they turned one of the most stressful years of their careers into a strong Good rating and a
- [What Is the Simple Path? A Practical Framework for CQC Readiness](https://enhancedprimarycare.co.uk/2026/08/06/what-is-the-simple-path-a-practical-framework-for-cqc-readiness/) - Most practices know they need stronger governance. The challenge is knowing where to start. That’s why we developed the Simple Path. Why Traditional Governance Often Fails Many governance systems become complicated over time. New audits are added. New trackers are created. New spreadsheets appear. New responsibilities are assigned. Eventually, the system becomes so complex that
- [The Real Reason Practice Managers Lose Sleep Before a CQC Inspection](https://enhancedprimarycare.co.uk/2026/07/28/the-real-reason-practice-managers-lose-sleep-before-a-cqc-inspection/) - Most practice managers don’t lose sleep because they’re worried about patient care. They lose sleep because they’re worried about evidence. Deep down, most leaders know their teams are working hard and delivering good care. The challenge is proving it. The Difference Between Knowing and Demonstrating When inspectors arrive, they don’t simply ask whether a system
- [53 Out of 53 Practices Retained Good. So Why Worry About Governance?](https://enhancedprimarycare.co.uk/2026/07/23/53-out-of-53-practices-retained-good-so-why-worry-about-governance/) - The latest Returning to Good and Outstanding inspection reports contain an interesting statistic. So far, 53 reports have been published. All 53 practices retained their overall Good rating. At first glance, that sounds like great news for general practice. It also raises a fair question: If practices are retaining Good, why should we invest time
- [General Practice PSIRF Programme Opens: An Opportunity to Get Ahead on Patient Safety](https://enhancedprimarycare.co.uk/2026/06/26/general-practice-psirf-programme-opens-an-opportunity-to-get-ahead-on-patient-safety/) - Patient safety continues to be one of the most important priorities for general practice, and a new national programme offers practices the opportunity to strengthen their approach while helping shape the future of patient safety across primary care. Registrations are now open for the General Practice Patient Safety Incident Response Framework (PSIRF) Programme, running from July 2026
- [NHS Bowel Cancer Screening Goes Digital: What GP Practices Need to Know](https://enhancedprimarycare.co.uk/2026/08/03/nhs-bowel-cancer-screening-goes-digital-what-gp-practices-need-to-know/) - The NHS Bowel Cancer Screening Programme has now completed the national rollout of digital pre-invitations across England for eligible participants who have previously taken part in bowel cancer screening. The move is part of the NHS’s wider digital-first approach to communication and is already having a significant impact. One Million Digital Invitations Sent Since August
- [Primary Care Nursing in the Spotlight: New NHS Podcast Explores the Future of the Profession](https://enhancedprimarycare.co.uk/2026/06/24/primary-care-nursing-in-the-spotlight-new-nhs-podcast-explores-the-future-of-the-profession/) - Primary care nurses play a vital role in delivering high-quality care across general practice. Combining clinical expertise with a deep understanding of the communities they serve, they are often at the heart of preventive care, long-term condition management, health promotion and patient support. To mark International Nurses Day, NHS England’s North East and Yorkshire region
- [NHS App Proxy Access Webinar Recording Now Available](https://enhancedprimarycare.co.uk/2026/06/22/nhs-app-proxy-access-webinar-recording-now-available/) - GP practices that are looking to strengthen support for carers and improve access to digital services may be interested in a recently recorded webinar from the NHS App team on proxy access (also known as Manage Health Services for Others). Proxy access enables individuals to securely access and manage healthcare services on behalf of someone they care for,
- [53 CQC Inspection Reports Analysed: What Practices Need to Know](https://enhancedprimarycare.co.uk/2026/06/12/53-cqc-inspection-reports-analysed-what-practices-need-to-know/) - The latest Harmony CQC webinar is now live inside the Free Harmony CQC Community. Join the Harmony CQC Free Community Here During this session, Daniel Vincent shared the latest intelligence from 53 published Returning to Good inspection reports, providing one of the clearest pictures yet of what CQC inspections look like in 2026. The Most
- [Turning Policies into Practice: Making Governance Real](https://enhancedprimarycare.co.uk/2026/06/18/turning-policies-into-practice-making-governance-real/) - Like many practices, Birchwood Medical Practice had policies, procedures and protocols stored on TeamNet. The challenge wasn’t whether the documents existed — it was whether they were actively being used, understood and evidenced in day-to-day practice. One of the most powerful examples came from a routine fire drill. Historically, a fire drill may have been
- [Better visibility of repeat medicines in the NHS App](https://enhancedprimarycare.co.uk/2026/06/10/better-visibility-of-repeat-medicines-in-the-nhs-app/) - An update to the NHS App prescriptions feature is helping improve how patients view and manage their repeat medicines — reducing confusion for patients and helping practices cut down on unnecessary prescription queries. Previously, patients could only see repeat medicines that were currently available to order in the NHS App. This often led to confusion when medicines
- [From Policy on a Shelf to Policy in Practice: How Wayne Used Concordia AI to Rethink Mandatory Training](https://enhancedprimarycare.co.uk/2026/06/11/from-policy-on-a-shelf-to-policy-in-practice-how-wayne-used-concordia-ai-to-rethink-mandatory-training/) - Many practices have policies sitting on TeamNet or shared drives that have been downloaded, adapted and reviewed over the years. They exist because they have to exist. The challenge is turning those documents into something that genuinely helps teams understand what they need to do and why. That’s exactly the challenge Wayne set out to
- [NHS Cervical Screening Programme: Digital-First Invitations – What Practices Need to Know](https://enhancedprimarycare.co.uk/2026/06/09/nhs-cervical-screening-programme-digital-first-invitations-what-practices-need-to-know/) - General practices should be aware of an important update to the NHS Cervical Screening Programme following the rollout of digital-first communications for cervical screening invitations and reminders. The NHS has now confirmed that 9 out of 10 cervical screening invitations are being delivered digitally, either through the NHS App or by SMS message, rather than
- [Type 2 Diabetes Prevention Week: A Good Time to Review Your Diabetes Pathway](https://enhancedprimarycare.co.uk/2026/05/22/type-2-diabetes-prevention-week-a-good-time-to-review-your-diabetes-pathway/) - Type 2 Diabetes Prevention Week takes place from 25–31 May, providing a timely opportunity for practices to review how they are identifying, supporting and managing patients at risk of developing type 2 diabetes. The NHS Healthier You Diabetes Prevention Programme has already helped prevent thousands of new diagnoses across England by supporting people to make sustainable lifestyle
- [Andes Virus (Hantavirus) IPC Update — A Useful Governance Check-In for Practices](https://enhancedprimarycare.co.uk/2026/06/04/andes-virus-hantavirus-ipc-update-a-useful-governance-check-in-for-practices/) - UKHSA has published new infection prevention and control (IPC) guidance for healthcare settings following confirmation of an outbreak of Andes virus (ANDV), a species of hantavirus. The guidance outlines: Case definitions IPC measures for asymptomatic contacts, suspected cases and confirmed cases Advice for primary care, community and outpatient settings Risk assessment considerations Links to clinical pathway
- [Primary Care Networks: Local Variations to the Network Contract DES – What It Could Mean for Practices](https://enhancedprimarycare.co.uk/2026/05/26/primary-care-networks-local-variations-to-the-network-contract-des-what-it-could-mean-for-practices/) - NHS England has published a variation to the Network Contract Directed Enhanced Service (DES) Specification 2026/27 and Part B guidance, effective from 1 May 2026. The update allows Integrated Care Boards (ICBs) to request local variations to the Network Contract DES, creating greater flexibility to tailor arrangements to local circumstances where existing contractual routes may not be sufficient.
- [Cyber incident workshop: strengthening patient care and business continuity in general practice](https://enhancedprimarycare.co.uk/2026/05/25/cyber-incident-workshop-strengthening-patient-care-and-business-continuity-in-general-practice/) - Cyber disruption remains a growing risk across primary care, with incidents affecting access to clinical systems, prescribing, appointments and communication channels. NHS England is encouraging practices to strengthen their preparedness through a practical cybersecurity workshop taking place on 4 June 2026, from 11am to 12.30pm. The workshop is specifically designed for primary care teams and focuses
- [Don’t Miss This Opportunity to Learn More About Early Diagnosis of Pancreatic Cancer](https://enhancedprimarycare.co.uk/2026/05/21/dont-miss-this-opportunity-to-learn-more-about-early-diagnosis-of-pancreatic-cancer/) - We don’t want our clinical colleagues to miss this excellent opportunity to learn more about the early diagnosis of pancreatic cancer and strengthen confidence in recognising potential red flags in primary care. GatewayC’s free, CPD-accredited webinar, Early diagnosis of pancreatic cancer – recognising red flags with confidence, takes place on 10 June from 12.30–1.15pm and features expert
- [This NHS Dispute Could Have Been Avoided](https://enhancedprimarycare.co.uk/2026/05/15/this-nhs-dispute-could-have-been-avoided/) - A recent case handled through NHS Resolution highlighted how a missed administrative process led to a practice being unable to submit a claim within the required deadline — ultimately resulting in a permanent loss of income. In this instance, the task was dependent on a single individual. Due to absence (such as annual leave or
- [Practice level GP reimbursement scheme confirmed in updated SFE – important restrictions practices need to know](https://enhancedprimarycare.co.uk/2026/05/13/practice-level-gp-reimbursement-scheme-confirmed-in-updated-sfe-important-restrictions-practices-need-to-know/) - NHS England has now published amendments to the GMS Statement of Financial Entitlements (SFE), confirming the detail behind the new practice level GP reimbursement scheme for 2026/27. The amendments, published on 1 May 2026, also update reimbursement payments for cover for absent GPs in line with the 2026/27 DDRB recommendations, which the Government accepted in
- [Discontinuation of Levemir: Why Practices Need to Act Now](https://enhancedprimarycare.co.uk/2026/05/22/discontinuation-of-levemir-why-practices-need-to-act-now/) - The Department of Health and Social Care (DHSC) has issued an updated Medicines Supply Notification (MSN) regarding the discontinuation of Levemir products, following the original notification published in August 2025. With remaining stock expected to be exhausted by December 2026, practices are being urged to take early action to avoid patient safety risks and last-minute operational
- [Celebrating International Nurses Day 2026!](https://enhancedprimarycare.co.uk/2026/05/12/celebrating-international-nurses-day-2026/) - Today, on International Nurses Day, we take a moment to recognise and celebrate the incredible contribution nurses, nursing associates, and nursing students make to people’s lives every single day. Across primary care and throughout our communities, nursing colleagues provide compassionate care, expert knowledge, reassurance, advocacy, and support at some of the most important moments in
- [Specialist advice and elective single point of access (SPoA) - what this means for your practice](https://enhancedprimarycare.co.uk/2026/05/18/specialist-advice-and-elective-single-point-of-access-spoa-what-this-means-for-your-practice/) - NHS England is introducing a more structured approach to accessing specialist care through a single point of access (SPoA). Click below: Link to SPoA InfoGraphic In simple terms, instead of referrals going to multiple places, they are directed through one central route. This allows specialists to review requests earlier and provide advice, guidance, or direct
- [🌟 Celebrating Primary Care Excellence in the NHS Excellence Awards 2026 🌟](https://enhancedprimarycare.co.uk/2026/05/14/🌟-celebrating-primary-care-excellence-in-the-nhs-excellence-awards-2026-🌟/) - What an incredible moment to recognise the impact of primary care teams across the country 👏 The NHS Excellence Awards 2026 have highlighted the very best of health and care — and it’s fantastic to see primary care so strongly represented among the regional champions. These awards shine a light on the innovation, leadership and dedication happening
- [Freedom to Speak Up: What GP Practices Need to Know — and How to Strengthen Your Approach](https://enhancedprimarycare.co.uk/2026/05/20/freedom-to-speak-up-what-gp-practices-need-to-know-and-how-to-strengthen-your-approach/) - From 1 July, there will be an important shift in how Freedom to Speak Up (FTSU) is supported across the NHS. NHS England will take on responsibilities previously held by the National Guardian’s Office (NGO), which is due to close in June following the Dash review into patient safety. For GP partners and practice managers,
- [New HCPC Resources to Support Advanced Practice in General Practice](https://enhancedprimarycare.co.uk/2026/05/12/new-hcpc-resources-to-support-advanced-practice-in-general-practice/) - There are new resources available from the Health and Care Professions Council (HCPC) designed to support those working at advanced levels of practice — particularly relevant for teams within general practice. Why this matters for your practice As general practice continues to evolve, many teams are now working within multidisciplinary models, with clinicians operating at increasingly
- [Responding to Prevention of Future Deaths Reports: Addison’s Disease](https://enhancedprimarycare.co.uk/2026/05/07/responding-to-prevention-of-future-deaths-reports-addisons-disease/) - Recent Prevention of Future Deaths reports have highlighted an important issue: patients with Addison’s disease are not always carrying their Steroid Emergency Card. These cards are essential. In an emergency, they inform healthcare professionals that steroid treatment must not be stopped, particularly if a patient is unable to communicate. For general practice teams, the challenge isn’t
- [Universal Credit Changes: What GP Practices Need to Know](https://enhancedprimarycare.co.uk/2026/04/29/universal-credit-changes-what-gp-practices-need-to-know/) - From 6 April 2026, the Department for Work and Pensions (DWP) introduced changes to Universal Credit. A key part of this is the introduction of the Severe Conditions Criteria, designed to identify patients with the most severe, lifelong conditions who are unlikely to improve or return to work. For practices, the important takeaway is simple: You
- [The May Compliance Reference Tool Is Now Live](https://enhancedprimarycare.co.uk/2026/05/04/the-may-compliance-reference-tool-is-now-live/) - We’re pleased to share that the May edition of the Compliance Reference Tool is now available inside the Harmony CQC Community. Each month, the tool continues to evolve - helping practices bring their governance, audits, and evidence together in a way that feels structured, manageable, and aligned with CQC expectations. If you’re looking to stay
- [The April Compliance Reference Tool Is Now Live](https://enhancedprimarycare.co.uk/2026/04/02/the-april-compliance-reference-tool-is-now-live/) - We’re pleased to announce that the April edition of the Compliance Reference Tool is now available inside the Harmony CQC Community. Each month we update the tool to ensure practices are working from the most current version of the compliance matrix, with the latest audits added and mapped to help support strong governance and build
- [MMR Vaccinations for Practice Staff: A Time-Limited Opportunity You Shouldn’t Miss](https://enhancedprimarycare.co.uk/2026/03/26/mmr-vaccinations-for-practice-staff-a-time-limited-opportunity-you-shouldnt-miss/) - With recent measles outbreaks, a temporary but significant opportunity has opened for GP practices - one that supports both patient safety and stronger CQC compliance. From 1 April 2026 to 30 September 2026, GP practices can administer MMR vaccinations to eligible staff registered at another practice under Immediately Necessary Treatment (INT) arrangements. This isn’t just
- [What Does CQC Confidence Really Mean in Practice?](https://enhancedprimarycare.co.uk/2026/03/24/what-does-cqc-confidence-really-mean-in-practice/) - When we talk about CQC confidence, it can sometimes feel like a broad or abstract concept. So, we recently asked our Harmony CQC community a simple but powerful question: “What does CQC Confidence mean to you?” One response that truly stood out came from Wayne Catchpole, Practice Manager at Birchwood Medical Practice in North Walsham.
- [Assurance vs Evidence: Why Knowing Your Systems Matters More Than You Think](https://enhancedprimarycare.co.uk/2026/04/20/assurance-vs-evidence-why-knowing-your-systems-matters-more-than-you-think/) - When it comes to compliance and inspections, there are two concepts that are often confused - assurance and evidence. Put simply: Assurance is the feeling Evidence is the paperwork Most practices focus heavily on the paperwork - policies, audits, logs, and records. And yes, these are absolutely essential. But here’s the problem: Having the evidence
- [Primary Care Cybersecurity Webinars: Protecting Your Practice from Emerging Threats](https://enhancedprimarycare.co.uk/2026/03/17/primary-care-cybersecurity-webinars-protecting-your-practice-from-emerging-threats/) - Cybersecurity continues to be a growing priority for primary care organisations. With increasing digital systems, patient data, and interconnected services, practices are becoming more attractive targets for cybercrime. Staying informed and taking proactive steps to protect systems and data is essential for maintaining patient trust and ensuring safe, uninterrupted care. To support primary care teams,
- [A Win-Win for Practices: Reliable NHSBSA Processing and Recovering Missed Income](https://enhancedprimarycare.co.uk/2026/03/30/a-win-win-for-practices-reliable-nhsbsa-processing-and-recovering-missed-income/) - At Enhanced Primary Care, we love a win-win scenario, and this is a great example of one. Practices deserve confidence that when they submit prescriptions correctly, they will be paid accurately. At the same time, it’s important to identify where processes might be unintentionally causing practices to miss out on income. That’s where Enhanced Technology comes in.
- [New Guidance on Writing and Sending Messages to Patients Across the NHS](https://enhancedprimarycare.co.uk/2026/03/23/new-guidance-on-writing-and-sending-messages-to-patients-across-the-nhs/) - Clear communication with patients has always been essential in healthcare, but as more services move towards digital communication, the way messages are written and delivered has become even more important. NHS England has recently published new guidance on writing and sending messages to patients and the public, helping teams across the NHS communicate more clearly,
- [New Toolkit Helps Practices Take Action on Health Inequalities](https://enhancedprimarycare.co.uk/2026/03/20/new-toolkit-helps-practices-take-action-on-health-inequalities/) - Health inequalities continue to be one of the biggest challenges facing primary care. While practices often recognise the issue, knowing where to start and how to take practical action can be difficult. The Royal College of General Practitioners (RCGP) has recently launched the Fairer Practice Toolkit, a practical, evidence-informed resource designed to help general practices
- [Just culture: what the CQC really means — and why it matters](https://enhancedprimarycare.co.uk/2026/03/13/just-culture-what-the-cqc-really-means-and-why-it-matters/) - “Just culture” is a phrase we’re hearing more and more from the CQC, particularly in conversations about leadership, openness and confidence. Yet it’s still often misunderstood. A just culture is not about removing accountability. And it’s not a no-blame approach. At its core, a just culture is a way of working where people are treated
- [Strengthening Sexual Safety in the NHS: What Primary Care Providers Need to Know](https://enhancedprimarycare.co.uk/2026/03/06/strengthening-sexual-safety-in-the-nhs-what-primary-care-providers-need-to-know/) - An update on actions to prevent sexual misconduct in the NHS The NHS has recently taken further steps to strengthen protections against sexual misconduct across healthcare settings. Last week, NHS England issued a letter to trusts and Integrated Care Boards (ICBs) outlining new actions for all organisations delivering NHS care. These measures form part of
- [104 Audits: Two Years of Weekly Support for the Harmony CQC Community](https://enhancedprimarycare.co.uk/2026/04/16/104-audits-two-years-of-weekly-support-for-the-harmony-cqc-community/) - We’re proud to share a huge milestone for the Harmony CQC Community: We’ve officially created 104 audits. And here’s why that number matters. If you complete one audit per week, 104 audits gives you two full years of structured auditing support. Two years of clarity. Two years of focus. Two years of consistent, proactive improvement.
- [The March Compliance Reference Tool is Now Live](https://enhancedprimarycare.co.uk/2026/03/02/the-march-compliance-reference-tool-is-now-live/) - We’re excited to announce that the March edition of the Compliance Reference Tool is now available inside the Harmony CQC Inner Circle. Each month, we update the tool to ensure practices are working from the most current, practical, and inspection-ready version of the matrix, and March is no exception. If you’re focused on strengthening governance,
- [100 Audits and Counting: A Major Milestone for Our Harmony CQC Inner Circle Community!](https://enhancedprimarycare.co.uk/2026/03/19/100-audits-and-counting-a-major-milestone-for-our-harmony-cqc-inner-circle-community/) - We’re incredibly proud to share a milestone that means a lot to us — 100 audits created for our Inner Circle Community! What started as a simple commitment to show up consistently, add value, and support growth has now become something much bigger. One hundred audits represents more than a number. It reflects dedication, collaboration,
- [Why Managing Patient Consent Preferences and Advance Decisions Matters in General Practice](https://enhancedprimarycare.co.uk/2026/04/15/why-managing-patient-consent-preferences-and-advance-decisions-matters-in-general-practice/) - Audit download: Management of Patient Consent Preferences and Advance Decisions Audit Consent is not a one-off event, it is an ongoing process that sits at the heart of safe, lawful, and person-centred care. In general practice, patients’ preferences about treatment, information sharing, and future decision-making can change over time and across different circumstances. Managing these
- [Why the Safe Use of Clinical Decision Support Tools and Alerts Matters in General Practice](https://enhancedprimarycare.co.uk/2026/04/08/why-the-safe-use-of-clinical-decision-support-tools-and-alerts-matters-in-general-practice/) - Audit download: Safe Use of Clinical Decision Support Tools and Alerts Audit Clinical decision support tools and alerts are now embedded in everyday general practice. From prescribing prompts and drug interaction warnings to monitoring reminders and safeguarding alerts, digital systems play a major role in shaping clinical decisions. When these tools work well, they support
- [Why Identifying and Supporting Unpaid Carers Matters in General Practice](https://enhancedprimarycare.co.uk/2026/04/01/why-identifying-and-supporting-unpaid-carers-matters-in-general-practice/) - Audit download: Identification and Support of Unpaid Carers Audit Unpaid carers are a vital but often invisible part of the health and care system. Many support partners, parents, children, or friends with long-term conditions, disability, mental illness, or frailty - often alongside work, parenting, and their own health needs. In general practice, carers may attend
- [Tick Boxes Are Dead. Long Live Risk Management.](https://enhancedprimarycare.co.uk/2026/02/17/tick-boxes-are-dead-long-live-risk-management/) - If your fire safety “audit” is a laminated checklist with a few signatures at the bottom, you’re not ready for CQC in 2026. Because the CQC aren’t tick-box inspectors anymore. They are risk management regulators. Yes, they still expect you to have a fire risk assessment. But that’s not the test. The test is this: Have
- [Celebrating 700 Members In our Harmony CQC Community!](https://enhancedprimarycare.co.uk/2026/02/12/celebrating-700-members-in-our-harmony-cqc-community/) - We recently passed a milestone that genuinely made us pause and smile: our free community has grown to 702 members and it’s continuing to grow faster than we ever expected. What started as a small, focused space for people who care deeply about quality, safety, and meaningful improvement in general practice has become a thriving, supportive
- [Rabies Post-Exposure Treatment (PET): Guidance for GP Practices](https://enhancedprimarycare.co.uk/2026/02/24/rabies-post-exposure-treatment-pet-guidance-for-gp-practices/) - Rabies is a rare but extremely serious viral infection. Once symptoms develop, it is almost always fatal. For this reason, timely post-exposure treatment (PET) following a potential rabies exposure is a critical patient safety issue, and general practice has an important role to play. Rabies PET and Essential GP Services GP practices are expected to
- [Updates to the NHS App GP Appointment Booking Experience – and Why Now Is a Great Time to Review Direct Booking](https://enhancedprimarycare.co.uk/2026/02/17/updates-to-the-nhs-app-gp-appointment-booking-experience-and-why-now-is-a-great-time-to-review-direct-booking/) - The NHS App has recently piloted updates to the GP appointment booking feature, with national rollout planned over the coming weeks. These changes are designed to make booking GP appointments simpler, clearer and more accessible for patients, while not disrupting existing ways of working for GP practices. Developed in collaboration with GP surgeries, the updates
- [RSV Vaccination Programme: The February 2026 National Invitation Campaign](https://enhancedprimarycare.co.uk/2026/02/10/rsv-vaccination-programme-the-february-2026-national-invitation-campaign/) - An active national campaign for the RSV vaccination programme is approaching, making this a timely opportunity for practices to ensure their teams are prepared. In the coming weeks, NHS England will launch a national RSV invitation campaign aimed at increasing uptake among eligible older adults who remain unvaccinated. As with previous national vaccination campaigns, this
- [Why Monitoring and Acting on Health Inequalities Matters in General Practice](https://enhancedprimarycare.co.uk/2026/03/25/why-monitoring-and-acting-on-health-inequalities-matters-in-general-practice/) - Download the Audit here: Monitoring and Acting on Health Inequalities Audit Health inequalities are not abstract policy concepts, they are visible every day in general practice. Differences in access, experience, and outcomes are shaped by factors such as deprivation, disability, language barriers, digital exclusion, mental health, and long-term conditions. General practice sits at the front
- [Why Cognitive Load, Interruptions, and Task Switching Matter in General Practice](https://enhancedprimarycare.co.uk/2026/03/18/why-cognitive-load-interruptions-and-task-switching-matter-in-general-practice/) - Download the Audit here: Cognitive Load, Interruptions, and Task Switching Safety Audit General practice is a high-pressure environment. Clinicians and staff are constantly balancing competing demands: consultations, prescriptions, results, triage, phone calls, and urgent interruptions. While this is often accepted as “just part of the job”, it carries a very real patient safety risk. Errors
- [Why a Freedom to Speak Up Culture Matters in General Practice](https://enhancedprimarycare.co.uk/2026/03/11/why-a-freedom-to-speak-up-culture-matters-in-general-practice/) - Download the Audit here: Freedom to Speak Up and Raising Concerns Culture Audit In every general practice, the safety and wellbeing of patients depend not only on systems and policies, but on the confidence of staff to speak up when something doesn’t seem right. From clinical errors to workload pressures, safeguarding concerns, or cultural issues,
- [Why Medical Records Storage, Archiving, and Retrieval Matter in General Practice](https://enhancedprimarycare.co.uk/2026/03/04/why-medical-records-storage-archiving-and-retrieval-matter-in-general-practice/) - Download the Audit here: Medical Records Storage, Archiving, and Retrieval Audit Good record keeping is the backbone of safe, effective, and accountable care in general practice. Whether your practice has gone fully digital or still manages a mix of paper and electronic notes, how you store, archive, and retrieve those records says a lot about
- [When Recruitment Fails: What One GP Practice Learned from Using an AI Receptionist](https://enhancedprimarycare.co.uk/2026/01/28/when-recruitment-fails-what-one-gp-practice-learned-from-using-an-ai-receptionist/) - An interview with Bex Cottey, Conisbrough Group Practice – hosted by Daniel Vincent Daniel Vincent: Bex, this story starts with recruitment — or rather, the sudden failure of it. What was happening in your practice at the time? Bex Cottey: We’d had a receptionist off on long-term sickness, and the rest of the team had
- [Thinking of Joining Our Inner Circle?](https://enhancedprimarycare.co.uk/2026/01/27/thinking-of-joining-our-inner-circle/) - If you’ve ever felt like you’re doing everything on your own, figuring things out as you go, searching for clarity, or wishing you had a trusted place to sense-check ideas — you’re not alone. That’s exactly why we created the Inner Circle. A Space Built for Growth, Not Noise The Inner Circle is a supportive
- [Why Managing Clinical System Access and Permissions Matters in General Practice](https://enhancedprimarycare.co.uk/2026/02/25/why-managing-clinical-system-access-and-permissions-matters-in-general-practice/) - Audit: Management of Clinical System Access, Permissions, and User Accounts Audit In today’s digital-first NHS, the safety of care isn’t just about the clinical environment, it’s also about how securely your digital systems are managed. Every member of the practice team relies on access to clinical and administrative systems such as EMIS, SystmOne, Docman, AccuRx, and
- [Important, Not Urgent… Until You Get the Call From the CQC](https://enhancedprimarycare.co.uk/2026/01/15/important-not-urgent-until-you-get-the-call-from-the-cqc/) - If you work in General Practice, you already know this feeling. Your day is dominated by the urgent: Staffing issues Clinical pressures Patient demand System failures you didn’t create but still have to fix These things shout loudly. They demand attention now. And because of that, they get done. Then there’s everything else. The important
- [Why Safe Management of Patient Photographs and Clinical Images Matters in General Practice](https://enhancedprimarycare.co.uk/2026/02/11/why-safe-management-of-patient-photographs-and-clinical-images-matters-in-general-practice/) - Audit: Management of Patient Photographs and Clinical Images Audit The use of clinical photographs in general practice has grown rapidly, from wound care documentation to remote consultations and patient-submitted images via online platforms. While these photos are invaluable for diagnosis, monitoring, and continuity of care, they also carry significant responsibilities around consent, privacy, and data
- [Chaperones Need a DBS in General Practice… or Do They?](https://enhancedprimarycare.co.uk/2026/01/09/chaperones-need-a-dbs-in-general-practice-or-do-they/) - Ask whether a receptionist acting as a chaperone needs a DBS check and you’ll get confident and conflicting answers. Some will insist on an Enhanced DBS. Others will argue that the NHS Employers DBS tool doesn’t support a DBS at all. Both can point to guidance to support their view. So what’s the truth? This isn’t
- [Why Continuity of Care and Named GP Accountability Matter in General Practice](https://enhancedprimarycare.co.uk/2026/02/04/why-continuity-of-care-and-named-gp-accountability-matter-in-general-practice/) - Link to Audit: Continuity of Care and Named GP Accountability Audit Continuity of care has always been at the heart of general practice, it’s what makes primary care personal, trusted, and effective. But as practices grow, teams expand, and patient demand increases, maintaining that sense of connection and responsibility becomes a real governance challenge. CQC
- [CQC Confidence Community: Reflecting on 2025 and Looking Ahead](https://enhancedprimarycare.co.uk/2025/12/31/cqc-confidence-community-reflecting-on-2025-and-looking-ahead/) - As 2025 comes to a close, it’s the perfect moment to pause, reflect, and celebrate what has been achieved within the CQC Confidence Community. A Year in Numbers This year alone, the community has seen: 739 members from across general practice 2,700+ messages shared, asking questions, sharing experiences, and supporting one another 402 posts covering
- [Why Fire Drill and Emergency Evacuation Readiness Matters in General Practice](https://enhancedprimarycare.co.uk/2025/12/23/why-fire-drill-and-emergency-evacuation-readiness-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517637/lessons/2955784 Fire safety isn’t just a facilities requirement — it’s a vital part of protecting patients, staff, and visitors every single day. In general practice, where patients may have mobility challenges, language barriers, or health conditions that make evacuation more complex, preparedness can be the difference between calm control and chaos in an emergency. While
- [Building Trust Through Safe and Effective Information Sharing](https://enhancedprimarycare.co.uk/2026/01/28/building-trust-through-safe-and-effective-information-sharing/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2909585 Safe, timely, and accurate information sharing is at the heart of effective healthcare. In general practice, every referral, discharge summary, or care plan depends on the secure transfer of information between multiple teams and organisations — all working together to keep patients safe and supported. When communication breaks down, the consequences can be serious.
