GPIP - Exhibiting at Best Practice Live                      

Here at GPIP we understand that face to face interaction is the best way to demonstrate our unique programme.  This October we will be doing exactly this by exhibiting at the nationally renowned Best Practice Show.  With over 1780’s GP practice managers attending in 2013, the prospect of reflecting the benefits the GPIP programme can bring is invaluable.  During the exhibition, Sarah Botherway, a well-respected Practice Manger, will also be speaking first hand on the sustainable benefits the programme has brought to her practice. 

Topic: Can General Practice find the headspace to improve?

• A practice manager’s experience on using improvement science

• How managing your ‘frequent flyers’ systematically can free appointment capacity.

• Can you better plan your practice’s consistency of approach?

The event looks to be a great opportunity to give the very best value for primary care professionals by delivering two days packed with content touching on every area of running a modern practice. So come along and visit us on Stand C36, to find more information on the General Practice Improvement Programme.


Two Strikes and You're Out

This morning, news broke that Failing GP practices will face closure under new plans being unveiled in England. The Care Quality Commission (CQC) confirmed the sanction as they announced the special measure regime being used for hospitals will be extended to GPs. The regime will rate practices on performance, with practices given the bottom rating - inadequate - will have six months or a year to resolve problems before facing being shut down.

 Prof Steve Field (CQC's chief inspector of GPs) supported the decision stating: "Most GP practices provide good care, but we can't allow those that provide poor care to continue to let their patients have an inadequate service."

Inspections will begin in October of this year, with an aimed 8,000 practices to be inspected by March 2016. Each surgery will be given a rating of either outstanding, good, requires improvement or inadequate. Previously surgeries were simply required to report whether they are compliant with a set of core standards.


If GP practices are delivered an inadequate rating by the CQC they will have 6 months to improve, failure to do this will result in them being placed under special measures. Within special measures practices will be given support, which is still yet to be defined, to help them develop and improve their rating. However failure to improve while in special measure will lead to either the CQC withdrawing its registration or termination of contract by NHS England. If this happens, patients registered at the practice would be found alternative local surgeries or new GPs could take over their current struggling practice.

What CCG’S can do to help?

To prevent this from happening there is need for greater engagement of practice members, in order to support even higher quality commissioning, CCGs need a developmental rather than performance management relationship with their practices. They need frequent engagement with not just the ‘usual faces’ but with their practice members as a whole.

For this to happen practices need the headroom to not only navigate the pressures they face but to also contribute to a CCGs agenda in a meaningful way. To build headroom, practices need help to create time and build confidence and capability in improving their working practices. To find out more about how CCGs can build greater engagement through providing practices with fast, practical improvement support, contact the General Practice Improvement Programme team. They are experts in general practice improvement and helping CCGs demonstrate value to their practice members.


Guest blog - Jeremy Butler KM&T Healthcare Director

Another week and another headline about A&E departments in crisis, how GPs are overwhelmed.  I was at a party the other week, and got chatting to a GP.  “How’s things?” I say.   “Awful” he says.  “Too many people. Not enough time….awful”

Last month a record 300,000 people attended A&E departments in one week.  We know that we have to balance out the delivery of care. Hospitals can no longer operate a ‘scorched earth’ policy around them, vacuuming up all the work and bundling it into their place.   There may be efficiencies for doctors and clinicians in the delivery of care,  but an aging population,  increasingly suffering from ‘lifestyle’ or metabolic disorders, need different models of care – integrated care.  Large specialist centres will be complemented by alternative levels of care delivered in different settings.

So the GP is at the front line, literally and metaphorically.  There is only finite capacity in GP-land.  So many doctors, so many hours in the day, set against rising demand.  So what do we do?

For starters, organise the GP’s surgery in such a way as to liberate time – time to care.   Our GPIP (General Practice Improvement Programme) does exactly this.  We work with clinicians and staff to identify and strip out wasteful activities.  This creates more time, and time is the most precious commodity in a modern practice. Modern office environments, regardless of what they do, are complex places.  We need to understand how we are spending our time, and act on the insights.

GPIP are currently working across the UK with forward-thinking GP practices who will attest to the results. 

KM&T are working across the UK with forward-thinking GP practices who will attest to the results.  Visit for more information.