General Practitioners

(asked on 22nd January 2020) - View Source

Question to the Department of Health and Social Care:

To ask Her Majesty's Government what guidance is available to (1) GP practices, and (2) individuals, on how named GPs should interact with their patients.


This question was answered on 5th February 2020

The legal responsibilities of the named accountable general practitioner (GP) are set out in the National Health Service (General Medical Services [GMS] Contracts) Regulations 2004 (as amended). The contract (and amendments) include a requirement for all patients to be assigned a named accountable GP who has overall responsibility for that patient’s care. This does not necessarily mean that patients will see their named accountable GP for every appointment. Patients can still request to see a particular GP, although they may have to wait longer for an appointment if they do so.

The Department has not made a formal assessment into the impact and role of named accountable GPs.

Under the terms of the GMS Regulations, the named accountable GP must take lead responsibility for the coordination of all services required under the contract and ensure they are delivered to each of their patients where required (based on the clinical judgment of the named accountable GP). The 2015/16 GMS Contract Guidance (published in March 2015) provides further information on named accountable GPs for all patients. A copy is attached. The guidance states: ‘Where the patient expresses a preference as to which GP they have been assigned, the practice must make reasonable efforts to accommodate this request’. This document provides guidance for commissioners, local medical committees and GP practices. This information is also of use to individuals because it explains how named accountable GPs should interact with their patients. The British Medical Association (BMA) has also provided guidance on how practices can fulfil the requirement to provide named accountable GPs for their patients.

Every patient can request to see a specific GP, including their named accountable GP. Under the terms of their contract (as set out in Schedule 3, Part 2 of the Regulations), the GP practice must endeavour to comply with all reasonable requests of patients to see a particular practitioner. Authorised family members have the same rights.

Data is not held centrally on the percentage of named accountable GPs in England who have seen the patients they are accountable for.

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