- [Accuracy Matters: Why Clinical Coding Underpins Safe and Effective Care](https://enhancedprimarycare.co.uk/2026/01/21/accuracy-matters-why-clinical-coding-underpins-safe-and-effective-care/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2909340 Behind every diagnosis, referral, and recall is a code — a digital snapshot of patient care. Clinical coding may feel like an administrative task, but it’s one of the most important foundations of safe, high-quality healthcare. When coding is accurate, complete, and consistent, it ensures that patients are correctly identified for reviews, clinicians make
- [Protecting Patient Privacy in Telephone and Video Consultations](https://enhancedprimarycare.co.uk/2026/01/14/protecting-patient-privacy-in-telephone-and-video-consultations/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2909582 Remote consultations have become a vital part of modern general practice, offering flexibility, accessibility, and convenience for both patients and clinicians. However, the move from consulting rooms to phone lines and video screens brings a new set of challenges — particularly around privacy, dignity, and data security. Even in a virtual setting, the duty
- [🎄 A Very Merry Christmas from Harmony CQC 🎄](https://enhancedprimarycare.co.uk/2025/12/24/🎄-a-very-merry-christmas-from-harmony-cqc-🎄/) - A Heartfelt Message to Our Inner Circle, Coaching Clients & Rapid Implementation Community As 2025 draws to a close, we want to take a moment to send a warm and heartfelt Merry Christmas to those at the very heart of Harmony CQC - our Inner Circle Members, Confidence Coaching Clients, and all the dedicated professionals
- [Why Emergency Drills Matter Just as Much as Fire Drills: Strengthening Staff Competence in Medical Emergencies](https://enhancedprimarycare.co.uk/2026/01/08/why-emergency-drills-matter-just-as-much-as-fire-drills-strengthening-staff-competence-in-medical-emergencies/) - In primary care, we’re all familiar with the importance of fire drills. They’re planned, routine, and universally expected. But when it comes to the medical emergencies that are statistically more likely to occur in our practices - cardiac arrests, anaphylaxis, acute respiratory distress, are we giving our teams the same level of structured preparation? Our
- [🎄 A Christmas Card From Harmony CQC… With a Hidden Gift Inside 🎁](https://enhancedprimarycare.co.uk/2025/12/05/🎄-preparing-for-the-festive-season-keeping-patients-and-teams-safe-over-christmas/) - Download the Audit here: https://assets-v2.circle.so/ooye4mfe5mimlxcnqkhmp4zhho4p As the festive season approaches and winter pressures begin to build, we wanted to do something special for our wider community. Not just those already working closely with us, but anyone who strives to deliver safe, well-organised and resilient care during this challenging time of year. So… look! Here’s a
- [Why We Added Hyperlinks to the Compliance Reference Tool](https://enhancedprimarycare.co.uk/2025/12/05/why-we-added-hyperlinks-to-the-compliance-reference-tool/) - Sometimes the best improvements come from a single, insightful question. During one of our live sessions walking through how to use the Compliance Reference Tool, a practice manager asked a simple but powerful question: "How do we actually find each audit when we're using the progress tracker?" It stopped us in our tracks, not because
- [The December Compliance Reference Tool — Now Live at Harmony CQC!](https://enhancedprimarycare.co.uk/2025/12/01/the-december-compliance-reference-tool-now-live-at-harmony-cqc/) - The latest version of the Compliance Reference Tool is now live in the Harmony CQC Inner Circle and it’s our smartest update yet. Whether you're preparing for inspection, reviewing governance, or wrapping up 2025 strong, this version saves you time and keeps everything in one place. What’s New? ✅ Hyperlinks from the tracker straight to
- [December Compliance Reference Tool Update – Our Smartest Yet at Harmony CQC!](https://enhancedprimarycare.co.uk/2025/11/27/december-compliance-reference-tool-update-our-smartest-yet-at-harmony-cqc/) - The December edition of the Compliance Reference Tool is just around the corner and it’s our most powerful update yet. Designed to streamline your governance work, boost your CQC confidence, and help you finish the year with clarity and control, this version is here to support your practice when it matters most. What’s New This
- [Returning Strong: Managing Safety, Continuity and Workload After the Festive Period](https://enhancedprimarycare.co.uk/2026/01/06/returning-strong-managing-safety-continuity-and-workload-after-the-festive-period/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/3004293 The start of the new year often brings with it one of the busiest and most challenging times in general practice. Following the Christmas and New Year period, practices must balance reopening with high demand, staff returning from leave, and the need to clear administrative and clinical backlogs safely and efficiently. While the festive
- [Why Effective Clinical Handover and Communication Matter in General Practice](https://enhancedprimarycare.co.uk/2025/12/31/why-effective-clinical-handover-and-communication-matter-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517638/lessons/2909561 In general practice, good communication isn’t just about teamwork — it’s about safety. Every time a patient’s care is passed from one clinician to another, whether within the practice or across services, there is a risk that something important could be missed. A handover is more than an administrative process — it’s a safety-critical
- [Why Emergency Preparedness and Staff Competence Save Lives](https://enhancedprimarycare.co.uk/2025/12/17/why-emergency-preparedness-and-staff-competence-save-lives/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517638/lessons/2909572 Every second counts in a medical emergency. Whether it’s a patient collapsing in the waiting room, an unexpected anaphylactic reaction, or a cardiac arrest, the speed and confidence of the team’s response can make the difference between life and death. In general practice, every staff member — not just clinicians — has a role
- [Closing the Loop: Why Reliable Recall and Safety Netting Protect Patients](https://enhancedprimarycare.co.uk/2025/12/10/closing-the-loop-why-reliable-recall-and-safety-netting-protect-patients/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2909584 Every day, general practice teams order investigations, refer patients, and arrange follow-ups. But what happens next is just as important as the consultation itself. If recalls are missed or follow-ups delayed, patients can slip through the cracks — and the consequences can be serious. Strong safety-netting and recall systems protect patients, reduce clinical risk,
- [Ensuring Safe and High-Quality Remote Consultations in General Practice](https://enhancedprimarycare.co.uk/2025/12/02/ensuring-safe-and-high-quality-remote-consultations-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2756261 Remote consultations have become an integral part of general practice, offering flexibility and improved access for many patients. Telephone, video, and online consultations can reduce barriers to care, save time, and provide convenience. However, they also carry specific risks: missed red flags, digital exclusion, and patient concerns about empathy or confidentiality. Why This
- [The eDEC: More Than a Tick-Box – It’s Your Contractual Safety Net](https://enhancedprimarycare.co.uk/2025/11/20/the-edec-more-than-a-tick-box-its-your-contractual-safety-net/) - Every year, practices complete the General Practice electronic self-declaration (eDEC). On paper, it looks like a long list of Yes/No questions. In reality, it’s much more important than that. The eDEC is one of the main ways you demonstrate contractual and regulatory compliance to your ICB, NHS England and (indirectly) CQC. At any point, your
- [DBS for All? A Lesson in Reception Risk and CQC Readiness](https://enhancedprimarycare.co.uk/2025/11/07/dbs-for-all-a-lesson-in-reception-risk-and-cqc-readiness/) - In the world of CQC inspections, sometimes the toughest lessons come from experience. One of our Harmony CQC Confidence members recently shared an eye-opening story that’s worth every practice manager’s attention. “We thought we had everything covered – risk assessments for the reception team, clear notes, a side room for private discussions. Then came the
- [🆕 The Compliance Reference Tool Just Got Even Better at Harmony CQC](https://enhancedprimarycare.co.uk/2025/11/05/🆕-the-compliance-reference-tool-just-got-even-better-at-harmony-cqc/) - As the pressures of inspection prep continue to grow, we know how important it is to have clarity, confidence, and a system that helps you stay ahead of CQC requirements. That’s why we’ve just released the October update of the Compliance Reference Tool Matrix — and it’s packed with powerful upgrades to support you and
- [📅 Just over 1 Week to Go: The Latest Version of the Compliance Reference Tool Is Almost Here at Harmony CQC!](https://enhancedprimarycare.co.uk/2025/10/28/📅-just-over-1-week-to-go-the-latest-version-of-the-compliance-reference-tool-is-almost-here/) - Launches: Wednesday, 5th November 🚀 We’re nearly there — the updated edition of the Compliance Reference Tool Matrix goes live in just over one week's time! 🎉 Whether you're deep into CQC preparation or just getting started with building your governance confidence, this new version will give you the clarity, structure, and momentum to take
- [🕊️ Compassion and Care: Managing the Records and Property of Deceased Patients](https://enhancedprimarycare.co.uk/2025/11/20/🕊️-compassion-and-care-managing-the-records-and-property-of-deceased-patients/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2909588 When a patient dies, general practice plays an important role in ensuring their memory is treated with dignity, their information handled lawfully, and their family supported with compassion. Even small administrative tasks — such as closing a record, cancelling appointments, or returning property — carry deep emotional and professional significance. How these moments are
- [Why Supervision and Appraisals Matter in General Practice](https://enhancedprimarycare.co.uk/2025/11/25/why-supervision-and-appraisals-matter-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517638/lessons/2835462 Behind every safe and effective general practice is a well-supported team. Regular supervision and appraisals are more than just HR processes — they are essential for staff wellbeing, professional development, and ultimately, high-quality patient care. When supervision and appraisals are consistent, meaningful, and well-governed, they help staff feel valued, supported, and motivated. When they
- [Breaking Down Barriers: Supporting Patient Transport and Accessibility in General Practice](https://enhancedprimarycare.co.uk/2025/11/13/breaking-down-barriers-supporting-patient-transport-and-accessibility-in-general-practice/) - 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
- [Why Learning from Compliments is Essential in General Practice](https://enhancedprimarycare.co.uk/2025/11/11/why-learning-from-compliments-is-essential-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517638/lessons/2792880 When we think of feedback in healthcare, our minds often go first to complaints or incidents. While these are vital for identifying risks and driving improvement, it is equally important to give attention to the positive side of patient experience. Compliments, thank-you notes, survey responses, and online reviews all provide valuable insights into what
- [Building Trust Through Duty of Candour - Why this matters in General Practice](https://enhancedprimarycare.co.uk/2025/11/18/building-trust-through-duty-of-candour-why-this-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517638/lessons/2799011 When things go wrong in healthcare, patients and families deserve openness and honesty. The Duty of Candour (Regulation 20) makes this a legal requirement, ensuring that providers are transparent when mistakes or unintended harm occur. This is not only a legal responsibility but also a vital part of building and maintaining trust. Patients value
- [Why Controlled Drug Management Matters in General Practice](https://enhancedprimarycare.co.uk/2025/11/06/why-controlled-drug-management-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2835491 The first part of this audit will apply to every practice, while the latter sections are specifically relevant to those that store controlled drugs or maintain a controlled drugs cabinet. Even if your practice does not believe it currently holds any controlled drugs, we strongly recommend completing this audit in full. Doing so ensures
- [Preparing for Influenza Vaccination Delivery in General Practice](https://enhancedprimarycare.co.uk/2025/11/04/preparing-for-influenza-vaccination-delivery-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2768242 Every year, general practice faces significant pressures during the autumn and winter months. Cold and flu season brings a surge in patient demand, higher staff pressures, and the responsibility of delivering flu vaccination programmes. For many practices, this period is the true test of resilience, planning, and patient-centred care. We know that many of
- [Why End-of-Life Care Planning and Coordination Matter in General Practice](https://enhancedprimarycare.co.uk/2025/10/23/why-end-of-life-care-planning-and-coordination-matter-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2724462 End-of-life care is one of the most sensitive and important responsibilities of general practice. Patients and families need reassurance that their wishes will be respected, their comfort prioritised, and that care will remain compassionate and coordinated throughout. Why This Audit Was Created This week’s audit focuses on end-of-life care planning and coordination, in line
- [🚨 Coming Soon: October’s Compliance Reference Tool Matrix Update](https://enhancedprimarycare.co.uk/2025/10/22/🚨-coming-soon-octobers-compliance-reference-tool-matrix-update/) - 📅 Launching Wednesday 5th November in the Harmony CQC Community We’re thrilled to announce that the latest update to the Harmony CQC Compliance Reference Tool Matrix is nearly here — and it’s landing Wednesday 5th November! Whether you're a Practice Manager, Compliance Lead, or GP Partner, this tool has been designed to make your governance
- [🔍 Why Our Harmony CQC Audits Are Different](https://enhancedprimarycare.co.uk/2025/10/24/🔍-why-our-harmony-cqc-audits-are-different/) - We’ve very intentionally avoided designing tools that already exist. Every audit we create is built to stress test your governance systems, not just the specific topic area. This distinction is key — and it’s exactly what the CQC are now focusing on in General Practice. Take Infection Prevention & Control (IPC) or Health and Safety as examples. Our audits won’t walk
- [✈️ DON’T WING IT. Follow the flight plan.](https://enhancedprimarycare.co.uk/2025/10/15/✈️-dont-wing-it-follow-the-flight-plan/) - I wish I’d had one before it all went wrong. Before the CQC arrived. Before the report landed. Before the word Inadequate was stamped on everything we’d worked so hard to build. Because the truth is — we weren’t lazy. We weren’t careless. We just didn’t have a clear plan. No roadmap. No guidance. No
- [Why Patient Identification and Matching Accuracy Matters in General Practice](https://enhancedprimarycare.co.uk/2025/10/09/why-patient-identification-and-matching-accuracy-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2665832 Patient identification is one of the most fundamental safety processes in general practice — yet it’s often an area where errors or near misses occur. A simple mix-up between two patients with similar names, or a missed step in checking identifiers, can lead to incorrect results being filed, wrong prescriptions being issued, or even
- [Why Medical Waste and Sharps Disposal Matters in General Practice](https://enhancedprimarycare.co.uk/2025/10/02/why-medical-waste-and-sharps-disposal-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517637/lessons/2626870 Medical waste and sharps disposal may seem like routine housekeeping, but in general practice it’s a core patient safety, staff safety, and compliance issue. Done well, it protects people from injury, infection, and contamination. Done poorly, it can expose your team to sharps injuries, spread infection, and put your practice in breach of legal
- [🎉 It’s Here! The Compliance Reference Tool Has Officially Launched 🎉](https://enhancedprimarycare.co.uk/2025/10/01/🎉-its-here-the-compliance-reference-tool-has-officially-launched-🎉/) - From Audits to Evidence — This New Harmony CQC Reference Tool Does It All This tool has been carefully created with you in mind — the practice managers, compliance leads, GP partners, and admin leaders who are juggling real-world operations and governance expectations. 🧭 What You’ll Find Inside: ✅ A matrix that maps each Harmony CQC
- [Why Water Safety and Legionella Risk Management Matters in General Practice](https://enhancedprimarycare.co.uk/2025/09/30/why-water-safety-and-legionella-risk-management-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517637/lessons/2621131 Legionella bacteria can cause serious illness, including Legionnaires’ disease — a severe and potentially fatal type of pneumonia. While rare, outbreaks are preventable with good governance, regular checks, and clear accountability. In general practice, water safety isn’t just a facilities issue — it’s a patient safety issue. Many people who visit your practice may
- [Why Auditing Private Work and Non-NHS Services Matters in General Practice](https://enhancedprimarycare.co.uk/2025/09/25/why-auditing-private-work-and-non-nhs-services-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2621129 Private work is an unavoidable part of running a modern general practice. From insurance forms and DVLA reports to medical letters, travel vaccinations, and fitness-to-work certificates — these tasks sit outside your NHS contract, but they are still very much part of your patients' experience of care. That’s why how you handle them matters.
- [Why Patient Group Directions (PGDs) and Protocol-Driven Care Matter in General Practice](https://enhancedprimarycare.co.uk/2025/10/30/why-patient-group-directions-pgds-and-protocol-driven-care-matter-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2665831 In general practice, efficiency and safety often go hand in hand — and nowhere is this clearer than in the use of Patient Group Directions (PGDs) and clinical protocols. These frameworks allow certain medicines and treatments to be supplied or administered by qualified healthcare professionals without a prescription, streamlining care while maintaining legal and
- [Why Patient Wait Times and Waiting Experience Matter in General Practice](https://enhancedprimarycare.co.uk/2025/10/28/why-patient-wait-times-and-waiting-experience-matter-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517638/lessons/2735739 For many patients, the first impression of their GP practice is the time they spend waiting — whether on the phone, online, or in the waiting room. While waiting is sometimes unavoidable, long or poorly managed waits can create anxiety, frustration, and even clinical risk. How practices manage and communicate about waiting is therefore
- [Ensuring Accessible Premises for People with Disabilities in General Practice](https://enhancedprimarycare.co.uk/2025/10/21/ensuring-accessible-premises-for-people-with-disabilities-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517637/lessons/2707688 Accessibility is about more than ramps and doorways — it is about ensuring that every patient, regardless of disability, can enter, move around, and receive care in your practice with dignity, safety, and independence. For many people with physical, sensory, or cognitive needs, barriers in the environment can prevent them from accessing timely care.
- [Promoting Patient Independence, Choice and Control in General Practice](https://enhancedprimarycare.co.uk/2025/10/16/promoting-patient-independence-choice-and-control-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517638/lessons/2677736 In general practice, empowering patients to take an active role in their care is central to delivering safe, effective, and compassionate services. Supporting independence, choice, and control is not just about providing options — it’s about making sure patients understand their rights, feel listened to, and are equipped to manage their health confidently. 🔍
- [Why Same-Day Urgent Appointment Access Matters in General Practice](https://enhancedprimarycare.co.uk/2025/10/14/why-same-day-urgent-appointment-access-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2692180 When patients contact their GP practice with an urgent concern, they are often worried, in pain, or vulnerable. In these moments, the way a practice listens and responds can have a lasting impact on safety, trust, and wellbeing. Ensuring patients can access same-day appointments when clinically necessary is one of the most important ways
- [Why Partnership Working and Community Engagement Matter in General Practice](https://enhancedprimarycare.co.uk/2025/10/07/why-partnership-working-and-community-engagement-matter-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517638/lessons/2696458 General practice does not exist in isolation. Patients’ needs are complex and often require seamless collaboration between health, social care, and community services. By working in partnership and engaging directly with communities, practices can ensure care is joined-up, equitable, and responsive to local needs. 🔍 Why This Audit Was Created This week’s audit has
- [Why Patient Information Displays and Noticeboards Matter in General Practice](https://enhancedprimarycare.co.uk/2025/09/23/why-patient-information-displays-and-noticeboards-matter-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517637/lessons/2621015 Patient information displays and noticeboards are one of the most visible parts of your practice environment. They are often the first thing patients notice when they enter — and they can instantly convey whether your practice is well-organised, inclusive, and responsive to the needs of its community. These displays aren’t just a courtesy; they
- [⏳ Just One Week to Go Before We Launch Our New Compliance Reference Tool!](https://enhancedprimarycare.co.uk/2025/09/24/⏳-just-one-week-to-go-before-we-launch-our-new-compliance-reference-tool/) - 🚀 The Compliance Reference Tool is almost here! In just 7 days, you’ll have access to one of the most practical, confidence-boosting resources we've ever created for general practice teams. ✅ Map every audit to the right regulation ✅ Instantly see how you align with CQC quality statements ✅ Show governance in action — not
- [There’s More to the Compliance Reference Tool…](https://enhancedprimarycare.co.uk/2025/09/19/theres-more-to-the-compliance-reference-tool/) - When you access the Compliance Reference Tool, you won’t just get a beautifully structured matrix linking audits to CQC regulations and ‘We’ statements — you'll also receive a fully detailed Word document that explains: 🔍 Exactly why each audit links to each regulation. This means when the inspector asks, “Why does this audit support Regulation
- [Why Loaned Medical Equipment Needs Strong Systems in General Practice](https://enhancedprimarycare.co.uk/2025/09/18/why-loaned-medical-equipment-needs-strong-systems-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2620965 In general practice, it’s common to loan out medical equipment like blood pressure monitors, pulse oximeters, nebulisers or glucose meters. These items empower patients to manage their health from home — increasing access, improving self-monitoring, and reducing unnecessary appointments. But the simplicity of the concept can mask the complexity of the risks. 🔍 Why
- [Why Managing Clinical Templates and Protocols Matters in General Practice](https://enhancedprimarycare.co.uk/2025/09/16/why-managing-clinical-templates-and-protocols-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2617636 Clinical templates and protocols are at the heart of modern general practice — quietly underpinning everything from chronic disease reviews to safety netting for cancer referrals, vaccinations, medication reviews, and beyond. They ensure that care is consistent, coding is correct, and that practices can demonstrate compliance with both clinical standards and contractual obligations. But
- [New: The Compliance Reference Tool — Your Practical Guide to CQC Confidence](https://enhancedprimarycare.co.uk/2025/09/10/new-the-compliance-reference-tool-your-practical-guide-to-cqc-confidence/) - Launching soon for Inner Circle members At Harmony CQC, we know that navigating compliance can feel like a full-time job — especially with evolving guidance, tighter inspection frameworks, and the day-to-day demands of running a busy practice. That’s why we’re proud to announce the upcoming launch of the Compliance Reference Tool — a structured, practical
- [Why Infection Risk in Minor Procedures Matters in General Practice](https://enhancedprimarycare.co.uk/2025/09/11/why-infection-risk-in-minor-procedures-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2621128 Minor surgical procedures in general practice are routine, but they’re never low stakes. Whether it’s the removal of a mole, a contraceptive implant fitting, or a joint injection — these moments involve invasive interventions, open skin, sterile instruments, and vulnerable patients. The infection risk might be low, but it’s not negligible. And if something
- [Why Post Handling and Confidentiality Matter in General Practice](https://enhancedprimarycare.co.uk/2025/09/09/why-post-handling-and-confidentiality-matter-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2617563 It’s easy to underestimate the importance of how post — both paper and electronic — is handled in a general practice setting. Yet every day, letters, referrals, test results, and other correspondence flow through your practice, carrying information critical to safe patient care. Poor post-handling doesn’t just cause inconvenience — it can delay diagnoses,
- [Why Panic Alarm Reliability and IT Resilience Matter in General Practice](https://enhancedprimarycare.co.uk/2025/09/04/why-panic-alarm-reliability-and-it-resilience-matter-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2670479 This week’s audit has been created in direct response to a critical incident reported in Bradford District and Craven. In that case, a panic alarm was triggered during an IT outage — but because the practice was in contingency mode, the system could not identify where the alarm had originated. In a large building,
- [When the Panic Alarm Doesn’t Work: A Real-World Lesson in Contingency and Culture](https://enhancedprimarycare.co.uk/2025/09/03/when-the-panic-alarm-doesnt-work-a-real-world-lesson-in-contingency-and-culture/) - “The alarm icon was activated in a large building… but no one knew where the alarm had come from — or who needed help.” A recent critical incident in Bradford serves as a stark reminder that systems are only as strong as their weakest point, especially when it comes to safeguarding staff and patients in
- [Why Electrical Safety and PAT Testing Matter in General Practice](https://enhancedprimarycare.co.uk/2025/09/02/why-electrical-safety-and-pat-testing-matter-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517637/lessons/2617517 Electrical safety in a general practice setting might not be the most visible patient safety risk — but it’s a silent foundation that enables safe, reliable care every day. From the ECG machine to the vaccine fridge, from staff kitchen kettles to patient monitors, each electrical item contributes to daily function and patient wellbeing.
- [🎉 52 Audits. 52 Weeks. One Incredible Milestone. 🎉](https://enhancedprimarycare.co.uk/2025/08/08/🎉-52-audits-52-weeks-one-incredible-milestone-🎉/) - We’re thrilled to celebrate that we now have 52 one-hour audits live in the Inner Circle. That’s one for every week of the year. 🕒 Just imagine: if you dedicated just one hour a week to completing one of these audits… ✨ How much more confident would you feel heading into a CQC inspection? ✨
- [🚀Strengthening the Partnership: GP Partners Step Up to Build CQC Confidence](https://enhancedprimarycare.co.uk/2025/08/06/🚀strengthening-the-partnership-gp-partners-step-up-to-build-cqc-confidence-2/) - At the recent VIP CQC Confidence Study Day, an important shift was felt across the room—GP partners are no longer sitting on the side-lines when it comes to CQC compliance. They’re stepping forward, standing alongside their managers, and taking an active role in securing their practice’s future. 🏥 General Practice: A Unique Business Model General
- [Why Managing Uncollected Prescriptions Matters in General Practice](https://enhancedprimarycare.co.uk/2025/08/05/why-managing-uncollected-prescriptions-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2458825 Every prescription that goes uncollected represents more than a missed pickup — it’s a potential clinical risk, a cost to the NHS, and a signal that something in the system may need attention. Practices are incredibly busy, and it’s easy to assume that if a patient doesn’t collect their medication, it’s simply by choice.
