Latest Guidance

Keep up to date with the latest guidance, recommendations and advisory messages

Quality 1st - Managing Workload To Deliver Safe Patient Care

It is in response to GP workload having now reached unmanageable proportions, against a backdrop of escalating demand, which has far outstripped our impoverished capacity, and which is seriously impairing our ability to deliver the care our patients need. In this intense, pressured climate, it is crucial that the safe provision of care to patients remains GPs’ overriding priority, at a time when practices are undermined from doing so by excessive, inappropriate or unresourced work. Quality First: Managing Workload to Provide Safe Patient Care is a handbook to empower practices with practical tools, including model templates, to manage workload and to shape demand, in order to fulfil their responsibility to deliver essential services to patients.

Click on the link below to download:

Quality 1st – Managing Workload To Deliver Safe Patient Care  Full guidance (PDF, 1mb)

Quality 1st – Managing Workload To Deliver Safe Patient Care  Templates (PDF, 72kb)

Child Safeguarding Template

Doctors must be proficient and work within their competence to deal with Child Protection issues.

Click on the link below to download

Safeguarding Children 2014 Experiential Learning Form for General Practitioners.

Child Protection

Click on the link below to download the “Protecting children and young people – the responsibilities of all doctors” – guidance as published by the GMC in July 2012 with effect from September 3rd, 2012

Protecting children and young people

A Guide To Collaboration For General Practice

Please follow the link below to display A Guide To Collaboration For General Practice

A Guide To Collaboration For General Practices v0.2 23-04-15

General Practice Plan - Cornwall & Isles of Scilly

Please follow the link below to display a Plan for General Practice in Cornwall and the Isles of Scilly. General Practice Plan – Cornwall & Isles of Scilly

GP Health Guidance

GP Health


“GPH (GP Health) has been up and running since the end of January. Commissioned by NHS England, it has a central ‘Hub’ with 13 regional spokes. Dr Clare Gerada is the National Medical Director, well known as past RCGP Chair, and also having run the successful Practitioner Health Programme for all doctors within London for the past eight years. Devon is part of the South West Region, and the local Clinical team includes Dr Linda Barry in Cornwall and Dr Andrew Tresidder and Dr Jenny Docherty in Devon.


If you feel you need confidential help with any of the following, please contact the service by emailing us on or by calling 0300 0303 300. The service is available 8am – 8pm Monday – Friday and 8am – 2pm Saturday


After registering with the national service, to collect demographics and a brief resume of the issue, and a short telephone triage, then you will have a choice of local clinicians via the NHS Booking App.


For more information, please see


GPC guidance on GP networks

Please find attached updated GPC guidance on GP networks.  The attached guidance provides information about the different legal structures that can be used by GP networks, including an overview of the pros and cons of each structure.GPC is in the process of putting together a step-by-step guide for practices considering forming a network, which it hopes to launch very soon.

Click on the link below to open up (in a new window) or download the relevant document.

GPC guidance on GP networks

Enhanced Services

Over the next few weeks the GMS contract documentation for 2016-17, including enhanced services specifications and QOF guidance, will be published by NHS England.


The clinical enhanced services specifications (for Childhood flu, Seasonal flu and Pneumococcal, Men C, Pertussis for pregnant women, Shingles catch up, and Dementia) are already available on the NHS England website and the BMA website will be updated shortly to reflect these changes and provide links to these guidance documents.



Focus on Hepatitis B Immunisations

Click on the link below for GPs guidance on Hepatitis B Immunisations

QOF Business Rules
The QOF Business Rules v31.0 have now been published and can be found via the following link:  
Induction and refresher Scheme

NHSE, HEE, the RCGP and the BMA have just announced the launch of a new induction and refresher scheme. A BMA quote about the scheme which was included in the joint press release from Dr Chaand Nagpaul, Chair of the BMA GP committee, is below:

Dr Chaand Nagpaul, BMA GP committee chair, said:


“The announcement of a new, properly funded induction and refresher scheme is a positive step forward that will be good news for doctors who are seeking a route back into full time or part time work as a GP.


It will be helpful to those who have had to take career breaks, particularly those who have taken time away to raise a family or decided to gain experience by working abroad. With a workforce that is increasingly looking for flexibility, this has the potential to be extremely beneficial and will hopefully overcome the huge bureaucratic and time consuming obstacles that currently prevent perfectly competent GPs from returning to work in the UK.


“At a time when there is undoubted evidence of a significant shortage of GPs and problems with recruitment and retention, it is encouraging that NHSE has worked with the BMA‟s GPs committee, Health Education England and RCGP to put this new scheme in place.”

In addition to this release, the following BMA information is now available:

The BMA website has a page explaining the decision and giving the background behind it

BMA News have put together an article about the announcement with comments from Chaand Nagpaul and Tom Black.

New Occupational Health Service including Needlestick Injuries