Consultation outcome

General practice services: research project

This consultation has concluded

Detail of outcome

Monitor has published its findings from the review of how GP services are working for patients, with a specific focus on the role of choice and competition.

Thank you to everyone who gave their views. Monitor has carefully considered all of the feedback it received.

Feedback received

Patient responses

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (eg a screen reader) and need a version of this document in a more accessible format, please email enquiries@monitor.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Patient representative group responses

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (eg a screen reader) and need a version of this document in a more accessible format, please email enquiries@monitor.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Provider responses

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (eg a screen reader) and need a version of this document in a more accessible format, please email enquiries@monitor.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Clinical commissioning group responses

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (eg a screen reader) and need a version of this document in a more accessible format, please email enquiries@monitor.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Local medical committee responses

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (eg a screen reader) and need a version of this document in a more accessible format, please email enquiries@monitor.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Representative body responses

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (eg a screen reader) and need a version of this document in a more accessible format, please email enquiries@monitor.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Other responses

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (eg a screen reader) and need a version of this document in a more accessible format, please email enquiries@monitor.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Detail of feedback received

Responses to Monitor’s call for evidence on the general practice services sector in England.

Monitor is currently undertaking research into GP services following our call for evidence and the subsequent discussion document published in February 2014. As part of this work, we are engaging with existing and potential providers of GP services and commissioners to gain a better understanding of:

  • variations in access and quality of GP services and the factors which limit patients’ ability to make choices about their care
  • the factors that limit commissioners’ ability to enable high-quality providers of GP services to invest in expanding their services, or for high-quality potential providers to begin offering GP services

Current activities

A series of structured interviews are taking place with providers of GP services and potential providers of GP services to gain understanding of the above issues directly from the frontline.

If you are a provider or potential provider of GP services and would like to contribute your experience and expertise in a phone interview lasting no more than an hour, please contact cooperationandcompetition@Monitor.gov.uk by mid-December.

Monitor has also commissioned a patient survey to understand the extent to which people are exercising their right to choose a GP practice, and how those choices are being made.

Original consultation

This consultation ran from to

Summary

Monitor is continuing to seek GP service providers’ experiences of challenges they face in meeting patients’ needs.

Documents

Discussion document following Monitor's call for evidence on GP services

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (eg a screen reader) and need a version of this document in a more accessible format, please email enquiries@monitor.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Patient responses

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (eg a screen reader) and need a version of this document in a more accessible format, please email enquiries@monitor.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Patient representative group responses

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (eg a screen reader) and need a version of this document in a more accessible format, please email enquiries@monitor.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Provider responses

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (eg a screen reader) and need a version of this document in a more accessible format, please email enquiries@monitor.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Clinical commissioning group responses

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (eg a screen reader) and need a version of this document in a more accessible format, please email enquiries@monitor.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Local medical committee responses

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (eg a screen reader) and need a version of this document in a more accessible format, please email enquiries@monitor.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Representative body responses

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (eg a screen reader) and need a version of this document in a more accessible format, please email enquiries@monitor.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Other responses

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (eg a screen reader) and need a version of this document in a more accessible format, please email enquiries@monitor.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Call for evidence on general practice services sector in England

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (eg a screen reader) and need a version of this document in a more accessible format, please email enquiries@monitor.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Consultation description

There are about 8,100 general practices operating under NHS contracts in England and more than 40,000 doctors working in them, in addition to nurses and other health professionals.

General practitioners (GPs) treat patients and also have an important role in referring patients who need more specialist care and helping people to make informed choices about their healthcare.

Scope of the review

This call for evidence is aimed at better understanding the challenges faced by the GP services sector at a time when it is operating under increased pressure. Monitor is looking in particular for information about aspects of the provision and commissioning of general practice services that may not be working in the best interests of patients.

Patients (and groups that represent their interests), current and potential providers of general practice services, providers of secondary care, commissioners of general practice services, government, regulatory organisations, local authorities, professional and representative bodies and any other interested parties are all asked to submit evidence.

Timetable of the review

Monitor issues call for evidence 1 July 2013
Deadline for responses to call for evidence 30 September 2013
Discussion document and next steps published 7 February 2014
Further research 7 February - December 2014
Phone interviews with providers of GP services and patient surveys October - December 2014

Current activities

Responses to Monitor’s call for evidence on the general practice services sector in England.

Monitor is currently undertaking research into GP services following the call for evidence and the subsequent discussion document published in February 2014. As part of this work, Monitor is engaging with existing and potential providers of GP services and commissioners to gain a better understanding of:

  • variations in access and quality of GP services and the factors which limit patients’ ability to make choices about their care
  • the factors that limit commissioners’ ability to enable high-quality providers of GP services to invest in expanding their services, or for high-quality potential providers to begin offering GP services

A series of structured interviews are taking place with providers of GP services and potential providers of GP services to gain understanding of the above issues directly from the frontline.

Monitor has also commissioned a patient survey to understand the extent to which people are exercising their right to choose a GP practice, and how those choices are being made.

Feedback so far

Monitor has received 180 written responses from patients and their representatives, general practice service providers and other healthcare services, commissioners, local medical committees, provider representative bodies (including pharmacists) and others (including other regulators).

Alongside written submissions, Monitor has reviewed relevant literature and conducted interviews and roundtable discussions with patient representative groups, members of the Royal College of General Practitioners and the British Medical Association, the Care Quality Commission, commissioners, and other experts and commentators.