- [Why Medical Emergency Readiness Matters in General Practice](https://enhancedprimarycare.co.uk/2025/07/31/why-medical-emergency-readiness-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2458878 Medical emergencies in general practice may be rare — but when they occur, response time and preparedness can be the difference between life and death. While the CQC doesn’t expect general practices to function like emergency departments, they do expect you to be able to recognise and respond to urgent, life-threatening situations such as:
- [Why Confidential Waste Disposal Matters in General Practice](https://enhancedprimarycare.co.uk/2025/08/14/why-confidential-waste-disposal-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2484338 In general practice, safeguarding patient information is a fundamental responsibility — and that obligation doesn’t end once a record is no longer needed. How you dispose of confidential waste can be just as important as how you store or access it. This audit helps ensure your systems for handling and destroying confidential waste are
- [Reflect, Recover, Celebrate: What to Do Now That the 2025 GP Patient Survey Results Are In](https://enhancedprimarycare.co.uk/2025/07/30/reflect-recover-celebrate-what-to-do-now-that-the-2025-gp-patient-survey-results-are-in/) - By now, you’ve hopefully had a chance to pause and review your 2025 GP Patient Survey results. Whether you're feeling encouraged or concerned, this is your opportunity to act with clarity and confidence. The Care Quality Commission (CQC) expects practices to review their results and respond meaningfully—and we’re here to help you turn that expectation
- [Why Interpreting and Translation Services Matter in General Practice](https://enhancedprimarycare.co.uk/2025/08/28/why-interpreting-and-translation-services-matter-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517638/lessons/2471066 In today’s diverse communities, general practice teams support patients with a wide range of language needs, literacy levels, and communication barriers. While the care may be high quality, if it’s not understood, it’s not safe — and the CQC knows it. This week’s audit focuses on the use of interpreting and translation services: a
- [Why Specimen Collection and Labelling Accuracy Matters in General Practice](https://enhancedprimarycare.co.uk/2025/08/26/why-specimen-collection-and-labelling-accuracy-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2550269 In general practice, specimen collection is a routine task — but it’s one that carries significant clinical risk if not handled correctly. A mislabelled blood tube, an incomplete form, or a sample without consent can quickly escalate into a patient safety incident, a complaint, or even a regulatory concern. This week’s audit helps your
- [Why Staying on Top of Safety Alerts Matters in General Practice](https://enhancedprimarycare.co.uk/2025/08/21/why-staying-on-top-of-safety-alerts-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2458760 In the middle of a busy clinic or a full admin inbox, it's easy to overlook yet another email or notification — especially if it doesn’t feel urgent. But when that message contains a MHRA safety alert, CAS notice, or drug/device recall, it could carry direct implications for your patients, your team, and your
- [Why Expiry Checks on Medical Devices and Consumables Matter in General Practice](https://enhancedprimarycare.co.uk/2025/08/12/why-expiry-checks-on-medical-devices-and-consumables-matter-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2490585 In general practice, patient safety is built not just on clinical decisions, but on the reliability of the tools and materials used every day. From dressing packs and syringes to blood glucose test strips and emergency drugs, these items play a critical role in patient care — but only if they are in date,
- [Why Oversight of Non-Registered Healthcare Staff Matters in General Practice](https://enhancedprimarycare.co.uk/2025/08/07/why-oversight-of-non-registered-healthcare-staff-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517638/lessons/2535855 In every GP practice, non-registered healthcare professionals — like healthcare assistants (HCAs), phlebotomists, clinical support workers, and others — play a crucial role in delivering safe and effective patient care. But unlike doctors or nurses, these team members are not professionally regulated, which means the responsibility for ensuring their competence, role clarity, and supervision
- [Why Accessible Patient Information Materials Matter in General Practice](https://enhancedprimarycare.co.uk/2025/07/29/why-accessible-patient-information-materials-matter-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2529138 In general practice, communication is everything. Whether it’s a leaflet about cervical screening, a sign in the waiting room about online booking, or the instructions given after a consultation — the way information is shared can directly impact a patient’s understanding, engagement, and outcomes. But accessibility is not just about translating languages or using
- [Free Supervision Training - Now Available for Primary Care Teams](https://enhancedprimarycare.co.uk/2025/07/25/free-supervision-training-now-available-for-primary-care-teams/) - Empowering Educators, Supporting Supervisors, and Strengthening Primary Care In a time when recruitment, retention, and staff wellbeing are central to sustainable general practice, access to high-quality supervision training is no longer a luxury—it’s a necessity. That’s why we’re excited to share a fully funded, practical opportunity that aligns beautifully with both Enhanced Primary Care’s workforce
- [Why Results Handling for External Investigations Matters in General Practice](https://enhancedprimarycare.co.uk/2025/07/24/why-results-handling-for-external-investigations-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2458843 Managing in-practice test results is something most practices have refined over time — but what about the results that originate outside your building? When a consultant orders an MRI, or a community clinic sends a patient for bloods, or a referral leads to diagnostics, it’s easy to assume the loop will be closed. But
- [Why Telephone Access Matters in General Practice](https://enhancedprimarycare.co.uk/2025/07/22/why-telephone-access-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2475706 In general practice, the telephone remains one of the most vital tools for connecting patients with the care they need. Despite advances in digital access, telephone systems continue to carry the weight of daily demand, especially for those who can’t or won’t use online services. This is exactly why we’ve created this audit —
- [RSV Vaccination Programme – July 2025 Update](https://enhancedprimarycare.co.uk/2025/07/23/rsv-vaccination-programme-july-2025-update/) - 📣 National Invitation Campaign From July 2025, NHS England will launch a national RSV invitation campaign to support uptake of the RSV (Respiratory Syncytial Virus) vaccine in older adults. 👥 Who Will Receive Invitations? Invitations will be sent to unvaccinated individuals: Who were aged 75–79 on 31 August 2024 Who have turned 75 since 1 September 2024
- [Why Equipment Maintenance and Calibration Matters in General Practice](https://enhancedprimarycare.co.uk/2025/07/17/why-equipment-maintenance-and-calibration-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517637/lessons/2458763 In the fast-paced environment of general practice, it's easy to assume that tools we use daily — from blood pressure monitors to ECG machines — are quietly doing their job correctly. But the truth is, clinical equipment must be actively maintained, calibrated and checked, or its reliability, accuracy, and safety may be compromised. And
- [Why Shared Mailbox Management Matters in General Practice](https://enhancedprimarycare.co.uk/2025/07/15/why-shared-mailbox-management-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2458852 Shared mailboxes — like your NHSmail inbox, Docman workflow, or clinical task list — are more than just a convenience. They are critical infrastructure for delivering safe, effective and timely care. Every day, these inboxes receive: Discharge summaries Test results Patient communications Requests from hospitals, community teams, and pharmacies And every item in those inboxes
- [From Surviving to Thriving — Join the Inner Circle for Just £1 This July](https://enhancedprimarycare.co.uk/2025/07/09/from-surviving-to-thriving-join-the-inner-circle-for-just-1-this-july/) - If you’re leading in general practice right now, chances are you’ve said something like: “We’re doing our best — but it feels like we’re one inspection away from chaos.” Between staffing gaps, rising demand, and the ever-changing guidance, it’s no wonder so many Practice Managers, GP Partners, and CQC leads feel stretched thin and stuck
- [Why It Matters: Following Up on High Blood Pressure in General Practice — Even Without a Diagnosis](https://enhancedprimarycare.co.uk/2025/07/08/why-it-matters-following-up-on-high-blood-pressure-in-general-practice-even-without-a-diagnosis/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2437847 In general practice, we routinely measure blood pressure — during pill checks, new patient registrations, annual reviews, or even opportunistically. But what happens when that reading is a little too high… and the patient doesn’t have a diagnosis of hypertension? Too often, the answer is: nothing. Raised blood pressure in patients without a hypertension
- [Why Business Continuity and IT Downtime Preparedness Matters in General Practice](https://enhancedprimarycare.co.uk/2025/07/10/why-business-continuity-and-it-downtime-preparedness-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2442532 In today’s digital-first NHS, general practices rely heavily on technology — for everything from accessing patient records to prescribing and communicating with colleagues. But what happens when the system goes down? IT outages, power cuts, supplier errors, or even cyber incidents can leave practices without access to the tools they depend on. And yet,
- [Learning from Recent NHS Dispute Resolutions: QOF, Maternity Cover, and Notional Rent](https://enhancedprimarycare.co.uk/2025/07/04/learning-from-recent-nhs-dispute-resolutions-qof-maternity-cover-and-notional-rent/) - Each month, NHS Resolution publishes decisions on disputes between GP contractors and commissioners. The latest round of determinations offers valuable lessons about compliance, evidence, and clarity of process. Here are three cases that illustrate the importance of rigour in managing contracts and claims. 1️⃣ Missed QOF Submissions: When Good Work Isn’t Enough In the
- [Why Auditing Your Cervical Screening Process Matters in General Practice](https://enhancedprimarycare.co.uk/2025/07/03/why-auditing-your-cervical-screening-process-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2414334 Leadership Insight: From Praise to Precision This week, a practice was praised for its excellent cervical screening recall system — a real win. But then came the follow-up question: “How do you make sure new patients get the same experience?” Despite great systems for existing patients, there were gaps for new registrations — a
- [Why Significant Event Analysis (SEA) Matters in General Practice](https://enhancedprimarycare.co.uk/2025/07/01/why-significant-event-analysis-sea-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2409184 In the fast-paced world of general practice, it’s inevitable that mistakes, near misses, and complex clinical events will occasionally occur. But what truly defines a safe, well-led, and continuously improving practice is how those events are handled — not whether they happen in the first place. That’s where Significant Event Analysis (SEA) comes in.
- [Why This Audit Matters: Patient Call and Recall Systems](https://enhancedprimarycare.co.uk/2025/06/26/why-this-audit-matters-patient-call-and-recall-systems/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2399649 In general practice, one of the most effective ways to improve population health and reduce avoidable harm is by making sure that patients are being called and recalled at the right time — and in the right way. Whether it’s for long-term condition reviews, vaccinations, cervical smears, or blood tests, an effective call and
- [Why Staff Induction and Probation Matters in General Practice](https://enhancedprimarycare.co.uk/2025/06/24/why-staff-induction-and-probation-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517638/lessons/2387066 New starters in general practice — whether clinical or non-clinical — arrive with enthusiasm, varied experience, and a desire to contribute meaningfully to patient care. However, their success depends not just on their skills, but on how effectively we onboard, support, and embed them into the team from day one. This week's audit focuses
- [Why Chaperone Policies Matter in General Practice](https://enhancedprimarycare.co.uk/2025/06/19/why-chaperone-policies-matter-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517638/lessons/2374886 Intimate examinations are sometimes necessary as part of routine care — but for many patients, they can be uncomfortable, vulnerable moments. The presence of a trained chaperone offers safeguarding, reassurance, and respect for both patients and clinicians. That’s why having a clear, well-implemented chaperone policy is more than just a regulatory requirement — it’s
- [Understanding Significant Event Analysis (SEA) in General Practice](https://enhancedprimarycare.co.uk/2025/06/18/understanding-significant-event-analysis-sea-in-general-practice/) - Why This Matters: Patient safety is at the heart of General Practice. Learning from errors, near-misses, and unexpected outcomes is essential to continually improve care. However, terms like Significant Event, Serious Incident, and Learning Event can be confusing. This guide clarifies their differences and explains how they help shape safer, more accountable healthcare. 🔍 What
- [Why RESPECT & DNACPR Documentation Matters in General Practice](https://enhancedprimarycare.co.uk/2025/06/17/why-respect-dnacpr-documentation-matters-in-general-practice/) - 💭 A Moment for Reflection During the height of the pandemic, general practice faced impossible pressures. Decisions were made at pace, with the best intentions — to protect patients, safeguard NHS capacity, and prepare for a wave of critical illness. But in that chaos, were RESPECT or DNACPR decisions ever recorded without full patient consent
- [Aligning Policies and Protocols: Why It Matters More Than Ever Under CQC Inspection](https://enhancedprimarycare.co.uk/2025/06/12/aligning-policies-and-protocols-why-it-matters-more-than-ever-under-cqc-inspection/) - For many Practice Managers and Registered Managers, CQC inspections have always brought a level of apprehension — but recent inspections have made one thing increasingly clear: alignment matters. Not just having a policy. Not just having a protocol. But demonstrating that your policies and protocols match actual practice — and that they are applied consistently
- [The Importance of Staff Immunisations in General Practice](https://enhancedprimarycare.co.uk/2025/06/12/the-importance-of-staff-immunisations-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517638/lessons/2343767 General practice is a frontline environment — one where healthcare professionals, administrators, and support staff are regularly exposed to infectious risks and vulnerable patient groups. Ensuring staff are protected through appropriate immunisations is more than a clinical best practice — it's a regulatory expectation and a cornerstone of a safe working environment. This week’s
- [Why DBS Checks Are Vital in General Practice](https://enhancedprimarycare.co.uk/2025/06/10/why-dbs-checks-are-vital-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517638/lessons/2331205 In a busy general practice setting, staff work closely with people of all ages and backgrounds — often those who are vulnerable, isolated, or in need of intimate care. Ensuring that everyone employed or volunteering in your practice is safe and appropriate to be in those roles is not just good governance — it’s
- [🌱 CQC Confidence Is Growing — And So Are We](https://enhancedprimarycare.co.uk/2025/06/09/🌱-cqc-confidence-is-growing-and-so-are-we/) - A quiet but powerful shift is happening in practices across the country. Where once audits sat quietly on a Practice Manager’s desk — waiting for a quiet hour that never came — we’re now seeing something different. Audits being opened in team meetings. Actions being assigned across roles. Reflections being shared across the clinical, administrative
- [Why COSHH Is Important in General Practice](https://enhancedprimarycare.co.uk/2025/06/05/why-coshh-is-important-in-general-practice/) - Your COSHH Self-Assessment Audit: A Gift for Confidence, Not Compliance We're sharing this COSHH self-assessment audit with you not only because COSHH compliance is essential, but because it's a common area where practices are falling short during inspections. This audit follows the same format as the 33 others available in the Inner Circle, giving you
- [What the New StatMand Agreement Means for General Practice](https://enhancedprimarycare.co.uk/2025/05/22/what-the-new-statmand-agreement-means-for-general-practice/) - From 1 May 2025, NHS staff in England will no longer need to repeat statutory and mandatory (StatMand) training when moving between organisations — a landmark change that has major implications for workforce efficiency and experience in General Practice. This national agreement, supported by 262 NHS organisations and key health bodies, is designed to cut
- [When the Clock Stops: Why General Practice Must Understand the Fine Print of Claim Deadlines](https://enhancedprimarycare.co.uk/2025/06/03/when-the-clock-stops-why-general-practice-must-understand-the-fine-print-of-claim-deadlines/) - A recent dispute resolution case, decided by NHS Resolution, serves as a sobering reminder for General Practice teams: even when the work is done, payment is never guaranteed unless every step of the contract is followed to the letter. The case involved a practice that had successfully delivered nearly 600 COVID-19 vaccinations during the 2024/25
- [Why Financial Control, Budgeting and Forecasting Matter in General Practice](https://enhancedprimarycare.co.uk/2025/06/03/why-financial-control-budgeting-and-forecasting-matter-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2310862 🔔 This is a member-generated audit. This audit was created in response to a request from one of our Inner Circle members. We always welcome your suggestions — if there's a topic you'd like us to explore, just let us know and we’ll create a tailored audit to support your practice. General practice teams
- [Why Managing Patient Consent Matters in General Practice](https://enhancedprimarycare.co.uk/2025/05/29/why-managing-patient-consent-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2272871 Consent is one of the most fundamental principles in healthcare — it ensures that patients have autonomy, understanding, and control over the care and treatment they receive. In general practice, where care often extends across procedures, communication, and data sharing, consent must be routinely considered, clearly documented, and regularly reviewed. This week’s audit focuses
- [📖 Learning from the CQC Confidence Boot Camp](https://enhancedprimarycare.co.uk/2025/05/27/📖-learning-from-the-cqc-confidence-boot-camp/) - By Daniel Vincent, CEO, Enhanced Primary Care If you’ve ever felt that preparing for a CQC inspection is more about guesswork than confidence, you’re not alone. That’s exactly why we launched the CQC Confidence Boot Camp—to replace anxiety with clarity, and compliance checklists with real-world understanding. Across the sessions, one thing became obvious: it’s not
- [Strengthening the Partnership: GP Partners Step Up to Build CQC Confidence](https://enhancedprimarycare.co.uk/2025/05/23/🚀strengthening-the-partnership-gp-partners-step-up-to-build-cqc-confidence/) - At the recent VIP CQC Confidence Study Day, an important shift was felt across the room—GP partners are no longer sitting on the side-lines when it comes to CQC compliance. They’re stepping forward, standing alongside their managers, and taking an active role in securing their practice’s future. 🏥 General Practice: A Unique Business Model General
- [CQC Highlights Safety Risks in Bisphosphonate Prescribing Following Serious Incident](https://enhancedprimarycare.co.uk/2025/05/21/💊cqc-highlights-safety-risks-in-bisphosphonate-prescribing-following-serious-incident/) - The Care Quality Commission (CQC) has issued a public alert following a serious incident involving a patient treated with Bisphosphonates who sustained bilateral atypical femoral fractures due to inadequate clinical monitoring. In response, the CQC has implemented a new set of prescribing safety searches within the medicines usage bundle aimed at reducing risks associated with
- [Why Online and Proxy Access Need Robust Governance in General Practice](https://enhancedprimarycare.co.uk/2025/05/22/why-online-and-proxy-access-need-robust-governance-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2237257 🔔 This is a user-generated audit. As part of our Inner Circle community, we welcome suggestions from members on audit topics that reflect the real-world challenges practices face. This audit was created in direct response to a request — and is just one example of how we tailor support to your priorities. If there’s
- [Why the Registration and Deduction Process Matters in General Practice](https://enhancedprimarycare.co.uk/2025/05/15/why-the-registration-and-deduction-process-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2209427 🔔 This is a user-generated audit! As part of our ongoing commitment to supporting the Inner Circle community, we welcome and encourage members to ask us to create audits specifically tailored to your needs. Here’s another example — developed in response to member requests — focusing on the important area of patient registration and
- [Why Safe Clinical Sample Handling Is Essential in General Practice](https://enhancedprimarycare.co.uk/2025/05/08/why-safe-clinical-sample-handling-is-essential-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2175561 In the day-to-day operations of general practice, handling clinical samples may seem like a routine task — but behind every blood tube, swab, or urine pot is a patient waiting for an answer. Ensuring that samples are collected, labelled, stored, and transported safely is not only a basic operational requirement — it’s a clinical
- [General Practice Pay Transparency 2023/24 – What You Need to Know - 30th April 2025 deadline!](https://enhancedprimarycare.co.uk/2025/04/23/general-practice-pay-transparency-2023-24-what-you-need-to-know-30th-april-2025-deadline/) - New NHSE Guide Link The General Practice Pay Transparency collection for the 2023/24 financial year is now live. If you are a GP or senior practice role holder and your total NHS earnings exceed £163,000, you are required to self-declare your earnings by 30 April 2025. This annual declaration is part of NHS England’s ongoing
- [Why Medicines Optimisation and Safe Repeat Prescribing Matter in General Practice](https://enhancedprimarycare.co.uk/2025/05/01/why-medicines-optimisation-and-safe-repeat-prescribing-matter-in-general-practice/) - Repeat prescribing is a vital part of everyday general practice — accounting for up to 70% of all prescriptions issued and involving the vast majority of patients living with long-term conditions. But with high volume comes high risk. Without safe systems, effective reviews, and clear communication, the repeat prescribing process can quickly become fragmented —
- [GP Practices: Make Patient Safety Reporting Simple with the LFPSE Service](https://enhancedprimarycare.co.uk/2025/04/23/1825/) - As the landscape of primary care evolves, patient safety remains a central priority. The NHS’s Learn From Patient Safety Events (LFPSE) service offers a national platform specifically designed to help GP practices log, monitor, and learn from safety incidents. This isn’t just a tick-box exercise—it’s a key driver of safer, higher-quality care across general practice.
- [Why Managing Test Results Is a Critical Safety Process in General Practice](https://enhancedprimarycare.co.uk/2025/04/24/why-managing-test-results-is-a-critical-safety-process-in-general-practice/) - https://club.hcqc.co.uk/c/selfaudits/editlesson/sections/517639/lessons/2127155 In the fast-moving environment of general practice, it’s easy for test results, hospital letters, and investigation reports to pile up — but each one represents something more than admin: it represents a patient waiting for information, action, or reassurance. When results handling works well, it keeps patients safe, supports timely treatment, and builds trust.
- [Why Inclusive Digital Access Is Essential in General Practice](https://enhancedprimarycare.co.uk/2025/04/17/why-inclusive-digital-access-is-essential-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517638/lessons/2088134 The move to digital healthcare has transformed how general practice operates — offering faster access, more efficient communication, and greater flexibility for many patients. But as services shift online, it’s vital to ensure that no one is left behind. This week’s audit focuses on inclusive access to digital GP services, helping you assess how
- [Did you know GP practices have legal duties under the Public Sector Equality Duty (PSED)?](https://enhancedprimarycare.co.uk/2025/04/18/did-you-know-gp-practices-have-legal-duties-under-the-public-sector-equality-duty-psed/) - Many people don’t realise that general practices are public bodies — and that means they’re required by law to consider how their services affect people with protected characteristics (like disability, age, language needs, or ethnicity). When GP services go digital (e.g., online booking, video consults), practices must make sure nobody is excluded — especially patients
- [Why Buying in Inclisiran Makes Sense for GP Practices](https://enhancedprimarycare.co.uk/2025/04/14/why-buying-in-inclisiran-makes-sense-for-gp-practices/) - The introduction of Inclisiran (Leqvio®) into the lipid management pathway has created an exciting opportunity for primary care to reduce cardiovascular risk through a convenient, biannual injectable therapy. But as Inclisiran gains traction, many practices are asking the same question: should we prescribe it via the pharmacy or buy it in and administer it ourselves?
- [Why Monitoring and Managing Long-Term Conditions Is Essential in General Practice](https://enhancedprimarycare.co.uk/2025/04/10/why-monitoring-and-managing-long-term-conditions-is-essential-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2013637 📣 Now’s the Perfect Time to Refocus on Long-Term Conditions Care With QOF 2024/25 wrapped up and new changes for 2025/26 now in effect, this is the perfect time to step back and review how your practice supports patients with long-term conditions. You’ve already done the hard work – now’s the time to make
- [We’ve just hit over 200 Members in our Harmony CQC Community!](https://enhancedprimarycare.co.uk/2025/04/09/weve-just-hit-200-members-in-our-harmony-cqc-community/) - A huge thank you to every single person who’s joined the Harmony CQC Community – we’ve officially reached 200 members – and because of how fast the community is growing, it’s actually now 205! 😄 If you’re new here, the Harmony CQC Community is a free space for care professionals to connect, share insights, ask
- [The Importance of Infection Prevention and Control (IPC) in General Practice](https://enhancedprimarycare.co.uk/2025/04/08/the-importance-of-infection-prevention-and-control-ipc-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/426166/lessons/1596169 Infection Prevention and Control (IPC) is one of the most critical responsibilities in general practice. It ensures that patients, staff, and visitors are protected from the risk of infection transmission, which is particularly important in primary care settings where vulnerable individuals are frequently seen. The CQC places a strong emphasis on IPC compliance, and
- [Upcoming Changes to Health Protection Notification Regulations – What You Need to Know](https://enhancedprimarycare.co.uk/2025/04/03/upcoming-changes-to-health-protection-notification-regulations-what-you-need-to-know/) - From 6 April 2025, important changes are being introduced to the Health Protection (Notification) Regulations, which all Registered Medical Practitioners (RMPs) should be aware of. These updates, announced by the UK Health Security Agency (UKHSA), aim to strengthen infectious disease surveillance and response across the country. What’s Changing? The key update is an expanded list
- [Why the Reasonable Adjustments Flag Matters in General Practice](https://enhancedprimarycare.co.uk/2025/04/03/why-the-reasonable-adjustments-flag-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517638/lessons/2029016 In general practice, delivering personalised, inclusive care isn’t just good clinical practice — it’s a legal and ethical obligation. One of the most important ways practices can meet this responsibility is by recognising and responding to patients who need reasonable adjustments to access care safely and effectively. This is where the Reasonable Adjustments Flag
- [Introducing ‘We’ Statements in Our Harmony CQC Audits – Helping You Prepare for CQC Inspections](https://enhancedprimarycare.co.uk/2025/04/02/introducing-we-statements-in-our-harmony-cqc-audits-helping-you-prepare-for-cqc-inspections/) - You might have noticed that we’ve started including ‘We’ statements in our new weekly Harmony CQC Audits – and we wanted to take a moment to explain why we’ve made this change, and how it’s designed to support you. This initiative aims to assist you in gathering robust evidence for your inspections, aligning with the
- [Immediate Action Required – Changes to Gender and Sex Identity Recording in GP Records Following Sullivan Review](https://enhancedprimarycare.co.uk/2025/03/31/immediate-action-required-changes-to-gender-and-sex-identity-recording-in-gp-records-following-sullivan-review/) - The recently published independent Sullivan Review, led by Professor Alice Sullivan, has brought to light a critical safeguarding concern within the NHS. The review, which focused on data, statistics, and research relating to sex and gender, specifically highlighted the risks associated with the current process of re-assigning gender and sex identity in medical records for
- [Why Interdisciplinary Team Collaboration Matters in General Practice](https://enhancedprimarycare.co.uk/2025/03/27/why-interdisciplinary-team-collaboration-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517638/lessons/1977200 In the fast-paced, increasingly complex world of general practice, no single professional can deliver high-quality patient care alone. Every interaction - from a receptionist booking an urgent appointment, to a nurse following up a long-term condition, to a GP coordinating with a pharmacist - forms part of a larger, interconnected web. This is where
- [The Hidden Cost of a CQC Inadequate Rating: A Partner’s Perspective](https://enhancedprimarycare.co.uk/2025/04/07/the-hidden-cost-of-a-cqc-inadequate-rating-a-partners-perspective-3/) - Part 3: What I Wish I Knew Then In the quiet moments since handing my contract over to an at-scale provider, I’ve had time to reflect — not on the chaos, but on the clarity that came after. This isn’t a post-mortem. It’s a message for those still standing. If you’re a GP Partner or
- [The Hidden Cost of a CQC Inadequate Rating: A Partner’s Perspective](https://enhancedprimarycare.co.uk/2025/03/31/the-hidden-cost-of-a-cqc-inadequate-rating-a-partners-perspective-2/) - Part 2: The Real Cost of Recovery When the CQC rates a practice “Inadequate,” you don’t receive a clear action plan. You receive a long, often ambiguous list of what you didn’t do. You’re left piecing together expectations, interpreting vague statements, and trying to reverse-engineer the standard you apparently failed to meet. It takes time
- [The Hidden Cost of a CQC Inadequate Rating: A Partner’s Perspective](https://enhancedprimarycare.co.uk/2025/03/24/the-hidden-cost-of-a-cqc-inadequate-rating-a-partners-perspective/) - Part 1: What CQC Didn’t Show on the Report This isn’t about blame. It’s about what’s broken — and what it costs us. When our practice was rated Inadequate by the Care Quality Commission, I braced for the headlines, the judgment, the staff meetings, and the action plans. What I didn’t expect was how much
- [MHRA Pregnancy Prevention Programme for Topiramate - Ensure you have a process.](https://enhancedprimarycare.co.uk/2025/03/27/mhra-pregnancy-prevention-programme-for-topiramate-ensure-you-have-a-process/) - MHRA Pregnancy Prevention Programme for Topiramate A new Pregnancy Prevention Programme has been introduced by the MHRA for Topiramate, which is a potently teratogenic drug. Every six months around 190 women are prescribed topiramate during pregnancy – usually for migraine and initiated in general practice. However, MHRA guidance states: ‘Topiramate is now contraindicated in pregnancy
- [Adult Flu Procurement and Supply: What You Need to Know for 2025/26](https://enhancedprimarycare.co.uk/2025/01/27/adult-flu-procurement-and-supply-what-you-need-to-know-for-2025-26/) - The recent announcement from NHS England brings some clarity for practices planning their flu vaccination programmes for the 2025/26 season. Following feedback from primary care providers—including responses to a recent questionnaire—no changes will be made to the current adult flu procurement and supply model for next year. However, discussions about a potential move to a
- [Why We’ve Categorised Our Harmony CQC Audits into Premises, People, and Process](https://enhancedprimarycare.co.uk/2025/03/26/why-weve-categorised-our-harmony-cqc-audits-into-premises-people-and-process/) - When we set out to review and categorise our audits, we expected to see a fairly even spread across Premises, People, and Process. After all, a lot of the CQC’s historic focus has been on premises—ensuring that buildings are fit for purpose, safety measures are in place, and compliance is met. But something unexpected happened.
- [The Importance of Physical Security & Building Safety in General Practice](https://enhancedprimarycare.co.uk/2025/03/20/the-importance-of-physical-security-building-safety-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517637/lessons/1942645 General practices are responsible for providing a safe and secure environment for patients, staff, and visitors. While clinical care is the primary focus, physical security risks - such as unauthorised access, inadequate surveillance, poor perimeter security, and ineffective emergency response measures, can pose serious threats to operations and safety. A Physical Security & Building
- [The Importance of Lone Working Safety in General Practice](https://enhancedprimarycare.co.uk/2025/03/13/the-importance-of-lone-working-safety-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/426166/lessons/1902731 Lone working is a common reality in general practice. Whether it’s GPs conducting home visits, reception staff opening or closing the practice alone, or administrative staff working late, there are various situations where employees may find themselves working without immediate support. Ensuring that lone workers are protected is vital for both staff safety and
- [Winning the Battle: Two GP Practices Successfully Appeal Market Rent Reviews](https://enhancedprimarycare.co.uk/2025/03/09/winning-the-battle-two-gp-practices-successfully-appeal-market-rent-reviews/) - In February 2025, two significant appeals relating to GP premises market rent reviews were successfully upheld in favour of practices. Both cases highlight the importance of understanding and appropriately challenging rent assessments. In the first case, the appeal addressed discrepancies in valuation methodologies applied to the practice’s premises. NHS Resolution found in favour of the
- [The Importance of Effective Document Workflow in General Practice](https://enhancedprimarycare.co.uk/2025/03/11/the-importance-of-effective-document-workflow-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/426166/lessons/1596173 In a busy general practice setting, document workflow plays a crucial role in ensuring that patient care, compliance and operational efficiency run smoothly. From clinical correspondence to test results and referrals, managing documents effectively is not just an administrative task - it’s a critical function that directly impacts patient safety and regulatory compliance. A
- [The Importance of Psychological Safety & Wellbeing in General Practice](https://enhancedprimarycare.co.uk/2025/03/06/the-importance-of-psychological-safety-wellbeing-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/426166/lessons/1835122 Healthcare professionals work in high-pressure environments where split-second decisions, patient care complexities, and administrative responsibilities can create stressful and demanding workplaces. In general practice, staff must feel safe to voice concerns, report mistakes, and seek help without fear of criticism or negative repercussions. Psychological safety - the confidence to speak up, admit mistakes, and
- [Fire Safety in General Practice: Why It’s Essential for Compliance and Patient Safety](https://enhancedprimarycare.co.uk/2025/03/04/fire-safety-in-general-practice-why-its-essential-for-compliance-and-patient-safety/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/426166/lessons/1596175 Fire safety is a critical responsibility for every general practice. The risk of fire is often underestimated in healthcare settings, yet the consequences of poor fire safety management can be devastating, endangering patients, staff, and the continuity of care. This article explores why fire safety is essential, how it aligns with CQC compliance, and
- [The 2025/26 GP Contract: A Step Forward, But Not Without Its Challenges](https://enhancedprimarycare.co.uk/2025/02/28/the-2025-26-gp-contract-a-step-forward-but-not-without-its-challenges/) - For the first time in four years, NHS England and the BMA’s General Practitioners Committee (GPC) have reached an agreement on the GP contract. This marks a significant shift from the stalemates of recent years and brings much-needed financial investment into general practice. With a £969 million uplift, including an £889m boost to core funding,
- [The Importance of Equality, Diversity, and Inclusion (EDI) in General Practice](https://enhancedprimarycare.co.uk/2025/02/27/the-importance-of-equality-diversity-and-inclusion-edi-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/426166/lessons/1829743 Equality, Diversity, and Inclusion (EDI) in healthcare is not just a regulatory requirement, it is a cornerstone of delivering compassionate, high-quality care to every patient, regardless of their background. In a diverse society like the UK, ensuring that every patient feels seen, heard, and respected is crucial. Fostering an inclusive workplace empowers staff, reduces
- [Why Risk Management is Essential for General Practice](https://enhancedprimarycare.co.uk/2025/02/25/why-risk-management-is-essential-for-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/426166/lessons/1596176 Risk management is a crucial aspect of running any organisation, but in healthcare, where patient safety, regulatory compliance, and operational efficiency intersect, it is non-negotiable. Every decision, process, and policy in a general practice carries inherent risks, and effectively managing those risks is key to maintaining high-quality care and regulatory confidence. This article explores
- [Celebrating Resilience: Dr. Jamie Green’s Journey to a CQC Good Rating](https://enhancedprimarycare.co.uk/2025/02/24/celebrating-resilience-dr-jamie-greens-journey-to-a-cqc-good-rating/) - In the world of primary care, where every day presents new challenges, resilience and perseverance often define the success of a practice. Dr. Jamie Green’s recent account of his practice’s struggles following a seven-month delay in receiving CQC inspection results is a story that resonates with so many GP surgeries across the UK. But today,
- [Why Data Protection and Information Governance Are Critical in General Practice](https://enhancedprimarycare.co.uk/2025/02/20/why-data-protection-and-information-governance-are-critical-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/426166/lessons/1772700 Data protection and information governance are not just regulatory obligations - they are essential components of building trust, ensuring patient safety, and maintaining operational integrity in general practice. With the increasing reliance on digital records, the sensitive nature of patient information and the strict requirements of GDPR and NHS guidelines, effective data management is
- [Why HR Files Are Essential to a Well-Functioning Practice](https://enhancedprimarycare.co.uk/2025/02/18/why-hr-files-are-essential-to-a-well-functioning-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/426166/lessons/1596177 Human Resources (HR) files might not be the most exciting topic in practice management, but they are a vital foundation for compliance, staff management and overall organisational success. In the fast-paced world of general practice, maintaining robust and up-to-date HR files ensures you’re ready to meet both regulatory requirements and the needs of your
- [Ensuring Equitable and Timely Access to Care: Why It Matters for General Practice](https://enhancedprimarycare.co.uk/2025/04/22/ensuring-equitable-and-timely-access-to-care-why-it-matters-for-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/426166/lessons/1596166 Access to care is one of the most critical factors in determining patient outcomes and overall healthcare quality. In general practice, ensuring that patients can book appointments, receive timely support, and access the right healthcare professional when needed is fundamental to both patient satisfaction and clinical effectiveness. The Access to Care Audit helps practices
- [ARRS Roles in General Practice: Ensuring Compliance and Maximising Impact](https://enhancedprimarycare.co.uk/2025/04/15/arrs-roles-in-general-practice-ensuring-compliance-and-maximising-impact/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/426166/lessons/1596168 The Additional Roles Reimbursement Scheme (ARRS) has significantly expanded the workforce in primary care, enabling general practice teams to offer a broader range of services and alleviate pressure on GPs. However, with this expansion comes the responsibility of ensuring compliance, proper integration, and governance - something the CQC is increasingly scrutinising during inspections. This
- [The Importance of Emergency Preparedness and Business Continuity in General Practice](https://enhancedprimarycare.co.uk/2025/04/01/the-importance-of-emergency-preparedness-and-business-continuity-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/426166/lessons/1596170 In healthcare, unpredictability is inevitable. From power outages to cyberattacks, staff shortages to public health crises, general practices must be ready to respond swiftly and effectively to minimise disruptions and maintain patient care. The Emergency Preparedness and Business Continuity Audit ensures that your practice has robust plans in place to manage emergencies and recover
- [Why Environmental Sustainability Matters in General Practice](https://enhancedprimarycare.co.uk/2025/02/13/why-environmental-sustainability-matters-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/426166/lessons/1789774 The healthcare sector has a crucial role to play in mitigating its environmental impact. General practices, as the first point of contact for many patients in the healthcare system, are uniquely positioned to lead the way in sustainability efforts. Integrating environmental sustainability into your practice not only aligns with broader NHS goals but also
- [The Importance of Safeguarding in General Practice: Ensuring Patient Safety and Compliance](https://enhancedprimarycare.co.uk/2025/03/25/the-importance-of-safeguarding-in-general-practice-ensuring-patient-safety-and-compliance/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/426166/lessons/1596171 Safeguarding is a fundamental responsibility for all healthcare providers, particularly in general practice, where patients of all ages and vulnerabilities seek care. From identifying signs of abuse to protecting at-risk individuals, safeguarding policies and procedures ensure that patients and staff are kept safe from harm. The Safeguarding Audit is designed to help practices assess
- [Ensuring Safe and Effective Healthcare: The Importance of Auditing Staff Levels and Competence](https://enhancedprimarycare.co.uk/2025/03/18/ensuring-safe-and-effective-healthcare-the-importance-of-auditing-staff-levels-and-competence/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/426166/lessons/1596172 Delivering high-quality patient care in general practice isn’t just about having the right policies and procedures in place, it’s about ensuring you have the right people, with the right skills, at the right time. Effective workforce planning ensures that staffing levels are safe, skills are appropriate, and competence is regularly reviewed. The Staff Levels
- [Monitoring High-Risk Medicines and Overdue Blood Test Recalls: Why It Matters](https://enhancedprimarycare.co.uk/2025/02/11/monitoring-high-risk-medicines-and-overdue-blood-test-recalls-why-it-matters/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/426166/lessons/1596180 The management of high-risk medicines and the monitoring of overdue blood test recalls are among the most critical responsibilities of any healthcare practice. These areas directly impact patient safety and are key focus areas during CQC inspections. This article delves into the importance of proactive monitoring, the risks of non-compliance, and how practices can
- [Why Cold Chain Management and Vaccine Storage Compliance is Crucial in General Practice](https://enhancedprimarycare.co.uk/2025/02/06/why-cold-chain-management-and-vaccine-storage-compliance-is-crucial-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/426166/lessons/1762349 Vaccines are one of the most effective ways to protect public health, but their efficiency relies on strict temperature control and proper storage. In primary care settings, effective cold chain management ensures that vaccines remain safe and effective for patients. Without robust procedures and regular audits, improper storage could lead to wasted stock, patient
- [Nursing Team Policies and Procedures: A Cornerstone of Effective Practice Management](https://enhancedprimarycare.co.uk/2025/02/04/nursing-team-policies-and-procedures-a-cornerstone-of-effective-practice-management/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/426166/lessons/1619417 In any healthcare practice, the nursing team plays a pivotal role in ensuring the delivery of high-quality patient care. However, the impact of their work relies heavily on having robust, clear, and well-documented policies and procedures in place. This article explores why nursing team policies and procedures are critical, how they align with CQC
- [Neighbourhood Health & NHS England’s 2025/26 Vision: Hope for the Future or More Pressure for General Practice?](https://enhancedprimarycare.co.uk/2025/02/01/neighbourhood-health-nhs-englands-2025-26-vision-hope-for-the-future-or-more-pressure-for-general-practice/) - In recent weeks, NHS England has released a series of key documents outlining the strategic direction for the next few years. Among them, the 2025/26 Priorities and Operational Planning Guidance (read here), the New Operating Model (read here), and Neighbourhood Health Guidelines 2025/26 (read here). For General Practice, these documents paint an ambitious picture—one that
- [The Importance of Effective Complaints Handling and Feedback Management in General Practice](https://enhancedprimarycare.co.uk/2025/01/30/the-importance-of-effective-complaints-handling-and-feedback-management-in-general-practice/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/426166/lessons/1728467 In the fast-paced environment of general practice, ensuring patients feel heard and valued is paramount. Complaints handling and feedback management play a vital role in not only maintaining patient trust but also driving continuous improvement. Whether it’s addressing a patient concern or using feedback to enhance services, effective complaints management is a cornerstone of
- [The Importance of Health and Safety in Healthcare Practices](https://enhancedprimarycare.co.uk/2025/01/27/the-importance-of-health-and-safety-in-healthcare-practices/) - https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/426166/lessons/1710228 Health and safety form the backbone of any successful healthcare organisation. In environments where patient care is paramount, maintaining a safe and compliant workplace ensures not only the well-being of patients but also the protection and confidence of staff. Whether you’re a small GP practice or part of a larger healthcare group, health and
- [Change of Vaccine Brand for Pre-School Boosters: What Practices Need to Know](https://enhancedprimarycare.co.uk/2025/01/20/change-of-vaccine-brand-for-pre-school-boosters-what-practices-need-to-know/) - The UK Health Security Agency has announced a change in the vaccine used for the pre-school booster, with REPEVAX® set to replace Boostrix-IPV®. These vaccines are clinically equivalent and should continue to be offered to children aged 3 years 4 months and up to 10 years for those who have not yet received it. However,
- [Original Pack Dispensing: What the Recent Changes Mean for General Practice](https://enhancedprimarycare.co.uk/2025/01/20/original-pack-dispensing-what-the-recent-changes-mean-for-general-practice/) - From 1 January 2025, pharmacists in England can dispense medicines in their original packs under new NHS Pharmaceutical and Local Pharmaceutical Service regulations. The changes allow pharmacists to dispense quantities within ±10% of the prescribed amount, eliminating the need to split packs for most medicines (excluding controlled drugs under schedules 1–4). While this regulatory update
- [The Art of Leadership in Healthcare: Lessons from My Own CQC Journey](https://enhancedprimarycare.co.uk/2025/01/18/the-art-of-leadership-in-healthcare-lessons-from-my-own-cqc-journey/) - When I first faced a CQC inspection, I walked in confident that our team had done everything right. We had policies, job descriptions, and procedures – surely that was enough? But as the inspection unfolded, I realised there was a missing piece: clarity and accountability. Our efforts were fragmented, and while the intention was there,
- [A Question of Fairness: Lessons from a Practice’s Friends and Family Test Contract Breach Notice Appeal](https://enhancedprimarycare.co.uk/2025/01/07/a-question-of-fairness-lessons-from-a-practices-friends-and-family-test-contract-breach-notice-appeal/) - A Question of Fairness: Lessons from the Practice’s Breach Notice Appeal The recent decision by NHS Resolution to uphold a breach notice against the Practice highlights the complexities of navigating compliance and procedural obligations within the NHS. Despite a robust challenge from the Practice, this case ultimately reinforces the importance of adhering to contractual requirements
- [The Importance of Cleaning in Practice Care: A Foundation for Excellence](https://enhancedprimarycare.co.uk/2025/01/06/the-importance-of-cleaning-in-practice-care-a-foundation-for-excellence/) - Cleaning and hygiene in general practice are non-negotiable aspects of care delivery. Beyond being a basic expectation, maintaining a clean environment directly impacts patient safety, staff wellbeing, and the overall quality of care. While it’s tempting to think of cleaning as just a tick-box exercise, recent reports from the Care Quality Commission (CQC) show how
- [AI-Powered Document Workflow: Is It Time to Eliminate Your Backlog?](https://enhancedprimarycare.co.uk/2024/12/18/ai-powered-document-workflow-is-it-time-to-eliminate-your-backlog/) - Document processing in general practice: it’s the unsung hero of our operations, yet often the greatest bottleneck. Duplicate letters, inconsistent coding, backlogs stretching into the thousands – sound familiar? If you’ve ever looked at your overflowing document queue and wondered how on earth you’ll clear it, you’re not alone. But the real question is: what
- [Be unafraid to talk about money in Primary Care](https://enhancedprimarycare.co.uk/2024/12/12/be-unafraid-to-talk-about-money-in-primary-care/) - As I sat down to host today’s webinar on Maximising Income in GP Practices Using Ardens Manager, I couldn’t help but reflect on how much has changed since I last worked directly in a practice. Four years ago, I stepped away from managing a busy general practice, and today, seeing the tools now available to
- [Do you have a document workflow backlog? Join us for our AI-Powered Document Processing Webinar...](https://enhancedprimarycare.co.uk/2024/12/11/do-you-have-a-document-workflow-backlog-join-us-for-our-ai-powered-document-processing-webinar/) - Join us for an insightful webinar exploring how AI and automation can revolutionise document workflows in General Practice. Hear from leading voices in the field as we uncover practical strategies to reduce workload, improve efficiency, and enhance practice resilience. What we’ll cover: • Optimal Document Processing Workflow: Discover best practices for streamlining document management. • Success Story:
- [🚨 New Audit Alert: Emergency Preparedness and Business Continuity 🚨](https://enhancedprimarycare.co.uk/2024/12/09/🚨-new-audit-alert-emergency-preparedness-and-business-continuity-🚨/) - Is your practice ready to face emergencies like fires, floods, or cyberattacks? Our latest Emergency Preparedness and Business Continuity Audit is here to help you identify gaps and ensure your plans are robust. ✅ Checklist for preparedness ✅ Key action points for resilience ✅ Peace of mind for you and your team This is just
- [Transform Your Practice with the HCQC 8-Step Coaching Programme](https://enhancedprimarycare.co.uk/2024/12/09/transform-your-practice-with-the-hcqc-8-step-coaching-programme/) - The demands on practice managers and primary care practices have never been greater. Balancing patient care, staff management, compliance, and operational excellence is no small feat. That’s why we designed the 8-Step Coaching Programme – a comprehensive roadmap to elevate your practice while supporting your professional growth. The programme starts in January, it’s not too
- [Prioritising Winter Wellbeing in Primary Care: Lessons from My Own Burnout Journey](https://enhancedprimarycare.co.uk/2024/12/09/prioritising-winter-wellbeing-in-primary-care-lessons-from-my-own-burnout-journey/) - As we head into the challenges of winter, the wellbeing of NHS staff, including those of us in primary care, is more important than ever. Winter brings its unique pressures—higher demand, seasonal illnesses, and the inevitable strain on already stretched resources. I’ve been there, and I know how vital it is to prioritise support for
- [Maximise Your Practice’s Income with Ardens Manager: Free Webinar](https://enhancedprimarycare.co.uk/2024/12/05/maximise-your-practices-income-with-ardens-manager-free-webinar/) - Are you looking for practical ways to optimise income and improve data quality in your GP practice? Join Daniel Vincent, former General Practice Partner and Practice Manager, alongside the expert Ardens Team, for an insightful webinar designed to help you make the most of your resources and ensure no income is left on the table.
- [216 people attended live for our CQC Workshop!!](https://enhancedprimarycare.co.uk/2024/11/23/216-people-attended-live-for-our-cqc-workshop/) - The workshop "Do you really know what the CQC are looking for?" was really well attended and we spent an exciting 90 minutes together! I have uploaded the recording to our Facebook community which now has over 3400 members. If you are not a member you can request to join here: https://www.facebook.com/groups/254788070091440 Once you have been accepted or if you are already
- [Call to Action: Protect the Future of Flu Vaccination in General Practice](https://enhancedprimarycare.co.uk/2024/11/23/call-to-action-protect-the-future-of-flu-vaccination-in-general-practice/) - NHS England has launched a consultation exploring the potential costs and benefits of centralising the procurement and supply of adult flu vaccines. This marks a significant step towards achieving the ambitions of the NHS England Vaccination Strategy, which aims to enhance efficiency and responsiveness in vaccine supply. However, for General Practice, this proposed shift could
- [Free Workshop: Do you really know what the CQC is looking for?](https://enhancedprimarycare.co.uk/2024/11/09/free-workshop-do-you-really-know-what-the-cqc-is-looking-for/) - If the thought of an inspection brings stress and uncertainty, join us for a workshop designed just for you! Workshop: Do You Really Know What the CQC Are Looking For? Date: Tuesday 19th November 2024 Time: 12:30 - 14:00 Location: https://events.teams.microsoft.com/event/b32debf6-e1a1-47eb-84ce-f829cd805853@a36b0cc9-fa8b-491f-89e8-ff2d6ef813d0 In this interactive session, we’ll dig deep into the real CQC priorities and help
- [Red Tape Challenge: Have Your Say in Shaping a Better NHS](https://enhancedprimarycare.co.uk/2024/11/07/red-tape-challenge-have-your-say-in-shaping-a-better-nhs/) - The NHS is taking a bold step to cut down on bureaucracy and improve the way healthcare is delivered. The Red Tape Challenge has been launched as part of a rapid review into NHS bureaucracy by Secretary of State for Health and Care, Wes Streeting, and NHS England Chief Executive, Amanda Pritchard. This initiative is
- [National Registration form is now contractual...](https://enhancedprimarycare.co.uk/2024/10/31/national-registration-form-is-now-contractual/) - Another excellent update from Healthtech-1 re the national registration form. Remember if you are not yet a registration automation customer use this link to gain 100 free registrations as well as a two week free trial: ht1.epcx.co.uk Hi there 👋🏽, As you may know, NHS E has updated the contract to emphasise that the National
- [Managing the Rising Wage Bill: What Practice Managers Need to Know About New National Insurance and Minimum Wage Changes](https://enhancedprimarycare.co.uk/2024/10/30/managing-the-rising-wage-bill-what-practice-managers-need-to-know-about-new-national-insurance-and-minimum-wage-changes/) - As a practice manager, keeping an eye on the wage bill is critical, especially when regulatory changes significantly impact staffing costs. With the recent government announcements, practices across England are facing several cost increases from April 2025. Here’s a breakdown of what’s changing, how it affects your practice, and what you can do to prepare.
- [NHS England Change Survey: Have Your Say in Shaping the Future](https://enhancedprimarycare.co.uk/2024/10/21/nhs-england-change-survey-have-your-say-in-shaping-the-future/) - NHS England is inviting everyone to participate in their latest Change Survey, which focuses on how we can improve healthcare services across the country. This survey is a chance for healthcare workers, patients, and the public to share their thoughts on the changes needed to create a more effective, efficient NHS. Whether you have ideas
- [Menopause Awareness Day – 18th October: Support for NHS Colleagues](https://enhancedprimarycare.co.uk/2024/10/18/menopause-awareness-day-18th-october-support-for-nhs-colleagues/) - Today, on Menopause Awareness Day, we acknowledge the importance of raising awareness and providing support to those going through the menopause, particularly within the workplace. NHS England has recognised the significance of this issue and has developed a range of resources aimed at supporting colleagues and staff experiencing menopause symptoms. The menopause is a natural
- [Understanding Your Budget for Staff and Partner Pay Increases in General Practice](https://enhancedprimarycare.co.uk/2024/10/08/understanding-your-budget-for-staff-and-partner-pay-increases-in-general-practice/) - When it comes to planning pay increases for both staff and partners in general practice, it’s essential to understand how these changes will affect your overall budget. This guide will help you break down the process step-by-step, ensuring you stay within your budget limits. Key Considerations: • This Budget Relates to Your Global Sum Payment:
- [Boost your CQC confidence...](https://enhancedprimarycare.co.uk/2024/10/07/boost-your-cqc-confidence/) - This week’s resource has just been published. The audit focuses on practice responsibilities around ARRS team members. Appreciate it feels like we have enough to look after with “our own” teams. CQC make it very clear that anyone under your direction is part of your team and therefore regulated activity. Not a member yet? Join
- [Time to Automate Your GP Registration Process: Here’s Why](https://enhancedprimarycare.co.uk/2024/10/07/time-to-automate-your-gp-registration-process-heres-why/) - With the upcoming changes to the GMS1 form and the new requirement for GP practices to offer the ‘Register for a GP Surgery’ service by 31 October 2024, now is the perfect time to consider automating your GP registration process. In my recent video, I discuss why patient registration is a prime candidate for automation.
- [Phasing Out the GMS1 Form: What It Means for GP Practices](https://enhancedprimarycare.co.uk/2024/09/30/phasing-out-the-gms1-form-what-it-means-for-gp-practices/) - As part of the ongoing efforts to streamline GP registration processes across England, the traditional GMS1 form will soon be phased out. By 31 October 2024, all GP practices in England must adopt the new ‘Register for a GP surgery’ online service. This free digital service simplifies patient registration and aims to reduce the administrative
- [If you are attending Best Practice this week don't miss your chance to win Gin!](https://enhancedprimarycare.co.uk/2024/10/07/if-you-are-attending-best-practice-this-week-dont-miss-your-chance-to-with-gin/)
- [See you at Best Practice next week?](https://enhancedprimarycare.co.uk/2024/09/30/see-you-at-best-practice-next-week/)
- [Streamlining the Reporting of Notifiable Diseases: An Opportunity for GP Practices](https://enhancedprimarycare.co.uk/2024/09/19/streamlining-the-reporting-of-notifiable-diseases-an-opportunity-for-gp-practices/) - The UK Health Security Agency (UKHSA) has introduced an exciting new online service, ‘Report a Notifiable Disease’, which promises to make infectious disease notifications quicker and easier. For many GP practices, adhering to the legal requirement of notifying suspected or confirmed cases of notifiable diseases has often been a challenging and time-consuming process. This new
- [Long-Awaited Change for Sub-Dermal Contraceptive Implants Coming in 2025](https://enhancedprimarycare.co.uk/2024/09/19/long-awaited-change-for-sub-dermal-contraceptive-implants-coming-in-2025/) - Long-Awaited Change for Sub-Dermal Contraceptive Implants Coming in 2025 We’re thrilled to share some fantastic news that we’ve been advocating for over the years. Starting from 1 January 2025, GP practices will finally be able to order sub-dermal contraceptive implants, such as Nexplanon, directly from the supplier. This long-awaited update will be formally included in
- [Top Ten Financial Insights from Lord Darzi’s NHS Independent Investigation Report](https://enhancedprimarycare.co.uk/2024/09/16/top-ten-financial-insights-from-lord-darzis-nhs-independent-investigation-report/) - The recent report from Lord Darzi, Independent Investigation of the National Health Service in England, reflects many of the long-standing issues and concerns we’ve been raising in General Practice for the past decade. While there are no shocking revelations, this is a positive development—it shows that what we’ve been advocating for is now being recognised,
- [Cloud-Based Telephony Data Collection - Will you be accepting?](https://enhancedprimarycare.co.uk/2024/09/05/cloud-based-telephony-data-collection-will-you-be-accepting/) - We understand GPC has advised not to accept the data collection as part of the planned industrial action: "9. Defer signing declarations of completion for “better digital telephony” and “simpler online requests” until further GPC England guidance is available. In the meantime: - Defer signing off ”Better digital telephony” until after October 2024: do not agree
- [Check your ordered Flu stock is "first line" before delivery...](https://enhancedprimarycare.co.uk/2024/09/02/check-your-ordered-flu-stock-is-first-line-before-delivery/) - We have heard from several sources that NHSE are looking to crack down on non-first line vaccine use this year. "Providers who are commissioned NHS flu vaccination providers, are reminded to always use first line vaccines as stated in the 24/25 annual flu letter; “providers should only purchase the alternative second-line vaccines if all attempts
- [Will we be seeing you at Best Practice Birmingham?](https://enhancedprimarycare.co.uk/2024/09/02/will-we-be-seeing-you-at-best-practice-birmingham/) - If you haven't secured your free pass grab one here: https://www.bestpracticeshow.co.uk/?utm_source=exhibitor&utm_medium=0064H00001X4ZCkQAN&utm_campaign=EnhancedTechnology What is your favorite part of Best Practice Show?
- [Urgent Reminder: New Medical Certificates of Cause of Death (MCCDs)](https://enhancedprimarycare.co.uk/2024/09/02/urgent-reminder-new-medical-certificates-of-cause-of-death-mccds/) - By now, GP practices should have received their new Medical Certificates of Cause of Death (MCCDs) from the Department of Health and Social Care (DHSC). These updated certificates are mandatory for all deaths from 9 September 2024, but cannot be used before this date. If your practice has not yet received the new MCCDs, it
- [Urgent Reminder - Sign up for influenza delivery.](https://enhancedprimarycare.co.uk/2024/08/27/urgent-reminder-sign-up-for-influenza-delivery/) - If your practice intends to participate in the seasonal and childhood influenza vaccination programmes for 2024/25, it is crucial to sign up in the Calculating Quality Reporting System (CQRS) by 15 September 2024. This is a mandatory step as outlined in section 4.5 of the Influenza Enhanced Service Specification. Ensure your practice is enrolled in
- [Realising the Potential of Primary Care Provider Collaboratives: A Positive Step Forward?](https://enhancedprimarycare.co.uk/2024/08/29/realising-the-potential-of-primary-care-provider-collaboratives-a-positive-step-forward/) - The recent report, Realising the Potential of Primary Care Provider Collaboratives, published by NHS Confederation’s Primary Care Network in collaboration with KPMG, marks a significant milestone in the government’s ambition to shift resources closer to home. By emphasizing the importance of primary and community care, the report showcases the achievements of provider collaboratives and outlines
- [New Shingles and Flu Vaccination Technical Guidance Documents Published](https://enhancedprimarycare.co.uk/2024/08/27/new-shingles-and-flu-vaccination-technical-guidance-documents-published/) - NHS England has released the 2024/25 technical guidance documents for the Shingles Vaccination Programme and the Seasonal Influenza Vaccination Programme. These documents are essential resources for general practices, providing detailed information on eligible patient groups, the correct coding and recording of vaccination events, claiming payments, and fostering collaboration in delivering these vital services. These guidelines
- [New Standard GMS, PMS, and APMS Contracts Published by NHS England](https://enhancedprimarycare.co.uk/2024/08/27/new-standard-gms-pms-and-apms-contracts-published-by-nhs-england/) - NHS England has released new standard contracts for General Medical Services (GMS), Personal Medical Services (PMS), and Alternative Provider Medical Services (APMS). These contracts, along with their variation notices, reflect updates to the contract Regulations as of May 2024. Key changes include the requirement for practices to share digital telephony data from 1st October 2024
- [Automating Registrations in GP Practices: Uncovering the Visible and Hidden Costs](https://enhancedprimarycare.co.uk/2024/07/22/automating-registrations-in-gp-practices-uncovering-the-visible-and-hidden-costs/) - In the fast-paced environment of GP practices, efficiency is key. One area ripe for innovation is the registration process. While the traditional approach has served its purpose, automating registrations can offer significant benefits by freeing up valuable time and resources. However, it’s important to understand that while automating registrations can save time, it won’t necessarily
- [Introducing Our Free Short Report: Your Guide to Navigating CQC Inspections](https://enhancedprimarycare.co.uk/2024/07/21/introducing-our-free-short-report-your-guide-to-navigating-cqc-inspections/) - We are thrilled to announce the launch of our Free Short Report, a vital resource designed to help healthcare practices navigate the complexities of CQC inspections. As healthcare providers, maintaining high standards and ensuring compliance with regulatory requirements is paramount. Our short report is crafted to support you in this journey, offering practical insights and
- [GP Patient Survey 2024: Insights and Implications for General Practice](https://enhancedprimarycare.co.uk/2024/08/02/gp-patient-survey-2024-insights-and-implications-for-general-practice/) - GP Patient Survey 2024 have been published, shedding light on patient experiences in general practice, NHS dentistry, and community pharmacy. This year’s survey, conducted between 2 January and 25 March 2024, saw nearly 700,000 completed questionnaires. Key Findings GP Practices: 73.9% of patients reported a good overall experience. Contacting GP Practices: 67.3% had a positive
- [Limited Time to Access Improvement Support for General Practice](https://enhancedprimarycare.co.uk/2024/07/21/limited-time-to-access-improvement-support-for-general-practice/) - Attention all General Practices: there’s a limited window to apply for the General Practice Improvement Programme, offering invaluable on-site, in-person support. This programme is designed to help practices embed modern practices, improve access, streamline care navigation processes, and better align capacity with demand. What’s on Offer? Improvement Specialists: Hands-on support to tackle specific challenges. Comprehensive
- [Unveiling the NHS Primary Medical Services Policy and Guidance Manual: A Hidden Gem for GP Practice Managers](https://enhancedprimarycare.co.uk/2024/07/20/unveiling-the-nhs-primary-medical-services-policy-and-guidance-manual-a-hidden-gem-for-gp-practice-managers/) - Managing a General Practice (GP) can be a complex endeavour, particularly when navigating the intricacies of NHS contracts. While many practice managers may not be aware, the Primary Medical Services Policy and Guidance Manual (PGM) is a crucial resource available to guide contract management and decision-making. Despite its public availability, it remains underutilised. Understanding how
- [Safeguarding Accountability and Assurance Framework: Actions for GP Practices](https://enhancedprimarycare.co.uk/2024/08/21/safeguarding-accountability-and-assurance-framework-actions-for-gp-practices/) - NHS England has recently updated its Safeguarding Accountability and Assurance Framework, a comprehensive guide that delineates the safeguarding roles and responsibilities for all individuals working within NHS-funded care settings and commissioning organisations. This updated framework includes pivotal content on national, regional, and local safeguarding; the fit and proper persons test; and the duty of candour.
- [Miscommunication and Misinformation: The Root of the GP Connect Update Record Controversy](https://enhancedprimarycare.co.uk/2024/07/08/miscommunication-and-misinformation-the-root-of-the-gp-connect-update-record-controversy/) - The recent controversy surrounding the GP Connect: Update Record functionality has highlighted the significant issue of miscommunication and misinformation within the NHS, particularly affecting General Practice teams over a precious weekend. This confusion not only disrupted the work-life balance of these teams but also wasted valuable time that could have been better spent on patient
- [Pharmacy technicians are now about to use patient group directions](https://enhancedprimarycare.co.uk/2024/06/27/pharmacy-technicians-are-now-about-to-use-patient-group-directions/) - Pharmacy technicians and patient group directions Amendments to the Human Medicines Regulations 2012 (HMR 2012) took effect this week (26 June) which will enable registered pharmacy technicians – a regulated profession for over 10 years – to legally supply and administer certain medicines under patient group directions (PGDs). NHS England is developing processes to consider updating
- [Significant risk of incorrect data being recorded - Maternal pertussis vaccine change](https://enhancedprimarycare.co.uk/2024/06/27/significant-risk-of-incorrect-data-being-recorded-maternal-pertussis-vaccine-change/) - Maternal pertussis vaccine change The maternal pertussis vaccine is changing from Boostrix-IPV to ADACEL from 1 July 2024. NHS England is aware that notification to GP practices from Trusts delivering the vaccine may not capture the correct pertussis vaccine type. This is due to the templates used by maternity still being updated to enable the
- [New unfunded immunisation programme - Introducing RSV vaccination programmes for those aged 75 and over and pregnant women](https://enhancedprimarycare.co.uk/2024/06/27/new-unfunded-immunisation-programme-introducing-rsv-vaccination-programmes-for-those-aged-75-and-over-and-pregnant-women/) - Introducing RSV Vaccination Programmes for Older Adults and Pregnant Women Funding Concerns and Operational Impact The announcement of two new RSV (Respiratory Syncytial Virus) vaccination programmes by NHS England and the UK Health Security Agency (UKHSA) has raised significant funding concerns among GP practices. This development comes just hours after Daniel Vincent, CEO of Enhanced
- [Implementing the Reasonable Adjustments Digital Flag – Training and Benefits](https://enhancedprimarycare.co.uk/2024/06/20/implementing-the-reasonable-adjustments-digital-flag-training-and-benefits/) - The NHS is rolling out the Reasonable Adjustments Digital Flag across the NHS and publicly funded care services. This initiative is aimed at improving the quality of care for disabled people by ensuring that reasonable adjustments are made to meet their needs. To support this rollout, free training is available for all staff to help
- [Action required by all practices - Cervical Screening Management System expected to go live on 24 June 2024](https://enhancedprimarycare.co.uk/2024/06/13/action-required-by-all-practices-cervical-screening-management-system-expected-to-go-live-on-24-june-2024/) - The new Cervical Screening Management System (CSMS) is scheduled to go live at 7am on Monday 24 June 2024. Final actions that providers and users need to undertake are outlined in the latest system letter of 10 June 2024. All data will be transferred over from the NHAIS/Open Exeter system to the new system on
- [Practical Challenges in the New General Practice Vaccination and Immunisation Services Guidance](https://enhancedprimarycare.co.uk/2024/08/12/practical-challenges-in-the-new-general-practice-vaccination-and-immunisation-services-guidance/) - The new guidance from NHS England on General Practice Vaccination and Immunisation Services, effective from 1st May, aims to streamline the administration of essential vaccines, including the Pneumococcal vaccine. While the comprehensive standards and core contractual requirements provide clarity, there are significant practical challenges in the call and recall process, particularly when dealing with patients
- [General Practice Vaccination and Immunisation Services](https://enhancedprimarycare.co.uk/2024/06/13/general-practice-vaccination-and-immunisation-services/) - In April 2021, the administration of the Pneumococcal vaccine transitioned from an enhanced service to being classified under "essential services" within general practice. This significant shift was initially met with limited detailed contractual guidance, causing uncertainty among practitioners about the implementation and compliance requirements. It wasn't until the 1st of May this year that NHS
- [Summary of the New Primary Care Service Development and IT Funding Guidance 2024/25](https://enhancedprimarycare.co.uk/2024/06/10/summary-of-the-new-primary-care-service-development-and-it-funding-guidance-2024-25/) - Introduction The new NHS England guidance for 2024/25 outlines the allocation and use of Service Development Funding (SDF) and General Practice IT (GPIT) funding. This funding aims to enhance primary care services, support workforce growth, and improve IT infrastructure. Key Funding Areas Primary Care Transformation Funding Total Funding: £126.9 million Purpose: To support initiatives that
- [Evaluating the New NHS Primary Care Funding Guidance for 2024/25](https://enhancedprimarycare.co.uk/2024/08/01/evaluating-the-new-nhs-primary-care-funding-guidance-for-2024-25/) - The new Primary Care Service Development and IT Funding Guidance for 2024/25 from NHS England presents a robust framework aimed at addressing critical needs in general practice. While the guidance is comprehensive and strategically sound, several points merit closer scrutiny from a practical standpoint. Strengths Integrated Funding Approach: Combining various funding streams into a single
- [Want to save a significant amount on your energy bills?](https://enhancedprimarycare.co.uk/2024/06/03/want-to-save-a-significant-amount-on-your-energy-bills/) - I met with Dr Christian Hornung, GP partner. He told me how they saved enough money on their utility bills to appoint an additional Pharmacist! In this short video (under 11 mins) he explains how it works and how you can take action to save your practice money, even if you are currently in a
- [The New Community Pharmacy PCN Engagement Role](https://enhancedprimarycare.co.uk/2024/06/03/the-new-community-pharmacy-pcn-engagement-role/) - The NHS England announcement of community pharmacy primary care network (PCN) engagement leads introduces an intriguing, albeit challenging, new role within the healthcare system. Financial Breakdown and Practicalities The role is backed by a £7.5 million fund for 2024-2025, with a reimbursed hourly rate of £33.50. However, after accounting for on-costs (estimated at 30%), the
- [Accidental Addicts: Patients at risk from misuse of prescribed medication a Practical Session](https://enhancedprimarycare.co.uk/2024/05/30/accidental-addicts-patients-at-risk-from-misuse-of-prescribed-medication-a-practical-session/) - This group of patients are often under-recognised, under-served yet over-represented when it comes to the time required to support them. The webinar will cover: Techniques to identify these patients. Pathways to engage with them. Current best practice. Examples from other locations. Potential next steps. Register Now: https://events.teams.microsoft.com/event/194e3fb0-8ab8-4910-96ff-89871c98a157@a36b0cc9-fa8b-491f-89e8-ff2d6ef813d0
- [Practice Manager feeling stressed?](https://enhancedprimarycare.co.uk/2024/05/20/𝐏𝐫𝐚𝐜𝐭𝐢𝐜𝐞-𝐌𝐚𝐧𝐚𝐠𝐞𝐫-𝐅/) - A workshop built around understanding the stress of the Practice Management role. ???????? ???????????????? ???????? ???????????????? ???????????????? ℤ???????????????????? - (???????????? ????????????????’???? ???????????? ???????????????? ???????????????????? ???????????? ????????????????????) During this 90 Minute interactive workshop Joe will hold a safe space for us to walk us through: understanding our stressors consider how we can manage them the positive
- [PM or GP Partner - Maximising your premises related income - Are you one of the 89% of practices that are underfunded?](https://enhancedprimarycare.co.uk/2024/05/20/pm-or-gp-partner-maximising-your-premises-related-income-are-you-one-of-the-89-of-practices-that-are-underfunded/) - Join your host Daniel Vincent and NHS Premises expert Will Ellis from BW Healthcare Surveyors for this interactive webinar. During the webinar Will will cover: -Why 89% of practices are underfunded -The dangers of not having a NHS specific lease approved by the NHS / District Valuer -If you own your property - How a
- [Supporting practices with digital tools](https://enhancedprimarycare.co.uk/2024/05/20/supporting-practices-with-digital-tools/) - Supporting practices to secure digital tools (online consultation, messaging, appointment booking, demand and capacity) is a key part of the Primary Care Access Recovery Plan and the move to Modern General Practice model. Funding is available in 2024/25 to support the purchase of these tools. In 2024/25 there will be flexibility in the approach, given the Digital
- [Worried about your email before, during or after leave? This system can help....](https://enhancedprimarycare.co.uk/2024/05/22/worried-about-your-email-before-during-or-after-leave-this-system-can-help/) - #PracticeManager Worried about your emails? #productivity hack Emails drive a PMs life and there is no way of getting away from this.We can choose to allow it only to drive our work life.... Do not access your email whilst on holiday. Not even once. Turn turn off your mailbox if you have them on your
- [A Deep Dive into Prioritisation for Primary Care Professionals](https://enhancedprimarycare.co.uk/2024/05/17/mastering-prioritisation-primary-care/) - Prioritisation for Primary Care Professionals is one of the most important skills to have in your Practice Manager armoury. In our previous blog post, we delved into the world of primary care workload management and provided tips for practice managers and GP partners to efficiently manage their tasks. As a primary care professional, your days
- [Master Primary Care Workload Management: Stop Firefighting and Get Things Done](https://enhancedprimarycare.co.uk/2024/05/10/primary-care-workload-management/) - Introduction: Tackling Primary Care Workload Management Are you a Practice Manager or GP Partner constantly feeling like you're putting out fires? If so, you're not alone – many primary care professionals face the challenge of managing their workload effectively. In this article, we'll explore practical strategies for primary care workload management to help you regain
- [Prescription and administration of contraceptive injections - NHSE Reminder](https://enhancedprimarycare.co.uk/2024/05/07/prescription-and-administration-of-contraceptive-injections-nhse-reminder/) - We saw the following reminder published in then NHSE bulletin. We suspect this has been added because practices are sending the prescription across to the pharmacy due to increased buy-in costs. We have asked to be connected with the team to try and understand the motivation and requirements of this request. We believe that practices
- [Scan-on-Demand frameworks now available - affordable alternative to record digitisation?](https://enhancedprimarycare.co.uk/2024/04/29/scan-on-demand-frameworks-now-available-affordable-alternative-to-record-digitisation/) - Scan-on-Demand frameworks now available Scan-on-demand services allow GP practices to store their records off-site to free up space, digitising any records that are required for immediate use. Where there is a local need, Lloyd George scan-on-demand services can be procured by GPs and ICBs from procurement frameworks, which NHSE has identified as providing scanning, digitisation
- [Reasonable Adjustments Digital Flag training for NHS and social care staff now available ](https://enhancedprimarycare.co.uk/2024/04/29/reasonable-adjustments-digital-flag-training-for-nhs-and-social-care-staff-now-available/) - Staff training for the Reasonable Adjustment Digital Flag is available on the eLearning for healthcare website. The training will support staff working across the NHS and social care to be able to provide the right care and treatment by making sure that the reasonable adjustment needs for disabled people are supported. This is a
- [Free webinar - Responsible for balancing the books in Primary Care?](https://enhancedprimarycare.co.uk/2024/04/22/free-webinar-responsible-for-balancing-the-books-in-primary-care/) - During this monthly webinar, we bring you the latest updates and opportunities in Primary Care funding. Hosted by Daniel Vincent, Former Practice Manager and General Practice Partner. Drawing on his experience, and now dedicated time, to bring you only the most important updates.
- [GP practices encouraged to become ‘veteran friendly accredited’ to help improve care and support](https://enhancedprimarycare.co.uk/2024/04/22/gp-practices-encouraged-to-become-veteran-friendly-accredited-to-help-improve-care-and-support/) - GP practices can become ‘veteran friendly accredited’ after new data has found that by signing up, practices could encourage thousands of military veterans who may be silently struggling with their health to seek help. Over 3,000 practices have already signed up and 99% of practices recommend it. The free RCGP scheme takes 20 minutes
- [Maximising Efficiency in Primary Care: The Power of Time Blocking](https://enhancedprimarycare.co.uk/2023/07/18/the-power-of-time-blocking-for-primary-care-efficiency/) - Introduction: Maximising Efficiency in Primary Care with Time Blocking In the fast-paced world of primary care, efficiency is not just an aspiration; it's a necessity. Whether it's managing patient care, navigating administrative duties, or balancing the myriad of other tasks that land on your desk, ensuring your time is used effectively is crucial. Enter time
- [The Reasonable Adjustments Digital Flag actions checklist](https://enhancedprimarycare.co.uk/2024/04/16/the-reasonable-adjustments-digital-flag-actions-checklist/) - As the NHS starts to implement the reasonable adjustments digital flag, NHS England is encouraging organisations to start conforming to requirements during this month. The new digital flag action checklist allows organisations to check that processes are in place to identify, record, flag, share and update reasonable adjustment needs on their own systems and
- [Boost profits from your Non-NHS Income. Save 20 hours a month from your billing process!](https://enhancedprimarycare.co.uk/2024/04/12/boost-profits-from-your-non-nhs-income-save-20-hours-a-month-from-your-billing-process/) - Practice Manager or GP Partner? Boost profits from your Non-NHS Income. Save 20 hours a month from your billing process! Grab the recording now as we walk you through: - Exploring typical processes for non-NHS billing - How GP-Billing drives efficiency, increases billing opportunities and boosts profits. - Demonstration of the key features. https://www.facebook.com/groups/254788070091440
- [Update on indemnity arrangements for the administration of MMR vaccines to practice staff](https://enhancedprimarycare.co.uk/2024/04/09/update-on-indemnity-arrangements-for-the-administration-of-mmr-vaccines-to-practice-staff/) - As communicated on the NHS Resolution website, indemnity cover will be temporarily provided through Clinical Negligence Scheme General Practice (CNSGP) for the administration of MMR vaccines to eligible practice staff. Where a first vaccination was administered on or before 31 March 2024 and a second vaccination is given on or before the 31 May
- [Polypharmacy Action Learning Set Training](https://enhancedprimarycare.co.uk/2024/04/09/polypharmacy-action-learning-set-training/) - The Health Innovation Network Polypharmacy Programme invites GPs and prescribers to join the NHS England funded Polypharmacy Action Learning Sets. The aim of this evidence-based learning model is to help GPs, Pharmacists and other professionals who undertake prescribing, medication reviews and de-prescribing to understand the complex issues surrounding stopping inappropriate medicines safely. This online interactive course
- [Care navigation digital e-learning – now available to access via the learning platform](https://enhancedprimarycare.co.uk/2024/04/09/care-navigation-digital-e-learning-now-available-to-access-via-the-learning-platform/) - A new learning platform, Care Navigation Connect, is the free dedicated space for general practice staff who want to learn more about care navigation. Foundation and advanced levels are available to support staff to effectively implement care navigation in their service. This follows care navigation training offered through Primary Care Access Recovery Programme in 2023/24
- [Maximising Your Practice Profits from Non-NHS income](https://enhancedprimarycare.co.uk/2024/03/25/maximising-your-practice-profits-from-non-nhs-income/) - During this interactive webinar, the Enhanced Technology team will share their insight on why the Non-NHS process is so painful for so many practices. Exploring typical processes for non-NHS billing How GP-Billing drives efficiency, increases billing opportunities and boosts profits. Demonstration of the key features. Register today to attend live or receive the recording https://meet.zoho.eu/oPSd5XnuBS
- [Apply to be a TEDxNHS speaker](https://enhancedprimarycare.co.uk/2024/03/25/apply-to-be-a-tedxnhs-speaker/) - People with ideas that can improve health and care are being sort by TEDxNHS, which uses storytelling for change, inspiring thinking differently and designing better for populations. Apply by 5 April.
- [Enhancing GP record updates from pharmacies (Update Record)](https://enhancedprimarycare.co.uk/2024/03/25/enhancing-gp-record-updates-from-pharmacies-update-record/) - New functionality to provide practices with structured information about pharmacy consultations for blood pressure checks, contraception and Pharmacy First (minor illness and clinical pathways) will begin a phased roll out next week. Practice staff will no longer have to manually manage this information via NHSmail; data will go straight into the workflow and can be
- [Money Money Money - How Funding Flows in Primary Care](https://enhancedprimarycare.co.uk/2024/03/18/money-money-money-how-funding-flows-in-primary-care/) - Join us every month for the very latest updates to Primary Care Finance. "In 2024 if you don't run your practice like a business, you might not have a practice to run." Register today to attend live or receive the recording Register Here - https://meet.zoho.eu/0tepJMID9n Your host, Daniel Vincent -Former Practice Manager and Partner
- [2024-25 GP contract details released](https://enhancedprimarycare.co.uk/2024/03/04/2024-25-gp-contract-details-released/) - Just in time for our session at Best Practice Show London NHSE released details of the 2024-25 contract. Full details can be found here: https://www.england.nhs.uk/publication/arrangements-for-the-gp-contract-in-2024-25/ It is fair to say if you are not running your practice like a business in 2024 then you might not have a practice to run in 2025.
- [Did you know I'm speaking at this years Best Practice London 2024?](https://enhancedprimarycare.co.uk/2024/02/27/did-you-know-im-speaking-at-this-years-best-practice-london-2024/) - Make sure you register and join me at the UK's number 1 event for general practice and primary care! https://www.bestpracticelondon.co.uk/speaker-faculty/daniel-vincent #BPLondon2024 Need to register: https://invt.io/1exbqpxbmz5
- [Did you know we are exhibiting at this years Best Practice London 2024?](https://enhancedprimarycare.co.uk/2024/02/27/did-you-know-we-are-exhibiting-at-this-years-best-practice-london-2024/) - Make sure you register and join us at the UK's number 1 event for general practice and primary care! https://nuel.ink/XDomJU #BPLondon2024 Will we be seeing you there?
- [MMR call / recall  - FYI it's been a bit of an nightmare!](https://enhancedprimarycare.co.uk/2024/02/16/mmr-call-recall-fyi-its-been-a-bit-of-an-nightmare/) - MMR call / recall The national MMR call / recall launched last week with those unvaccinated or partially vaccinated contacted. The communication went to parents of those aged 6 – 11 years across England and those 12- 16 years in London and the West Midlands. We understand from practices that messages were sent to those
- [Don't miss the opportunity to celebrate your Social Prescribing Link Worker(s)](https://enhancedprimarycare.co.uk/2024/02/17/dont-miss-the-opportunity-to-celebrate-your-social-prescribing-link-workers/) - Link Worker Day 2024 awards – nominations open The #LinkWorkerDay24 awards celebrate the impactful contributions made by social prescribing link workers and those who support them in transforming healthcare through social prescribing. Nominations are open until 6 February. Award Categories: Social Prescribing Link Worker Supervisor of the Year Social Prescribing Link Worker of the Year Social
- [Learning from remote consultations in general practice](https://enhancedprimarycare.co.uk/2024/02/16/learning-from-remote-consultations-in-general-practice/) - NHS Resolution recently assisted research teams from the Universities of Oxford and Plymouth and the Nuffield Trust in identifying learnings from primary care remote consultations undertaken in general practice. Findings will be shared at a 27 March 2024 virtual forum. Learn more about the findings and forum.
- [Still got patients who request a paper prescription so that they can choose where they take it? Read on....](https://enhancedprimarycare.co.uk/2024/02/08/still-got-patients-who-request-a-paper-prescription-so-that-they-can-choose-where-they-take-it-read-on/) - Digital prescriptions in the NHS App As of 30 January 2024, patients in England can use the NHS App to view all their prescription details, order repeat prescriptions, and generate a barcode that can be shown to a pharmacy for collection without a paper prescription from their GP. This will positively impact on general practice
- [Launch of NHS Pharmacy First advanced service](https://enhancedprimarycare.co.uk/2024/02/05/launch-of-nhs-pharmacy-first-advanced-service/) - 31 January 2024, the NHS Pharmacy First advanced service launched, enabling community pharmacists to complete episodes of care for patients for seven common conditions, without the need for the patient to visit their general practice. The service builds on the previous Community Pharmacist Consultation Service (CPCS) by enabling community pharmacies to manage patients for seven
- [The Power of Health Coaching in Hypertension Management - A Webinar for clinical and non-clinical staff.](https://enhancedprimarycare.co.uk/2024/01/24/the-power-of-health-coaching-in-hypertension-management-a-webinar-for-clinical-and-non-clinical-staff/) - Dr Jonathan Crawshaw, Senior Partner, Berinsfield Health Centre and Chief Medical Officer of Added Health walks us through their deployment of Digital Health Coaching to support patients with Hypertension to obtain better health outcomes. During this webinar Dr Crawshaw shared his practice's story and the development of the Added Health Digital Health Coaching support. Catch
- [Impending launch of the Pharmacy First...](https://enhancedprimarycare.co.uk/2024/01/24/impending-launch-of-the-pharmacy-first/) - With the impending launch of the Pharmacy First scheme we wanted to share this fantastic resource created by Tara and the team at THC. Within the blog is a Canva link that allows you to create your own version of the patient facing infographic - such a time saver. Thank you THC... https://www.thcprimarycare.co.uk/post/the-pharmacy-first-scheme-what-does-it-mean-for-primary-care-networks
- [Free Webinar - Why the FP34 / PPA claims process goes wrong for many practices.](https://enhancedprimarycare.co.uk/2024/01/22/free-webinar-why-the-fp34-ppa-claims-process-goes-wrong-for-many-practices/) - Wed, 31st Jan 2024 12:30 PM - 1:00 PM GMT During this interactive webinar, Daniel will share his insight on why the FP34 / PPA claims process goes wrong for many practices. The session will include: Brief overview of the process - When it goes right - When it goes wrong How the GP profit
- [New National Patient Safety Alert for GLP-1 receptor antagonists (GLP-1 RAS) for the treatment of type 2 diabetes](https://enhancedprimarycare.co.uk/2024/01/22/new-national-patient-safety-alert-for-glp-1-receptor-antagonists-glp-1-ras-for-the-treatment-of-type-2-diabetes/) - A new National Patient Safety Alert has been issued relating to the supply issues being experienced within GLP-1 RA treatments. This supersedes the previous patient safety alert. The new alert reflects an increase in supply of Rybelsus® tablets (oral semaglutide), which is now sufficient to allow for new initiations of this medicine for people with
- [Data law compliance failures are a growing problem: tips to reduce your risk](https://enhancedprimarycare.co.uk/2024/01/14/data-law-compliance-failures-are-a-growing-problem-tips-to-reduce-your-risk/) - Another excellent article from Dr Soliciors Top tips to avoid an ICO reprimand We suggest that you carry out a thorough and regular review of your policies, procedures and training and document the outcome of each review. You may wish to prioritise the following: all data protection policies, procedures and staff guidance and training, particularly
- [Help promote veteran mental health services in your area](https://enhancedprimarycare.co.uk/2024/01/11/help-promote-veteran-mental-health-services-in-your-area/) - Available across England, Op COURAGE is a dedicated mental health and wellbeing service for anyone who has served in the UK Armed Forces. NHS England has launched a campaign to raise awareness of Op COURAGE: The Veterans Mental Health and Wellbeing Service. It’s aimed at individuals who are due to leave the military, reservists and those
- [Update on GP retention schemes: General Practice Fellowships and Supporting Mentors](https://enhancedprimarycare.co.uk/2024/01/08/update-on-gp-retention-schemes-general-practice-fellowships-and-supporting-mentors/) - The current national GP retention schemes General Practice Fellowships and Supporting Mentors will close on 31 March 2024. GPs and nurses who join the scheme before that date will continue to be supported, until they complete their two-year programme. NHS England will continue to invest in GP Retention in 2024/25. More information and guidance
- [64 working dates until the end of the financial year....](https://enhancedprimarycare.co.uk/2024/01/02/64-working-dates-until-the-end-of-the-financial-year/) - As the 31st March 2024 deadline for the Quality and Outcomes Framework (QoF) Quality Improvement (QI) wellbeing module looms, it's essential for GP practices to centre their focus on a crucial element: staff wellbeing. The wellbeing of healthcare staff is more than just a tick-box exercise for regulatory compliance; it's the bedrock of patient care
- [Partial Retirement vs 24 Hour Retirement – Keeping Your Options Open](https://enhancedprimarycare.co.uk/2024/01/07/partial-retirement-vs-24-hour-retirement-keeping-your-options-open/) - Another excellent article from Dr Solicitors this time the new option of partial retirement. Partial retirement is already available to members with 2008 Section and 2015 Scheme benefits but now it also applies to members with 1995 Section benefits. Many people looking to retire now will be members of the 1995 Section, so this is
- [NHS Pensions and PCNs: The new rules explained](https://enhancedprimarycare.co.uk/2024/01/02/nhs-pensions-and-pcns-the-new-rules-explained/) - Dr Soclictors have provided some excellent advice around the rule changes to PCNs and the NHS Pension: The pensions access has nothing to do with the CQC. Regardless of which route you go down you do not necessarily have to register with the CQC. CQC registration is a totally different process and is unrelated to
- [Consultation on incentives in general practice](https://enhancedprimarycare.co.uk/2023/12/28/consultation-on-incentives-in-general-practice/) - The Government is seeking views on the role of incentives in general practice and has published a new consultation. The consultation is open to all stakeholders, including healthcare professionals, patient groups and the wider public, to share their views and insights on the role of the incentives, including the Quality Outcomes Framework (QOF) and Investment
- [IIF ACC-08 Exception Flags](https://enhancedprimarycare.co.uk/2023/12/28/iif-acc-08-exception-flags/) - Exception flags are now active in both EMIS and TPP practice systems to indicate when an appointment would not be expected to happen within two weeks of booking. This may be due to patient preference or clinical rationale. Cegedim is expected to go live in early 2024. As noted in the IIF guidance for ACC08,
- [Change to destruction of scanned Lloyd George paper records ](https://enhancedprimarycare.co.uk/2023/12/12/change-to-destruction-of-scanned-lloyd-george-paper-records/) - Practices can now securely destroy Lloyd George paper record envelopes, along with their contents, once they have been scanned and electronically stored in line with national standards. Guidance on digitising GP records is available on FutureNHS (login required). As data controllers of Lloyd George records, it is the responsibility of practices to approve the destruction of
- [New indicator added to Qualities and Outcomes Framework for adults with severe mental illness (SMI)](https://enhancedprimarycare.co.uk/2023/12/12/new-indicator-added-to-qualities-and-outcomes-framework-for-adults-with-severe-mental-illness-smi/) - A new indicator was added to the Quality and Outcomes Framework in 2023/24 for people with severe mental illness (SMI). MH021 is based on the percentage of patients with SMI who have received all six elements of the Physical Health Check. The six elements include assessments on alcohol consumption and smoking status, BMI, blood pressure,
- [Sorry but there are only 82 working dates before the end of this financial year!](https://enhancedprimarycare.co.uk/2023/12/04/sorry-but-there-are-only-82-working-dates-before-the-end-of-this-financial-year/) - It's true! To add insult to injury the 31st March is on a Sunday so Friday the 29th March is your last working day. Tick one thing off your list and make a difference to your team's wellbeing by purchasing the EPC QoF QI Workforce Wellbeing workbook. We have simplified the process, given space for
- [New funding oppertunity to develop local volunteering infrastructure](https://enhancedprimarycare.co.uk/2023/12/04/new-funding-oppertunity-to-develop-local-volunteering-infrastructure/) - The Volunteering For Health programme is a £10million programme to develop local volunteering infrastructure and includes a grant fund to support around 15 local systems, enabling them to test and trial new volunteering models that can act as catalysts for change. Applications are encouraged from systems and across the health infrastructure that haven't thought this
- [Updates to the NHS App](https://enhancedprimarycare.co.uk/2023/12/04/updates-to-the-nhs-app/) - The NHS App has been redesigned to make it simpler for patients to find and access services. Patients will be prompted to update their NHS App over the next few weeks and will see an updated home page, simpler structure, and easier-to-understand language. The roll out should start before Christmas. Some services have moved within
- [Unlock the Potential of Your GP Practice Team's Wellbeing](https://enhancedprimarycare.co.uk/2023/11/23/unlock-the-potential-of-your-gp-practice-teams-wellbeing/) - Is your GP practice team thriving or merely surviving? It's time to unlock their full potential and create a culture of wellbeing within your practice. Take a moment to reflect on these questions: - Are you currently implementing any wellbeing initiatives for your team? - Have you noticed an increase in happiness and job satisfaction
- [‘Handling difficult situations - Caring for yourself and others with compassion’](https://enhancedprimarycare.co.uk/2023/11/23/handling-difficult-situations-caring-for-yourself-and-others-with-compassion/) - A final cohort of this free training programme is now live and open to all frontline, patient-facing NHS colleagues. The training aims to introduce attendees to the skills and techniques that can be used to handle difficult situations, whilst maintaining a focus on how to keep yourself safe and well if you feel affected by
- [Fundamentals of change and improvement programme](https://enhancedprimarycare.co.uk/2023/11/23/fundamentals-of-change-and-improvement-programme/) - Applications are open for the fundamentals of change improvement programme, part of the general practice improvement programme. This short and accredited programme will share practical materials that learners can try out immediately on a specific challenge, such as improving the uptake of screening, flow of documents, active signposting etc. Apply before 5 January 2024.
- [Getting Stuff Done in Primary Care](https://enhancedprimarycare.co.uk/2023/11/20/getting-stuff-done-in-primary-care/) - Time Management in Primary Care has always been a challenge. Perhaps now more than ever? If you are challenged by an evergrowing email inbox or todo list take a look at our "Getting Stuff Done" series: Prioritisation: https://enhancedprimarycare.co.uk/2023/07/20/mastering-prioritisation-primary-care/ Workload Management: https://enhancedprimarycare.co.uk/2023/04/28/primary-care-workload-management/ Managing Emails: https://enhancedprimarycare.co.uk/2023/03/07/worried-about-your-email-before-during-or-after-leave-this-system-can-help/ Time blocking - How to get the important but not urgent stuff
- [Don't miss out on your chance to get an average of £7000 of income (and improve your workforce wellbeing!)](https://enhancedprimarycare.co.uk/2023/11/19/dont-miss-out-on-your-chance-to-get-an-average-of-7000-of-income-and-improve-your-workforce-wellbeing/) - Embark on a comprehensive journey of healthcare improvement with "QOF QI Staff and Wellbeing Module: The Step-by-Step Workbook." This workbook guides you through achieving the Quality and Outcomes Framework (QOF) Staff and Wellbeing Module objectives an average of £7000. Use the suggestions from our wide range of experts to enhance staff wellbeing, reducing sickness absence
- [Resources to support NHS line managers](https://enhancedprimarycare.co.uk/2023/11/18/resources-to-support-nhs-line-managers/) - New resources can help NHS colleagues identify the knowledge, skills and behaviours required to be a good people manager. Managers and people professionals are asked to use these resources to help make the NHS the best place to work. Colleagues can also sign-up for an introductory webinar on 21 November.
- [Coffee Machines in the Workplace: Which One Suits Your Practice Best? ☕](https://enhancedprimarycare.co.uk/2023/11/13/coffee-machines-in-the-workplace-which-one-suits-your-practice-best-☕/) - As a Practice Manager, you're well aware of the importance of balancing cost, wellbeing, and time when it comes to providing coffee in the workplace. Even the best quality instant coffee such as Nescafe Gold Blend or Azera is no match for "real coffee". But here's the real question: Which coffee machine is the right
- [Final Warning! Ensure that you are signed up to the autumn/winter 2023/24 Covid-19 and Influenza vaccination programmes](https://enhancedprimarycare.co.uk/2023/11/09/final-warning-ensure-that-you-are-signed-up-to-the-autumn-winter-2023-24-covid-19-and-influenza-vaccination-programmes/) - Back in September, we wrote a blog about the importance of checking you have signed upto the ES ( https://enhancedprimarycare.co.uk/2023/09/06/ensure-that-you-are-signed-up-to-the-autumn-winter-2023-24-covid-19-and-influenza-vaccination-programmes/ ) Sadly two further cases have been appealed and denied this month. https://resolution.nhs.uk/pca-decisions/?fwp_pca_decisions_functions=medical It is now very clear that if you do not correctly sign up to the ES you will not be paid. So
- [General practice improvement leads programme](https://enhancedprimarycare.co.uk/2023/11/09/general-practice-improvement-leads-programme/) - Applications are open for the next cohort of the General Practice Improvement Leads’ programme, which will start in January 2024. This is an accredited personal development programme for those working in general practice. Participants gain new perspectives, skills and confidence in using quality improvement tools and techniques for service redesign and for leading teams through
- [Recording GP appointments – consolidated guidance](https://enhancedprimarycare.co.uk/2023/11/09/recording-gp-appointments-consolidated-guidance/) - NHS England has consolidated all available guidance on recording appointments in General Practice. These impact several IIF indicators alongside practice performance data that is considered by commissioners and the CQC. You can find the new page here: https://www.england.nhs.uk/long-read/recording-gp-appointments-consolidated-guidance/
- [Boosting Staff Wellbeing: Change Ideas for the PDSA Cycles in the QOF QI Framework](https://enhancedprimarycare.co.uk/2023/08/21/qof-qi-framework-part-3/) - Igniting Positive Change: Maximising the PDSA Cycles for Staff Wellbeing As we conclude our trilogy on making the most of the QOF QI Staff and Wellbeing Module, let's now focus on the heart of any Quality Improvement (QI) endeavour - the PDSA cycles. In our previous discussions, we've examined the rationale behind the framework and
- [Decoding the QOF QI Staff and Wellbeing Module: Your Guide to Meeting the Criteria](https://enhancedprimarycare.co.uk/2023/08/14/qof-qi-framework-part-2/) - Introduction: Stepping into the Wellbeing Zone: The QOF QI Staff and Wellbeing Module In our previous post, we delved deep into the rationale behind the Quality and Outcomes Framework (QOF) Quality Improvement (QI) Staff and Wellbeing Module. We discovered the importance of staff wellbeing and how it forms the backbone of an effective primary care
- [Understanding the QOF QI Staff and Wellbeing Module: The Rationale Behind the Framework](https://enhancedprimarycare.co.uk/2023/06/27/new-qof-framework-staff-wellbeing-23-24-rational/) - Understanding the New QOF Framework Aimed at Reducing Burnout In the ever-evolving landscape of primary healthcare, it's crucial to keep abreast of the changes that directly impact the way we work. One such change that requires our attention is the introduction of the Quality Outcomes Framework (QOF) Quality Improvement (QI) Staff and Wellbeing Module. This
- [Understanding the QOF QI Staff and Wellbeing Module: The Rationale Behind the Framework](https://enhancedprimarycare.co.uk/2023/08/07/qof-qi-framework-part-1/) - In the ever-evolving landscape of primary healthcare, it's crucial to keep abreast of the changes that directly impact the way we work. One such change that requires our attention is the introduction of the Quality Outcomes Framework (QOF) Quality Improvement (QI) Staff and Wellbeing Module. This new module, designed to reduce the risk of burnout
- [Enhancing Staff Wellbeing: A Recap of the QOF QI Framework Series](https://enhancedprimarycare.co.uk/2023/08/28/qof-qi-framework-recap/) - Introduction: Piecing Together the Puzzle of Staff Wellbeing Welcome back to our comprehensive exploration of the QOF QI Staff and Wellbeing Module. Over the course of our series, we've delved deep into the complexities and opportunities this framework provides for GP practices. Now, as we tie the knot on this enlightening journey, it's time to
- [Don't miss out on your chance to get an average of £7000 of income (and improve your workforce wellbeing!)](https://enhancedprimarycare.co.uk/2023/10/30/dont-miss-out-on-your-chance-to-get-an-average-of-7000-of-income-and-improve-your-workforce-wellbeing-2/) - Embark on a comprehensive journey of healthcare improvement with "QOF QI Staff and Wellbeing Module: The Step-by-Step Workbook." Buy It Here This workbook guides you through achieving the Quality and Outcomes Framework (QOF) Staff and Wellbeing Module objectives an average of £7000. Use the suggestions from our wide range of experts to enhance staff wellbeing,
- [NHS Resolution offer for General Practice - Prevention is better than cure...](https://enhancedprimarycare.co.uk/2023/10/30/nhs-resolution-offer-for-general-practice-prevention-is-better-than-cure/) - What services do the team offer? Free presentations on learning from risk and claims in general practice and practicing safely; Regional engagements held jointly with panel solicitors and claims managers; Advocacy of primary care issues at regional and national stakeholder events; Lunch-time primary care webinar programme (please see table at the end of this page);
- [Pharmacy blood pressure service check finder tool launched](https://enhancedprimarycare.co.uk/2023/10/30/pharmacy-blood-pressure-service-check-finder-tool-launched/) - NHS.uk has launched this new tool to support healthcare professionals and patients find their nearest pharmacy. Now would be a good time of year to share this service giving plenty of time to support patients to manage their hypertension before the end of the year. As a practice, knowing your local pharmacies that offer the
- [GP webinar - latest updates on blood pressure control](https://enhancedprimarycare.co.uk/2023/10/30/gp-webinar-latest-updates-on-blood-pressure-control/) - Join NHS England’s GP webinar on Thursday 2 November, 5-6pm for the latest updates on blood pressure control, including case studies from GPs. Book your place by 5pm on Wednesday 1 November.
- [General Practice Improvement Programme extended to PCNs](https://enhancedprimarycare.co.uk/2023/10/23/general-practice-improvement-programme/) - Delivery plan for recovering access to primary care: support offer for primary care networks The Primary Care Network (PCN) support offer is part of the General Practice Improvement Programme, as highlighted in the Delivery plan for recovering access to primary care, providing facilitated support across six months to help PCNs address access challenges using evidence-based
- [QoF QI workforce wellbeing - Psychological Safety](https://enhancedprimarycare.co.uk/2023/10/19/qof-qi-workforce-wellbeing-psychological-safety/) - Dr Charlotte Hilton, a contributor to our recently launched QoF QI Workforce Wellbeing Handbook, frequently speaks to the importance of psychological safety at work as a key success factor to wellbeing. On Wednesday 6 September 2023, the Safety and Learning team hosted an interactive virtual webinar on stress claims, findings and recommendations from the Being
- [NHS General Practice Team](https://enhancedprimarycare.co.uk/2023/10/18/nhs-general-practice-team/) - This campaign aims to raise awareness of the different health professionals working in general practice teams who are helping patients get the right care, more easily, first time. Here is a range of assets available to support the campaign. https://campaignresources.dhsc.gov.uk/campaigns/help-us-help-you-primary-care/nhs-general-practice-team/
- [Inclusive digital healthcare: a framework for NHS action on digital inclusion](https://enhancedprimarycare.co.uk/2023/10/16/inclusive-digital-healthcare-a-framework-for-nhs-action-on-digital-inclusion/) - The adoption of digital technologies by both patients and staff has significantly increased over the last few years. Around 10 million more people in the UK used NHS websites or digital applications in 2021 compared with 2020, and NHS App registrations increased from 2 million people in 2021 to 30 million in 2023. However, the benefits are not
- [I got to join Tara Humphrey on The Business of Healthcare Podcast...](https://enhancedprimarycare.co.uk/2023/10/09/i-got-to-join-tara-humphrey-on-the-business-of-healthcare-podcast/) - https://open.spotify.com/episode/1eqfcq0Zy3dQAMhnaTpuBm It was such a pleasure spending time with Tara Humphrey, MBA . Thank you from the bottom of my heart , your skillful questioning unlocked parts of my story I have never told before. It gives me great joy to hear you describe my story as motivational. I would love nothing more than to see just
- [Don't forget, Come and meet us at Best Practice Birmingham...](https://enhancedprimarycare.co.uk/2023/10/09/come-and-meet-us-at-best-practice-birmingham-2/) - We're delighted to be exhibiting at this year's Best Practice Birmingham, 11-12 October 2023 at NEC Birmingham. Our CEO Daniel will also be speaking three times over the two days. The team always enjoy chatting with those working on the frontline. So whether you're an existing client or not please pop to stand D145 to
- [Come and meet us at Best Practice Birmingham...](https://enhancedprimarycare.co.uk/2023/09/29/come-and-meet-us-at-best-practice-birmingham/) - We're delighted to be exhibiting at this year's Best Practice Birmingham, 11-12 October 2023 at NEC Birmingham. Our CEO Daniel will also be speaking three times over the two days. The team always enjoy chatting with those working on the frontline. So whether you're an existing client or not please pop to stand D145 to
- [Preparing for the new Cervical Screening Management System (CSMS)](https://enhancedprimarycare.co.uk/2023/10/07/preparing-for-the-new-cervical-screening-management-system-csms/) - The new Cervical Screening Management Service (CSMS) will go live by the end of 2023/24. These resources offer help and support to providers in taking the necessary action to ensure an effective transition: Recording of a recent webinar to support Registration Authorities including Q&As from the webinar and a step-by-step guide to creating workgroups and assigning users
- [Join peer wellbeing sessions](https://enhancedprimarycare.co.uk/2023/09/29/join-peer-wellbeing-sessions/) - The Looking After You coaching service continues to provide confidential support to hundreds of colleagues working in primary care every month. Peer wellbeing sessions are now available to join. This is an opportunity to speak to like-minded colleagues and an experienced coach to improve and sustain wellbeing. A group of six to eight colleagues
- [BNF+BNFC drug information app](https://enhancedprimarycare.co.uk/2023/09/29/bnfbnfc-drug-information-app/) - The BNF+BNFC app provides access to the latest drug information quickly, offline and on-the-go. Created with health professionals in mind, it provides a personalised experience to help find information quickly including: • accessing the latest clinical information, updated monthly • easily switching between BNF and BNF for Children using colour-coded navigation • identifying drug interactions, with
- [Pulse: ‘No risk’ of PCNs being scrapped, says NHS England GP lead](https://enhancedprimarycare.co.uk/2023/09/18/pulse-no-risk-of-pcns-being-scrapped-says-nhs-england-gp-lead/) - Dr Amanda Doyle, NHS England Head of Primary Care told Pulse: ‘The funding for the additional roles scheme will be rolled forward, it will be recurrent, there is absolutely no risk to PCNs. ‘They should recruit using that funding this year. And they will have the money, it will come in future years for them
- [Improving Patient Safety Culture - A practical guide](https://enhancedprimarycare.co.uk/2023/08/21/improving-patient-safety-culture-a-practical-guide/) - A new guide has been published to support teams across health and social care to understand their patient safety culture and how to approach improving it. ‘Improving Patient Safety Culture – A practical guide’, developed in association with the AHSN Network, supports teams to be curious and learn about their local safety culture and explore
- [New universal information governance templates published ](https://enhancedprimarycare.co.uk/2023/09/07/new-universal-information-governance-templates-published/) - A new suite of high quality, user-friendly information governance (IG) templates to support the lawful use of health and care data is available. Approved by the Information Commissioner’s Office, the Health Research Authority and the National Data Guardian, these Data Protection Impact Assessment, Data Sharing and Processing Agreement, Information Assets & Flows Register and Privacy
- [Did you know that patients can access the NHS App from a laptop or desktop?](https://enhancedprimarycare.co.uk/2023/09/12/did-you-know-that-patients-can-access-the-nhs-app-from-a-laptop-or-desktop/) - We have long recommended practices focus on NHS App sign-up to reduce the practice burden of identification verification. The NHS App team take care of this. Our colleague Giles Kingsley-Pallant recently pointed out that patients can register for, and access the full range of resources available, using the URL: https://www.nhsapp.service.nhs.uk/patient/ Quite how this snuck under
- [Deadline: Funding for Nursing Associates](https://enhancedprimarycare.co.uk/2023/09/18/deadline-funding-for-nursing-associates/) - The deadline for submitting applications to NHS England for financial support for Student Nursing Associate (SNA) places in general practice and primary care networks (PCNs) is Friday 29 September. Funding includes £8,000 employer grant per SNA and Apprenticeship levy funding up to £15,000. NHS England aims to help practices with finding a levy transfer for
- [Ensure that you are signed up to the autumn/winter 2023/24 Covid-19 and Influenza vaccination programmes](https://enhancedprimarycare.co.uk/2023/09/06/ensure-that-you-are-signed-up-to-the-autumn-winter-2023-24-covid-19-and-influenza-vaccination-programmes/) - Following the passing of the sign up deadline now is an excellent time to ensure that your practice has signed up to the Enhanced Services. You can check this via CQRS. We saw a case go to appeal (https://resolution.nhs.uk/wp-content/uploads/2023/06/25860-Medical-Dispute.pdf) back in May where the practice had delivered the service but had not signed up for
- [Celebrating the power of health coaching](https://enhancedprimarycare.co.uk/2023/09/18/celebrating-the-power-of-health-coaching/) - Health Coaching Awareness Week is taking place from September 18-22, showcasing how health coaching can support people to make informed and conscious choices that prevent the escalation of illness and improve health outcomes. In this short film, Tasmyn Ali and her primary care colleagues explain the power of health coaching and how it can support
- [New coaching services: peer wellbeing sessions and virtual away day for teams](https://enhancedprimarycare.co.uk/2023/09/27/new-coaching-services-peer-wellbeing-sessions-and-virtual-away-day-for-teams/) - The Looking After You coaching offer now includes two new services to support individuals and teams to stay well. Peer wellbeing sessions will bring together up to eight people with shared experiences to support each other alongside a trained coach to discuss and plan how to improve and maintain wellbeing. Participants will join virtual group
- [An opportunity to test your National Patient Safety Alert process in relation to the guidance on GLP-1 prescribing](https://enhancedprimarycare.co.uk/2023/09/20/an-opportunity-to-test-your-national-patient-safety-alert-process-in-relation-to-the-guidance-on-glp-1-prescribing/) - A National Patient Safety Alert was issued on 18 July relating to GLP-1 receptor agonists (RAs). The alert outlines actions for prescribers: Only prescribe GLP-1 RAs for licensed indications - further details here Do not initiate GLP-1 RAs for new patients Discuss stopping GLP-1 RA treatment with patients in whom it has not been sufficiently effective (see
- [Primary care teams can arrange for patients to receive free, practical support from NHS and Care Volunteer Responders.](https://enhancedprimarycare.co.uk/2023/09/06/primary-care-teams-can-arrange-for-patients-to-receive-free-practical-support-from-nhs-and-care-volunteer-responders/) - Verified volunteers can help patients with friendly phone calls, medication deliveries and food shopping. Making a referral to Volunteer Responders is quick and simple. Webinars are also available to learn more and Regional Relationship Managers are available in each region.
- [Reminder to update public facing information due to changes in the delegation of commissioning](https://enhancedprimarycare.co.uk/2023/09/13/reminder-to-update-public-facing-information-due-to-changes-in-the-delegation-of-commissioning/) - There have been a number of changes in the delegation of commissioning, including the way members of the public make a complaint about primary care services to the commissioner from 1 July 2023. Rather than contacting NHS England they should now contact their local integrated care board (ICB). Members of the public can still make a complaint
- [The GMS1 registration from is no more....](https://enhancedprimarycare.co.uk/2023/08/02/the-gms1-registration-from-is-no-more/) - More than 1,100 practices are now using the new ‘Register with a GP surgery’ digital registration service – around one in five nationally (18%). It is free for GP practices to use, and is also available on the NHS App. An updated paper form is now available to all practices in England offering the online service. The
- [Survey: Leading the Way – the role and value of nurses in general practice](https://enhancedprimarycare.co.uk/2023/08/01/survey-leading-the-way-the-role-and-value-of-nurses-in-general-practice/) - NHS England would like to hear from practices, with or without nurses, about their staffing models and how practice teams work together. Findings will inform policy and provide an evidence base on how the general practice workforce creates value for their patients, communities and the NHS. Building on the Leading the Way findings, this is
- [Winter Planning](https://enhancedprimarycare.co.uk/2023/08/14/winter-planning/) - NHS England has published a letter to outline the national approach to 2023/24 winter planning and the key steps colleagues across all parts of the system must take to meet the challenges ahead. For primary care services we will be continuing to implement actions from the Delivery Plan for Recovering Access to Primary Care, but
- [Hands-on improvement support for practices and PCNs](https://enhancedprimarycare.co.uk/2023/08/03/hands-on-improvement-support-for-practices-and-pcns/) - Daniel , our CEO, continues to deliver in practice support under this programme. As part of the General Practice Improvement Programme a range of support is being provided to help practices and PCNs drive forward improvements in how they work. The focus will be on helping practices and PCNs to have more control over their
- [PPA Reconciliation: Unlocking Hidden Revenue for GP Practices](https://enhancedprimarycare.co.uk/2023/07/12/unlocking-hidden-revenue-power-of-ppa-reconciliation-for-gp-practices/) - Harnessing the Power of PPA Reconciliation to Boost GP Practice Revenue Welcome to the world of PPA reconciliation—a hidden gem in the realm of GP practices. In this blog post, we’ll journey through the labyrinth of the FP34 claims process, addressing its intricacies, and exploring the potential of unearthing hidden revenue streams. With Enhanced Primary
- [Fundamentals of Change and Improvement programme – applications open](https://enhancedprimarycare.co.uk/2023/07/22/fundamentals-of-change-and-improvement-programme-applications-open/) - Applications are open for the next cohort of the Fundamentals of Change and Improvement programme, being held virtually in October 2023. This nationally accredited training is part of the general practice improvement programme. You will be shown step-by step how to use improvement tools and techniques which can be used to tackle a range
- [Nursing Associates in General Practice: Bridging the Gap](https://enhancedprimarycare.co.uk/2023/07/18/nursing-associates-in-general-practice-bridging-the-gap/) - Trainee Nursing Associate (TNA) places are still available. These programs are open to appropriate staff in General Practice (GP) and Primary Care Networks (PCN). Financial support includes: £8,000 employer grant per TNA Apprenticeship levy funding up to £15,000* PCNs can claim the TNA salary via the Additional Role Reimbursement Scheme *NHSE aims to assist
- [10 Top Tips for Digital Inclusion](https://enhancedprimarycare.co.uk/2023/07/18/10-top-tips-for-digital-inclusion/) - NHS England has teamed up with Good Things Foundation to publish 10 top tips for supporting digital inclusion in general practice – to support practices, PCNs and ICSs to work with local community organisations to make services more inclusive for all. From help identifying patients facing digital exclusion to practical solutions, the top tips draw
- [GP website benchmarking and improvement tool - Do you have time for a 115 line spreadsheet?](https://enhancedprimarycare.co.uk/2023/08/21/gp-website-benchmarking-and-improvement-tool-do-you-have-time-for-a-115-line-spreadsheet/) - GP website benchmarking and improvement tool This tool has been developed to support integrated care systems (ICSs), primary care networks (PCNs) and general practice teams audit the usability of key patient web journeys. The tool provides a deeper understanding as to whether a GP website meets a high standard of usability along with contractual requirements
- [NHS England Webinar: Workforce and wellbeing QOF Quality Improvement (QI) module ](https://enhancedprimarycare.co.uk/2023/07/12/nhs-england-webinar-workforce-and-wellbeing-qof-quality-improvement-qi-module/) - A new QOF QI module on workforce and wellbeing has been introduced for 2023/24. NHS England will be hosting a webinar on Wednesday 19 July from 12pm – 1.30pm for colleagues to share, learn, and develop ideas and initiatives to support the ambitions set out in this module. The webinar will include an overview of
- [Shingles vaccine programme changes from 1 September 2023](https://enhancedprimarycare.co.uk/2023/08/06/shingles-vaccine-programme-changes-from-1-september-2023/) - The bi-partite letter outlining the changes to the shingles vaccine programme from 1 September 2023 has been published. The programme changes include expanding eligible cohorts to younger age groups so individuals, particularly those with a weakened immune system, can be protected at an earlier age. The vaccine that is used in the programme is also
- [You found so much money that we otherwise would not have known about!](https://enhancedprimarycare.co.uk/2023/07/06/990/) - "You found so much money that we otherwise would not have known about! Thank you very much! I say go for it. It's Win-Win." Izzy - Managing Partner If you want to "go for it" book a call with Sally here: https://enhancedprimarycare.co.uk/book-a-call
- [Amendment to annual flu letter 2023/24 – addition of secondary school children (years 7 to 11)](https://enhancedprimarycare.co.uk/2023/07/06/amendment-to-annual-flu-letter-2023-24-addition-of-secondary-school-children-years-7-to-11/) - The government has confirmed an amendment to the 2023 to 2024 annual flu letter. It outlines the addition of secondary school children in Years 7, 8, 9, 10 and 11 to the programme. This includes those that are home-schooled and other children not in mainstream education. Providers should ensure they commence vaccinations as early as
- [New NHS England service to confirm GP registration status ](https://enhancedprimarycare.co.uk/2023/07/04/new-nhs-england-service-to-confirm-gp-registration-status/) - From July, patients transferring GP practice will receive confirmation that their registration has been successful via a new Notify a Patient service. It aims to reduce GP admin burden by reducing the number of calls or visits from patients to confirm their registration status and is set to be rolled out for the majority of
- [A new PPA has been added - Inclisiran](https://enhancedprimarycare.co.uk/2023/07/01/a-new-ppa-has-been-added-inclisiran/) - Information on the reimbursement for inclisiran has been published, which notes that in addition to the typical approach of issuing an FP10 prescription, a prescriber can order inclisiran directly and submit to the NHSBSA via the FP34D/FP34PD for payment purposes. The FP34D/PD high volume appendix form shouldn’t be used, but inclisiran should be counted within FP34D/PD
- [Navigating the 2023/24 GP Contract Changes: Your Ultimate Resource Index](https://enhancedprimarycare.co.uk/2023/07/27/navigating-2023-24-gp-contract-changes/) - As a busy Practice Manager or GP Partner, staying up-to-date with the latest GP contract changes is crucial for the smooth operation of your practice. With the 2023/24 contract updates now upon us, it's more important than ever to understand what these changes mean for you and your team. But fear not! We know that
- [General Practice Access Routes campaign](https://enhancedprimarycare.co.uk/2023/07/24/general-practice-access-routes-campaign/) - General Practice Access Routes campaign This week, all GP practices in England will receive a package of printed materials to help them to explain the access routes available to patients wishing to request care. Following feedback that patients would benefit from clarity on how to access care, materials have been produced which explain the different
- [Understanding NHS's "Delivery Plan for Recovering Access to Primary Care": A Comprehensive Guide for Practice Managers and GP Partners at Enhanced Primary Care](https://enhancedprimarycare.co.uk/2023/06/21/recovering-access-to-primary-care-guide-for-practice-managers-gp-partners/) - In the dynamic world of healthcare, staying abreast of policy changes is crucial for Practice Managers and GP Partners. The NHS's "Delivery Plan for Recovering Access to Primary Care" presents a roadmap that will shape the future of primary care in the UK. With a keen understanding of the significance of this plan, we've dissected
- [Resources and webinar to support new GP registration service](https://enhancedprimarycare.co.uk/2023/05/15/resources-and-webinar-to-support-new-gp-registration-service/) - Resources and webinar to support new GP registration service The new digital ‘Register with a GP surgery’ service, which is now fully integrated with the NHS App, is making GP registration easier for practices and patients. You can find out full details by registering for a dedicated webinar on 14 June and by accessing a
- [Most recent inadequate CQC report.](https://enhancedprimarycare.co.uk/2023/05/15/most-recent-inadequate-cqc-report/) - https://www.cqc.org.uk/location/1-7014603859/inspection-summary We found that: The practice did not provide care in a way that kept patients safe and protected from avoidable harm. Not all patients received effective care and treatment that met their needs. Patients with long-term conditions were not being reviewed effectively, coding was inaccurate and this put patients at risk. The practice did
- [❗️❗️PPA Reconciliation Service Waiting List Update❗️❗️](https://enhancedprimarycare.co.uk/2023/05/15/❗️❗️ppa-reconciliation-service-waiting-list-update❗️❗️/) - ❗️❗️PPA Reconciliation Service Waiting List Update❗️❗️ We absolutely understand the frustration in the wait to unlock an average of £16,000 of unclaimed PPA income from your practice. We want this money in your bank account as quickly as possible as much as you do. 1️⃣ If you are on the waiting list and have yet
- [Delegation of primary care complaints function to Integrated Care Boards](https://enhancedprimarycare.co.uk/2023/05/25/delegation-of-primary-care-complaints-function-to-integrated-care-boards/) - From 1 July 2023, the way members of the public make a complaint about primary care services to the commissioner is changing. Rather than contacting NHS England, they will contact their local integrated care board (ICB). Information about how to do this, including ways of contacting the ICB by phone, e-mail, or written correspondence, will
- [Guidance: Supporting the PCN multidisciplinary team ( Clinical Supervision )](https://enhancedprimarycare.co.uk/2023/05/25/guidance-supporting-the-pcn-multidisciplinary-team-clinical-supervision/) - A suite of guidance documents to support the induction and supervision of the PCN multidisciplinary team have been published. The documents include a staff induction checklist, supervision guidance and a quick reference summary of the 17 roles available through the additional roles reimbursement scheme (ARRS). At Enhanced Primary Care we can also see the benefit
- [Funding available for Trainee Nurse Associates (TNAs) in general practice](https://enhancedprimarycare.co.uk/2023/05/25/funding-available-for-trainee-nurse-associates-tnas-in-general-practice/) - Funding is available for TNAs in general practice. Employers who start TNAs on the apprenticeship programme within primary care are eligible to be supported with an employer grant of £8,000 over two years (£4,000 per year) per TNA. Primary Care Networks can claim 100% of the TNA salary through the Additional Roles Reimbursement Scheme, and
- [Resources: Helping patients to order their repeat prescriptions through the NHS App](https://enhancedprimarycare.co.uk/2023/05/31/resources-helping-patients-to-order-their-repeat-prescriptions-through-the-nhs-app/) - New posters, leaflets, and digital assets are available to help promote ordering repeat prescriptions through the NHS App. Download the toolkit and share the materials with patients. Find more information and a step-by-step guide here. This remains one of the top time savers in Primary Care.
- [Digital and Transformation Leads Development Programme ](https://enhancedprimarycare.co.uk/2023/05/25/digital-and-transformation-leads-development-programme/) - Applications are open for this 12-month development programme specifically designed to equip individuals in the Digital and Transformation Lead ARRS role with the core skills to be able to lead transformational change. The programme comprises a five-day core programme, action learning, personal project work and individual coaching. Email england.capabilityt4c@nhs.net for more information. Applications close 7 June
- [Online access to GP records](https://enhancedprimarycare.co.uk/2023/05/31/online-access-to-gp-records/) - Westbourne Medical Centre in Dorset switched on access to new record entries for its patients as an early adopter (pilot site) in March 2022. Find out how online record access helped them reduce incoming phone calls and how they supported their large elderly population to gain confidence in using the NHS App to view their
- [Did you know that you can appeal commissioner decisions?](https://enhancedprimarycare.co.uk/2023/06/06/did-you-know-that-you-can-appeal-commissioner-decisions/) - NHS Resolution, formerly known as NHS Litigation Authority, is a not-for-profit organization established in 1995 as a Special Health Authority within the NHS. Their role is to assist the NHS in resolving concerns fairly, sharing learning for improvement, and preserving resources for patient care. A recent example, on May 18, 2023, NHS Resolution made a
- [Updated Network Contract DES](https://enhancedprimarycare.co.uk/2023/06/08/updated-network-contract-des/) - NHS England has updated the Network Contract DES service specification to bring the maximum reimbursable amounts under the Additional Roles Reimbursement Scheme (ARRS) in line with the new 2023/24 Agenda for Change pay scales. The ARRS uplifts will apply from July 2023 onwards. The 2023/24 Ready Reckoner has also been updated.
- [Prescription and drug reimbursement claims - Do not use a pooled list code.](https://enhancedprimarycare.co.uk/2023/06/15/prescription-and-drug-reimbursement-claims-do-not-use-a-pooled-list-code/) - NHS England has reminded practices this week that prescription and drug reimbursement claims must be submitted using a GP prescriber number. Drug reimbursement claims must not be submitted using a pooled list code. A pooled list code is issued for the purpose of holding a practice’s patient list against a central code and is not
- [Additional resources to support general practice indemnity now available](https://enhancedprimarycare.co.uk/2023/06/20/additional-resources-to-support-general-practice-indemnity-now-available/) - NHS Resolution have created additional materials to help beneficiaries understand what is covered under each of their general practice indemnity schemes. The GPI reporting flowchart outlines when a claim should be reported to them or the relevant medical defence organisation (MDO), and whether the incident is covered by either the Clinical Negligence Scheme for General Practice
- [NHS Resolution outlines its primary care offer](https://enhancedprimarycare.co.uk/2023/06/20/nhs-resolution-outlines-its-primary-care-offer/) - The launch of the state-backed general practice indemnity schemes in April 2019 and 2020 means that NHS Resolution offers support and insights to those working in primary care, from across all of our four service areas: Claims Management, Practitioner Performance Advice, Primary Care Appeals and Safety and Learning. They have created a short digital brochure – Supporting primary care
- [Latest CQC inadequate report.](https://enhancedprimarycare.co.uk/2023/05/09/latest-cqc-inadequate-report/) - We have rated this practice as inadequate overall. https://www.cqc.org.uk/location/1-537878483/inspection-summary We rated the practice as inadequate for providing safe services because: The provider did not have clear systems and processes to keep patients safe. The provider did not have reliable systems and processes to keep patients safeguarded from abuse. The provider did not have a safe system in
- [Updated Network Contract DES and CAIP guidance](https://enhancedprimarycare.co.uk/2023/05/09/updated-network-contract-des-and-caip-guidance/) - Updated Network Contract DES and CAIP guidance NHS England has updated its Network Contract DES and Capacity and Access Improvement Payment (CAIP) guidance for PCNs, to extend the deadline for PCNs and commissioners to agree an access baseline and improvement plan. The deadline has been moved from 12 May to 30 June 2023. Please contact
- [Guidance: Looking after your team’s health and wellbeing](https://enhancedprimarycare.co.uk/2023/05/09/guidance-looking-after-your-teams-health-and-wellbeing/) - Guidance: Looking after your team’s health and wellbeing A new health and wellbeing guide has been developed by NHS England to support teams to improve their health and wellbeing through a culture-change approach. This guide is designed to empower and enable teams to come together to shape their health and wellbeing journey, building on the
- [Entries are now open for the 2023 Nursing Times Awards.](https://enhancedprimarycare.co.uk/2023/05/09/entries-are-now-open-for-the-2023-nursing-times-awards/) - Entries are now open for the 2023 Nursing Times Awards. This year a new Nursing in Primary Care award celebrates an individual nurse or nursing team that has made a real difference to the provision of care in their practice. Nominations close 12 May. Winners will be announced at an event in London on 25
- [New Standard GMS, PMS and APMS Contracts Published](https://enhancedprimarycare.co.uk/2023/05/02/new-standard-gms-pms-and-apms-contracts-published/) - NHS England has published new standard General Medical Services (GMS), Personal Medical Services (PMS) and Alternative Provider Medical Services (APMS) contracts, along with their contract variation notices. The documentation reflects the introduction of a dedicated pre-payment certificate for the prescribing of HRT treatments from 1 April 2023 and also updates the terms of service
- [Lastest CQC Inadequate report summary](https://enhancedprimarycare.co.uk/2023/04/25/lastest-cqc-inadequate-report-summary/) - We have rated this practice as Inadequate overall. We found that overall governance arrangements within the practice were ineffective which resulted in potential risks to patients. The practice was not consistently following its own policies and procedures: Our clinical searches found that the practice had not taken enough action to assess and manage risks to
- [QoF - New lipid management pathways](https://enhancedprimarycare.co.uk/2023/04/25/qof-new-lipid-management-pathways/) - New lipid management pathways An updated version of the ‘NICE endorsed AAC Summary of National Guidance for Lipid Management for Primary and Secondary Prevention of CVD’ was published in December 2022. To address the clinical priority of improved lipid management, two additional pathways – one for acute cardiovascular disease in secondary care and one for
- [Support isolated people to self-refer for volunteer calls ](https://enhancedprimarycare.co.uk/2023/04/25/support-isolated-people-to-self-refer-for-volunteer-calls/) - Support isolated people to self-refer for volunteer calls People who would benefit from extra social contact can now self-refer for free ‘Check In and Chat’ phone calls from the NHS Volunteer Responders by calling 0808 196 3646. Alternatively, clinicians and other primary care colleagues can directly refer people with their consent. GP practices and pharmacies
- [Administrative triage using digital tools eLearning now available](https://enhancedprimarycare.co.uk/2023/04/25/administrative-triage-using-digital-tools-elearning-now-available/) - Developed in partnership with the Practice Managers Association, new modules have been added to the free eLearning programme which supports general practice administrative staff in sorting, signposting and delivering administrative triage using digital tools, with the aim of supporting an inclusive approach to managing demand and workload. The new modules cover: recognising the importance of
- [Funding Opportunity - Boiler Upgrade Scheme](https://enhancedprimarycare.co.uk/2023/04/17/funding-opportunity-boiler-upgrade-scheme/) - Funding Opportunity - Boiler Upgrade Scheme To support the decarbonisation of heat in buildings, the government is offering grants to help with the costs of green heating installations. This scheme is likely to cover many primary care practices and other small healthcare facilities that have a maximum installation of 45kWh. A total of £450 million
- [Waiting List - A reflection](https://enhancedprimarycare.co.uk/2023/04/16/waiting-list/) - I use the school holidays as an opportunity to largely clear the diary. This gives me time to spend with the family. In those times when they are otherwise occupied I get a chance to think and reflect. As you will likely know, the fact that practices have to wait for us to find their
- [Unwind and Recharge: Essential Self-Care Tips for GP Practice Managers](https://enhancedprimarycare.co.uk/2023/04/11/unwind-and-recharge-essential-self-care-tips-for-gp-practice-managers/) - The year-end rush is finally over, and as a GP Practice Manager, you've been working tirelessly to wrap up finances, manage QoF performance, and plan for the year ahead. It's no secret that your role is demanding and often stressful. Now, as you enter the new financial year, it's the perfect time to focus on
- [New CQC Report - Inadequate](https://enhancedprimarycare.co.uk/2023/03/03/djp-inadequate/) - The intention of sharing the content of this report is to assist practices that have not yet been inspected. They can use the summarised version of the report to identify risk areas in their own practice, creating a suitable action plan to reduce the associated risk prior to inspection. We understand how painful and damaging
- [New CQC Report - Inadequate](https://enhancedprimarycare.co.uk/2023/03/16/emc-inadequate/) - The intention of sharing the content of this report is to assist practices that have not yet been inspected. They can use the summarised version of the report to identify risk areas in their own practice, creating a suitable action plan to reduce the associated risk prior to inspection. We understand how painful and damaging
- [New CQC Report - Inadequate](https://enhancedprimarycare.co.uk/2023/03/13/nphc-inadequate/) - The intention of sharing the content of this report is to assist practices that have not yet been inspected. They can use the summarised version of the report to identify risk areas in their own practice, creating a suitable action plan to reduce the associated risk prior to inspection. We understand how painful and damaging
- [New CQC Report - Inadequate](https://enhancedprimarycare.co.uk/2023/02/27/dmc-rating-inadequate/) - The intention of sharing the content of this report is to assist practices that have not yet been inspected. They can use the summarised version of the report to identify risk areas in their own practice, creating a suitable action plan to reduce the associated risk prior to inspection. We understand how painful and damaging
- [New CQC Report - Inadequate](https://enhancedprimarycare.co.uk/2023/02/09/jpmp-rating-inadequate/) - The intention of sharing the content of this report is to assist practices that have not yet been inspected. They can use the summarised version of the report to identify risk areas in their own practice, creating a suitable action plan to reduce the associated risk prior to inspection. We understand how painful and damaging
- [New CQC Report - Inadequate](https://enhancedprimarycare.co.uk/2023/02/02/htmc-overall-inadequate/) - The intention of sharing the content of this report is to assist practices that have not yet been inspected. They can use the summarised version of the report to identify risk areas in their own practice, creating a suitable action plan to reduce the associated risk prior to inspection. We understand how painful and damaging
- [New CQC Report - Inadequate](https://enhancedprimarycare.co.uk/2023/01/19/bs-inadequate/) - The intention of sharing the content of this report is to assist practices that have not yet been inspected. They can use the summarised version of the report to identify risk areas in their own practice, creating a suitable action plan to reduce the associated risk prior to inspection. We understand how painful and damaging
- [Enhanced Primary Care - Annual Review 2022/23](https://enhancedprimarycare.co.uk/2023/03/29/enhanced-primary-care-annual-review-2022-23/) - Wow just wow! 2 exhibitions, 3 Awards Ceremonies and £800,000 was found for practices! 2022 has gone in a flash, I am so proud of what we have created. 2022 has been the year of tech development. Working with our tech team, we have developed a system that supports our humans to "do only the
- [Superhero to Empowering Coach - A Transformative Approach to Leadership in Primary Care](https://enhancedprimarycare.co.uk/2023/03/23/superhero-to-empowering-coach-a-transformative-approach-to-leadership-in-primary-care/) - As Practice Managers, it's natural to want to be the hero our teams need - swooping in to save the day, solving problems, and keeping everything running smoothly. This 'hero leadership' style might seem like the ideal way to manage a team, but it often leads to an unsustainable cycle of dependency and burnout. In
- [Your Practice Manager: The GP Partner's Guide to Alleviating Year-End Stress](https://enhancedprimarycare.co.uk/2023/03/16/your-practice-manager-the-gp-partners-guide-to-alleviating-year-end-stress/) - In the bustling world of primary care, Practice Managers are the unsung heroes, working tirelessly behind the scenes to ensure smooth operations and a successful practice. As a GP partner, your role in supporting and empowering your Practice Manager is invaluable. A strong, caring, and professional relationship can make all the difference in helping them
- [General Practice Pay Transparency](https://enhancedprimarycare.co.uk/2023/03/16/general-practice-pay-transparency/) - General Practice Pay Transparency The deadline for individuals to make a self-declaration (if above the £156,000 threshold) of their 2021/22 NHS earnings is the 30 April 2023. Ahead of the deadline NHS England has published pay transparency guidance which includes information on: who is required to make the self-declaration the definition of NHS earnings for the
- [Heads Up - Process Change inbound for issuing of HRT Prescriptions](https://enhancedprimarycare.co.uk/2023/03/16/heads-up-process-change-inbound-for-issuing-of-hrt-prescriptions/) - HRT pre-payment certificate To reduce prescription costs for women receiving Hormone Replacement Therapy (HRT), on 1 April the Government is launching the HRT Pre-Payment Certificate (PPC). To enable this, from 1 April prescribers will need to issue prescriptions for HRT items (which are listed in the Drug Tariff as being HRT licensed for the treatment
- [Fully funded training for GP pharmacy technicians in medicine optimisation ](https://enhancedprimarycare.co.uk/2023/03/13/fully-funded-training-for-gp-pharmacy-technicians-in-medicine-optimisation/) - Health Education England are offering 100 funded places on the GP Pharmacy Technician Medicines Optimisation Training Programme, delivered by Pharmacy Workforce Development South for pharmacy technicians working in primary care supporting general practice. Registration closes at midnight on 31 March 2023. Find out more on the HEE website.
- [New patient materials to support practice referrals to community pharmacists  ](https://enhancedprimarycare.co.uk/2023/03/13/new-patient-materials-to-support-practice-referrals-to-community-pharmacists/) - New patient materials to support referrals from general practice for a minor illness consultation under the Community Pharmacist Consultation Service (CPCS) are now available. The communication materials have been designed to help practice teams and ICBs explain to patients why they are being offered a consultation with a community pharmacist and what to expect from
- [Surviving Year-End: A Practice Manager's Guide to Self-Care](https://enhancedprimarycare.co.uk/2023/03/13/surviving-year-end-a-practice-managers-guide-to-self-care/) - As a practice manager, you're no stranger to stress. But as year-end approaches, the pressure can reach new heights. With deadlines to meet, budgets to balance, and patients to care for, it can be all too easy to put your own well-being on the back burner. However, neglecting your own self-care can actually make you
- [23/24 Contract Changes shared this week.](https://enhancedprimarycare.co.uk/2023/03/13/23-24-contract-changes-shared-this-week/) - The 23/24 contract changes were shared this week. The changes are significant and will require much thought and consideration on behalf of Practice and PCNs. https://www.england.nhs.uk/long-read/changes-to-the-gp-contract-in-2023-24/ We will be supporting practices to navigate these changes through the Enhanced Primary Care Facebook Group - you can request to join here.
- [Another year is almost over, is 23/24 the year where you take control?](https://enhancedprimarycare.co.uk/2023/03/13/another-year-is-almost-over-is-23-24-the-year-were-you-take-control/) - As the end of the year approaches you would be absolutely forgiven for feeling overwhelmed and out of control. Here are some of the most important steps that you can do to take a hold of the reigns and regain the feeling of control. You know by now that we know how precious your time
- [Enhanced Primary Care Celebrates Successful Attendance at Best Practice London 2023](https://enhancedprimarycare.co.uk/2023/03/13/enhanced-primary-care-celebrates-successful-attendance-at-best-practice-london-2023/) - Enhanced Primary Care is proud to have attended the Best Practice London 2023 show and conference, which took place from March 7-9 at the ExCel London. The event was a huge success, bringing together healthcare professionals from across the UK to share best practices, discuss emerging trends, and network with industry peers. A key theme
- [The FSB judges have listed Enhanced Primary Care as Finalists in three categories!](https://enhancedprimarycare.co.uk/2023/03/03/the-fsb-judges-have-listed-enhanced-primary-care-as-finalists-in-three-categories/) - Having now found over £1.3 million of hidden income for GP Practices across England we have been listed as finalists in the Startup of the Year, Micro Business (less than 5 employees at the time of application!!), and Business and Product Innovation Award.
- [Healthy Living for people with type 2 diabetes: direct GP practice and self-referral routes now available](https://enhancedprimarycare.co.uk/2023/03/03/healthy-living-for-people-with-type-2-diabetes-direct-gp-practice-and-self-referral-routes-now-available/) - People living with type 2 diabetes and their carers can now self-refer via the Healthy Living NHS website. GP practices can continue to refer patients via a referral form, which is available on Ardens systems under diabetes templates, other GP systems may need to upload it manually. Healthy Living is a web-based structured education programme
- [QoF QI Step by Step Guide](https://enhancedprimarycare.co.uk/2023/02/27/qof-qi-step-by-step-guide/) - With just 4 weeks to go, don't get caught out by a missed step, download our easy-to-reference guide over in the Facebook Group. (now 1200 members!).
- [The reimbursement of B12 injections has risen to £9.17 for 5 vials (from £7.62) however....](https://enhancedprimarycare.co.uk/2023/02/20/the-reimbursement-of-b12-injections-has-risen-to-9-17-for-5-vials-from-7-62-however/) - The reimbursement of B12 injections has risen to £9.17 for 5 vials (from £7.62). https://services.nhsbsa.nhs.uk/dmd-browser/vmpp/view/3995 This sounds like good news (and it probably is!) however there are two important questions how much are you buying these in for? how are you prescribing them for reimbursement? The former is an easy one. You need to ensure
- [Practice Manager attending Best Practice London?](https://enhancedprimarycare.co.uk/2023/02/20/practice-manager-attending-best-practice-london/) - Daniel is hosting an evening dinner alongside Tracy Dell for Practice Managers attending Best Practice London. They have both been to two-day conferences solo and appreciate the comfort of knowing when, when and with whom you're going to have your evening meal! If you're interested head across to the Facebook event here: https://www.facebook.com/events/743746603629542 If you're
- [Learn how to Optimise your Processes using a QI Approach](https://enhancedprimarycare.co.uk/2023/02/20/learn-how-to-optimise-your-processes-using-a-qi-approach/) - Our CEO Daniel Vincent is leading this webinar in association with MORPh Training. The Learn how to Optimise your Processes using a Quality Improvement (QI) Approach webinar is prioritised, and FREE, for Practice Managers. If you are from another healthcare profession, please contact MORPh Training before registering. This webinar will start on 15th March at
- [Looking After You Peer wellbeing sessions – register expression of interest](https://enhancedprimarycare.co.uk/2023/02/20/looking-after-you-peer-wellbeing-sessions-register-expression-of-interest/) - As part of the Looking After You coaching service, NHS England is planning to run a series of facilitated peer wellbeing sessions for the primary care workforce. The aim of these sessions is to bring people together with a trained coach to discuss and plan how to improve and maintain wellbeing. Each peer wellbeing group
- [Save time by letting new patients register themselves...](https://enhancedprimarycare.co.uk/2023/02/09/save-time-by-letting-new-patients-register-themselves/) - More than 100,000 successful registrations have now been submitted using the ‘Register with a GP surgery’ online service. NHS England is working with almost 600 practices to refine the service, which reduces the admin workload for GP teams by up to 15 minutes per registration, whilst offering patients choice and convenience in how they register.
- [Ready made posts to help patients understand the growing Primary Care Team.](https://enhancedprimarycare.co.uk/2023/02/09/ready-made-posts-to-help-patients-understand-the-growing-primary-care-team/) - NHS England’s range of digital and print materials about the general practice team have now been translated into 12 different languages. The information supports practice and PCN teams to share information with patients about the different professionals working in their practice. Use these within your practices to further support patient understanding of the wider roles
- [Formal Dispute Resolution Service](https://enhancedprimarycare.co.uk/2023/02/02/formal-dispute-resolution-service/) - Did you know that there is a formal Dispute Resolution Service available to Primary Care? NHS Resolution say "We are responsible for ensuring the prompt and fair resolution of appeals and disputes between primary care contractors or those wishing to provide primary care services and the commissioners of primary care services, such as: NHS England
- [Fully funded Trainee Nurse Associate (TNA) places](https://enhancedprimarycare.co.uk/2023/02/02/fully-funded-trainee-nurse-associate-tna-places/) - Funding offer for Trainee Nurse Associate (TNA) places in general practice Health Education England is offering additional funded places for TNAs in General Practice starting in May 2023 with BPP University. This Primary Care apprenticeship programme is fully supported with funding: £4,000 per year per TNA Up to £15,000 apprenticeship levy PCNs will be able to
- [London based Practice Manager or Health Care Professional?](https://enhancedprimarycare.co.uk/2023/01/27/london-based-practice-manager-or-health-care-professional/) - London based Practice Manager or Health Care Professional? Free delegate passes for Best Practice London are flying off the shelves! Come along for 1 or 2 days of high quality CPD and networking opportunities. We will be ready and waiting to meet you at stand A1 a we might have a few little surprises… https://rfg.circdata.com/publish/BPL23/?source=EnhancedPrimaryCare
- [MANAGING THE IIF AND MEDICINES INDICATIONS FOR PRACTICE MANAGERS](https://enhancedprimarycare.co.uk/2023/01/27/managing-the-iif-and-medicines-indications-for-practice-managers/) - Daniel delivered this webinar on Wednesday to over 50 live participants. Agenda: •Introduction •Changes made October 2022 •How can the money be spent? •The three domains •Kate Burke’s Calculator •Points mean prizes but…. •Exclusions and Personal Care Adjustments •9 weeks and 2 days…. Prioritisation •The Enhanced Primary Care Addon •Classification by indication type •Is it
- [Trend Data for Cervical Screening now available](https://enhancedprimarycare.co.uk/2023/01/27/trend-data-for-cervical-screening-now-available/) - Now the data is a little out of date, but this would make the perfect run chart if you are considering a Quality Improvement project around Cervical screening uptake. Dashboard: https://primarycarebulletin.cmail19.com/t/d-l-zijtjut-ilgbhtyh-j/ You might consider testing online booking of appointments with these patients. Opening up appointments like this can be a little scary but adding patient-friendly
- [Welcome to the Newsletter!](https://enhancedprimarycare.co.uk/2023/01/19/welcome-to-the-newsletter/) - A very warm welcome to the very first Enhanced Primary Care newsletter! Each week, on a Monday, we will send out the newsletter. You can then digest and take any action that you feel is necessary during the week. We will be creating our own content alongside what we feel are the most helpful snippets
- [Workforce development framework: social prescribing link workers](https://enhancedprimarycare.co.uk/2023/01/19/workforce-development-framework-social-prescribing-link-workers/) - This new framework provides guidance for people employed as a link worker and those employing them. It will help increase the understanding of the role and where link workers can have most impact in supporting and empowering people to improve their health and wellbeing. It also sets professional standards and competencies, gives guidance on supervision,
- [Practitioner Health Mental Wellbeing App](https://enhancedprimarycare.co.uk/2023/01/19/practitioner-health-mental-wellbeing-app/) - The Practitioner Health Mental Wellbeing App is now available to any member of the primary care team. You can register for the app using the access code PC2022 and you will then be sent joining details. The app is a personalised mental wellbeing tool, creating a wellbeing plan based on individual scores and customised content based
- [New directly bookable appointment guidance to support GP practices ](https://enhancedprimarycare.co.uk/2023/01/19/new-directly-bookable-appointment-guidance-to-support-gp-practices/) - NHSE have published new guidance for practices on requirements for online appointment booking following changes to the General Medical Services (GMS) in October 2022. Previous contractual requirement stated that “all practices will ensure at least 25% of appointments are available for online booking”. This requirement - that applied to the entirety of the practice’s appointments -
- [Digital and Transformation Lead ARRS role](https://enhancedprimarycare.co.uk/2023/01/19/digital-and-transformation-lead-arrs-role/) - The Digital and Transformation Lead role was introduced as a reimbursable role via the ARRS in October 2022. The key objective of the role is to support PCNs and their practices to deliver ongoing improvement to services utilising data to improve quality, efficiency, to support population health management, workforce or estate planning. New guidance on
- [Meet the team - We are growing...](https://enhancedprimarycare.co.uk/2021/09/21/meet-the-team-we-are-growing/)
- [Flu Vaccination Reconciliation is here!](https://enhancedprimarycare.co.uk/2021/09/21/flu-vaccination-reconciliation-is-here/) - As you'll be aware claiming for flu vaccinations is a little different. There are no FP10's! Therefore we have had to go about this reconciliation in a very different way. We have downloaded the claims records for all practices in the UK (4.2 billion records!), crunched them and we now know exactly what each practice
- [We have found £373,222 of unclaimed income for practices since May!](https://enhancedprimarycare.co.uk/2021/09/21/we-have-found-373222-of-unclaimed-income-for-practice-since-may/) - No wonder we have had to grow our team! We are still completing reconciliations for a majority of practices so there is much hidden income to be found. We have recruited and trained 2 additional PPA reconciliation specialists to support our growing number of practices.
- [Word / Play a Social Prescribing Project](https://enhancedprimarycare.co.uk/2016/12/16/word-play-a-social-prescribing-project/) - Word/Play is a spoken word project for people experiencing mental ill health. It uses performance poetry to empower individuals, giving them the freedom and encouragement to tell their stories. Produced by Take Art, in partnership with Ryalls Park Medical Centre and Marsha Miles, VCSE Lead SW IPC, this pilot has been developed to provide a
- [Sign up now before we have to charge VAT!](https://enhancedprimarycare.co.uk/2021/09/21/sign-up-now-before-we-have-to-charge-vat/) - Unless you're a dispensing practice it is highly unlikely that you will be registered to reclaim VAT. Having worked with 46 practices since May we are rapidly reaching the VAT registration threshold. Once we reach turn over of £85,000 we have no choice but to register and charge VAT on our commission invoices. Sign up
- [We are attending Best Practice, are you?](https://enhancedprimarycare.co.uk/2021/09/21/we-are-attending-best-practice-are-you/) - We are delighted to be attending Best Practice Conference at the NEC, Birmingham on the 13th and 14th October 2021. I would love to arrange a time to catch up at the conference at our stand D22. We will be able to catchup on what has happened for you and your practice over the last
- [Friends and Family Test - It's Back! - Top Tips](https://enhancedprimarycare.co.uk/2022/03/28/friends-and-family-test-its-back-top-tips/) - The requirement to submit the FFT was suspended across the NHS in March 2020 to free up resources to support practices during the pandemic. The requirement for practices to report to commissioners regarding FFT returns will be reintroduced into the GP contract from 1 April 2022. Top Tips for Gaining Responses Allocate a FFT lead

## Pages

- [](https://enhancedprimarycare.co.uk/) - Enhanced Primary Care The Community for General Practice Leaders Connecting. Educating. Innovating. Empowering Practice Managers, GP Partners, PCN Managers, and Clinical Directors through shared learning, live events, and peer connection — all designed to strengthen the future of General Practice in England. About Enhanced Primary Care From service to community — supporting the people who
- [Mission and Values - Why do we do what we do?](https://enhancedprimarycare.co.uk/mission-why-do-we-do-what-we-do/) - Our Direct Mission Protecting the Future of General Practice To strengthen Primary Care by giving leaders back their most valuable asset — time. We exist to make life easier, more efficient, and more rewarding for Practice Managers, GP Partners, and Clinical Directors across England. Whether it’s through education, innovation, or community — everything we do
- [The new Enhanced Service (ES) specification for General Practice Advice & Guidance (A&G) requests for 2025/26 has arrived!](https://enhancedprimarycare.co.uk/the-new-enhanced-service-es-specification-for-general-practice-advice-guidance-ag-requests-for-2025-26-has-arrived/) - Here’s what you need to know: •Practices will receive a £20 payment per episode of care for GP-initiated or GP-reviewed Advice & Guidance requests. •This means ACP-initiated requests must be reviewed by a GP to be eligible—a bit of a kick in the teeth for our highly competent ACPs. •There’s an adjustable cap on the
- [PPA reconciliation](https://enhancedprimarycare.co.uk/ppa-reconciliation/) - EPC’s PPA Reconciliation Service is helping GP’s reclaim thousands of pounds owed to them. No risk to you, our average claim is currently £16000 per practice!
- [Awards](https://enhancedprimarycare.co.uk/2023-awards/) - Although it may feel boastful, Awards are important to our team. They help us to celebrate the support we have delivered to our practices. They are a mark of confidence in our service and drive us to deliver ever more whilst retaining our high-quality service. We are delighted to have been shortlisted for two General
- [Testimonials](https://enhancedprimarycare.co.uk/testimonials/)
- [Support](https://enhancedprimarycare.co.uk/support/) - Please find below comprehensive Frequently Asked Questions. If you can not find an answer to your question simply use the live chat option to contact the team. They will get back to you live on the website, or via email, with an answer and will then add it to our FAQs. To get in touch
- [Newsletter](https://enhancedprimarycare.co.uk/newsletter/) - Complete your details below to subscribe to our weekly email. We send this each Monday afternoon, who wants another email on a Friday!
- [Newsletter Archive](https://enhancedprimarycare.co.uk/newsletter-archive/)
- [TERMS AND CONDITIONS](https://enhancedprimarycare.co.uk/terms-and-conditions/) - TERMS AND CONDITIONS These terms and conditions (the "Terms and Conditions") govern the use of enhancedprimarycare.co.uk & epcx.co.uk (the "Site") and the services offered by the owner. This site is owned and operated by Enhanced Primary Care. This site primarily offers professional services. By using this Site or signing up for services, you indicate that
- [](https://enhancedprimarycare.co.uk/what-we-do/) - Book a call to discuss the service. I'M READY TO SIGN UP
- [FP34 Claim Standard Operating Procedures](https://enhancedprimarycare.co.uk/fp34-claim-standard-operating-procedures/) - Download the FP34 Claim SOP here.
- [Thank You - Your call is booked](https://enhancedprimarycare.co.uk/thank-you-your-call-is-booked/) - Thank you your call is booked - You will receive a calendar invite via email. We look forward to meeting with you.
- [All Listings](https://enhancedprimarycare.co.uk/all-listings/) - [directorist_all_listing] Click here to add or edit a listing
- [Login](https://enhancedprimarycare.co.uk/login/) - [directorist_user_login]
- [Search Home](https://enhancedprimarycare.co.uk/search-home/) - [directorist_search_listing]
- [Search Result](https://enhancedprimarycare.co.uk/search-result/) - [directorist_search_result]
- [Add Listing](https://enhancedprimarycare.co.uk/add-listing/) - [directorist_add_listing]
- [Single Category](https://enhancedprimarycare.co.uk/single-category/) - [directorist_category]
- [Single Location](https://enhancedprimarycare.co.uk/single-location/) - [directorist_location]
- [Single Tag](https://enhancedprimarycare.co.uk/single-tag/) - [directorist_tag]
- [Author Profile](https://enhancedprimarycare.co.uk/author-profile/) - [directorist_author_profile]
- [Dashboard](https://enhancedprimarycare.co.uk/dashboard/) - [directorist_user_dashboard]
- [Registration](https://enhancedprimarycare.co.uk/registration/) - [directorist_custom_registration]
- [Checkout](https://enhancedprimarycare.co.uk/checkout/) - [directorist_checkout]
- [Payment Receipt](https://enhancedprimarycare.co.uk/payment-receipt/) - [directorist_payment_receipt]
- [Transaction Failure](https://enhancedprimarycare.co.uk/transaction-failure/) - [directorist_transaction_failure]
- [PPA top 100(ish) Items](https://enhancedprimarycare.co.uk/ppa-top-100ish-items/) - The top 100(ish) list below is what we use for our historic PPA reconciliations. These are the most prevalent PAI's. The "long list" includes every item you can claim. PPA Top 100 PPA Long List If you would like any further support do not hesitate to book a call or sign up for our commission
- [Dene Healthcare Sign Up](https://enhancedprimarycare.co.uk/dene-healthcare-sign-up/)
- [Not attending Best Practice Conference...](https://enhancedprimarycare.co.uk/best-practice-conference-2/) - We will miss seeing you at Best Practice Conference at the NEC, Birmingham on the 13th and 14th October 2021. If you can make it it’s not to late to register : https://www.bestpracticeshow.co.uk/. Having been a Practice Manager I understand that taking a day out of your work can feel impossible. I have setup
- [Best Practice Conference](https://enhancedprimarycare.co.uk/best-practice-conference/) - We are delighted to be attending Best Practice Conference at the NEC, Birmingham on the 13th and 14th October 2021. I would love to arrange a time to catch up at the conference at our stand D22. We will be able to catchup on what has happened for you and your practice over the
- [Carbon Conscious](https://enhancedprimarycare.co.uk/carbon-conscious/)
- [Privacy Policy](https://enhancedprimarycare.co.uk/privacy-policy/) - enhancedprimarycare.co.uk & epcx.co.uk Privacy Policy Type of website: Professional ServiceEffective date: 1st day of April, 2021 enhancedprimarycare.co.uk & epcx.co.uk (the "Site") is owned and operated by Enhanced Primary Care. Enhanced Primary Care is the data controller and can be contacted at:gdpr@enhancedprimarycare.co.uk02039 3035853 Bullmead Parade, Street, Somerset, BA16 0FG PurposeThe purpose of this privacy policy (this
- [New to Partnership](https://enhancedprimarycare.co.uk/new-to-partnership/) - A POSITIVE , CARING , SUPPORTIVE COMMUNITY FOR THOSE JOINING A PRIMARY CARE PARTNERSHIP. Rather than paying for a training course, invest your learning grant in joining a supportive community blending short video based learning with live group coaching sessions. Apply your learning , support from your peers and coach to your real world challenges.
- [Videos](https://enhancedprimarycare.co.uk/videos/) - Introducing our free PCN / Additional cohort flu tool. http://enhancedprimarycare.co.uk/wp-content/uploads/2020/07/Live.mp4 A whistle stop tour of Enhanced Primary Care at Ryalls Park Medical Centre: HOSPITAL CONTRACT CHANGES PRESENTATION Created using Visme. Free Online Presentation Software.Please feel free to use this version- https://my.visme.co/projects/w4yy0g8o-contract-changes – if you would like your own unbranded version simply contact us.
- [Planner](https://enhancedprimarycare.co.uk/planner/)

## FAQs

- [Our ICS don't understand why they are being asked to authorise our claim.](https://enhancedprimarycare.co.uk/ufaq/our-ics-dont-understand-why-they-are-being-asked-to-authorise-our-claim/) - We are very sorry that you are experiencing this challenge. You are not alone. This claim affects the ICB / ICS prescribing budget (not the IOS or CQRS claim) because it relates to the medicines used. There appears to be an internal driver within NHSBSA to ensure that they are aware of this before the
- [I thought influenza vaccination fell under Public Health, why am I seeking authorisation from the ICSs?](https://enhancedprimarycare.co.uk/ufaq/i-thought-influenza-vaccination-fell-under-public-health-why-am-i-seeking-authorisation-from-the-icss/) - Although the vaccination programme and enhanced service for the giving of the vaccination falls under public health (previously NHS England). The budget for the reimbursement of the drug used falls under Personally Administered drugs and therefore the ICS.
- [Influenza reconciliation authorisation for ICS's](https://enhancedprimarycare.co.uk/ufaq/influenza-reconciliation-authorisation-for-icss/) - We have been commissioned by the practices to conduct a FP34D reconciliation of their historic Seasonal Influenza Drug claims. This claim is made under the terms of the Statement of Financial Entitlements (SFE). This claim is for the drugs used and thus sits within the ICS budget and not public health. During the development of
- [If required, who at the ICB can authorise our claim?](https://enhancedprimarycare.co.uk/ufaq/if-required-who-at-the-icb-can-authorise-our-claim/) - If we or the NHS BSA notify you that your claim requires prior authorisation the ICB can locate their "authorised signatory" by following these details on the NHS BSA FAQ page: https://faq.nhsbsa.nhs.uk/knowledgebase/article/KA-01343/en-us
- [What is the time limit for claims and how do you know this is correct?](https://enhancedprimarycare.co.uk/ufaq/what-is-the-time-limit-for-claims-and-how-do-you-know-this-is-correct/) - The time limit for claims is 6 years and is outlined each year in the Statement of Financial Entitlements. Time limitation for claiming payments(10) Payments are only payable if claimed before the end of the period of six years beginningwith the date on which they could first have fallen due (albeit that the due date
- [Where can I find everything I ever wanted to know about FP34 PPA Claims?](https://enhancedprimarycare.co.uk/ufaq/where-can-i-find-everything-i-ever-wanted-to-know-about-fp34-ppa-claims/) - The NHS BSA host their own comprehensive FAQ system which can be found here: https://faq.nhsbsa.nhs.uk/knowledgebase/category/?articlecategory=NHS%20Prescription%20Services&id=CAT-01002&parentid=
- [Who is the Enhanced Primary Care Data Protection Officer?](https://enhancedprimarycare.co.uk/ufaq/who-is-the-enhanced-primary-care-data-protection-officer/) - The Enhanced Primary Care Data Protection Officer is Daniel Vincent. Due to the complex nature of the GDPR regulations, Daniel is supported by retained external specialists as and when required.
- [Do we have to sign a Data Process Agreement with Enhanced Primary Care?](https://enhancedprimarycare.co.uk/ufaq/do-we-have-to-sign-a-data-process-agreement-with-enhanced-primary-care/) - Absolutely, this makes sure that everyone's responsibilities are clear, and can be held to account if required.This is an example DPA : DATA-PROCESSING-AGREEMENT-TEMPLATE-V2-1Download
- [If you find nothing, do we really pay nothing?](https://enhancedprimarycare.co.uk/ufaq/if-you-find-nothing-do-we-really-pay-nothing/) - Absolutely, in fact, if we complete our full reconciliation and find nothing we will buy you a great big box of biscuits and try and understand the magic you are working. Seriously! This has happened once before, we found nothing to claim but learnt the benefit of a relatively small practice with a very stable
- [What's the catch?!](https://enhancedprimarycare.co.uk/ufaq/whats-the-catch/) - Genuinely there is no catch. Daniel , our CEO, was a Practice manager for 12 years. He knew that the offer we created needed to be an "easy yes". Primary Care is far too busy for complicated. To make it an "easy yes" he felt: The commencement of the service needed to take less than
- [What commission do we pay for the hidden income you find?](https://enhancedprimarycare.co.uk/ufaq/what-commission-do-we-pay-for-the-hidden-income-you-find/) - We review our commission annually, details of our most recent review our below. Commission rates for current services are set at the point of practice sign-up. New services may require a variation of commission rates, this will always be agreed with practices before the commencement of the new service.
- [Is Enhanced Primary Care VAT registered?](https://enhancedprimarycare.co.uk/ufaq/is-enhanced-primary-care-vat-registered/) - We are registered for VAT - VAT Number: 405322342. We understand that a majority of non-dispensing practices are not registered for VAT and this means they can not reclaim the VAT on our success invoices. Dispensing practices should explain to their practice accountant that our reconciliation service is wholly related to the dispensing service. The
- [Who owns Enhanced Primary Care?](https://enhancedprimarycare.co.uk/ufaq/who-owns-enhanced-primary-care/) - Enhanced Primary Care is a family-owned limited company. Shares are owned by Daniel Vincent, Practice Manager and Partner of 12 years - https://www.linkedin.com/in/somersetpm/. Lydia Vincent, Operations Manager and Nicky Vincent Reconciliation Director.
- [Has Enhanced Primary Care completed the Data Security and Protection Toolkit?](https://enhancedprimarycare.co.uk/ufaq/has-enhanced-primary-care-completed-the-data-security-and-protection-toolkit/) - We have completed the DSPT every year since 2019 - our assessments can be found here: https://www.dsptoolkit.nhs.uk/OrganisationSearch/GEW
- [Is Enhanced Primary Care registered with NHS Digital / ODS Portal?](https://enhancedprimarycare.co.uk/ufaq/is-enhanced-primary-care-registered-with-nhs-digital-ods-portal/) - We are registered and you will find us under ODS code GEW https://odsportal.digital.nhs.uk/Organisation/OrganisationDetails?organisationId=271592&showOpenChildredOnly=True
- [Is Enhanced Primary Care registered with the Information Commissioner's Office (ICO )?](https://enhancedprimarycare.co.uk/ufaq/is-enhanced-primary-care-registered-with-the-information-commissioners-office-ico/) - We are indeed: https://ico.org.uk/ESDWebPages/Entry/ZA758387
- [What are the company details for Enhanced Primary Care?](https://enhancedprimarycare.co.uk/ufaq/what-are-the-company-details-for-enhanced-primary-care/) - Enhanced Primary Care is a UK limited company registered with companies house, company number 10759672.The company was registered in 2017 and began trading in 2018. The company began focused work on the PPA reconciliation service in September 2019.Full details can be found on the companies house website: https://find-and-update.company-information.service.gov.uk/company/10759672

## Testimonial

- [Hollie Williams](https://enhancedprimarycare.co.uk/testimonial/hollie-williams/) - Following a presentation on effectively managing change I sought Daniel’s input. We were due to be radically changing our appointment system and were concerned about the impact this would have on the reception staff. Daniel took me through the process step by step, giving handy tips and hints along the way from a similar experience

## Categories

- [Uncategorized](https://enhancedprimarycare.co.uk/category/uncategorized/)
- [Social Prescribing](https://enhancedprimarycare.co.uk/category/social-prescribing/)
- [Newsletter](https://enhancedprimarycare.co.uk/category/newsletter/)
- [NHS England](https://enhancedprimarycare.co.uk/category/nhs-england/)
- [CQC](https://enhancedprimarycare.co.uk/category/cqc/)
- [Safety](https://enhancedprimarycare.co.uk/category/safety/)
- [Personally Administered Items](https://enhancedprimarycare.co.uk/category/personally-administered-items/)
- [Misc](https://enhancedprimarycare.co.uk/category/misc/)
- [Happiness](https://enhancedprimarycare.co.uk/category/happiness/)

## Tags

- [PPA Reconciliation](https://enhancedprimarycare.co.uk/tag/ppa-reconciliation/)
- [GP Practices](https://enhancedprimarycare.co.uk/tag/gp-practices/)
- [Hidden Revenue](https://enhancedprimarycare.co.uk/tag/hidden-revenue/)
- [FP34 Claims Process](https://enhancedprimarycare.co.uk/tag/fp34-claims-process/)
- [Practice Managers](https://enhancedprimarycare.co.uk/tag/practice-managers/)
- [GP Partners](https://enhancedprimarycare.co.uk/tag/gp-partners/)
- [Enhanced Primary Care](https://enhancedprimarycare.co.uk/tag/enhanced-primary-care/)
- [NHS Delivery Plan](https://enhancedprimarycare.co.uk/tag/nhs-delivery-plan/)
- [Primary Care](https://enhancedprimarycare.co.uk/tag/primary-care/)
- [Patient Empowerment](https://enhancedprimarycare.co.uk/tag/patient-empowerment/)
- [Modern Access](https://enhancedprimarycare.co.uk/tag/modern-access/)
- [Workforce](https://enhancedprimarycare.co.uk/tag/workforce/)
- [Reducing Bureaucracy](https://enhancedprimarycare.co.uk/tag/reducing-bureaucracy/)
- [NHS Merger](https://enhancedprimarycare.co.uk/tag/nhs-merger/)

## FAQ Categories

- [About Us](https://enhancedprimarycare.co.uk/ufaq-category/about-us/) - Everything You Want to Know About Us.
- [Information Governance / Data Protection](https://enhancedprimarycare.co.uk/ufaq-category/information-governance-data-protection/) - Everything You Want to Know About Information Governance / Data Protection
- [FP34D PPA Reconciliation](https://enhancedprimarycare.co.uk/ufaq-category/fp34d-ppa-reconciliation/) - Everything You Want to Know About FP34D PPA Reconciliation
- [FP34D PPA Claims](https://enhancedprimarycare.co.uk/ufaq-category/fp34d-ppa-claims/) - Everything You Want to Know About FP34D PPA Claims
- [Influenza Vaccination Drug Reconciliation](https://enhancedprimarycare.co.uk/ufaq-category/influenza-vaccination-drug-reconciliation/) - Everything You Want to Know About Influenza Vaccination Drug Reconciliation