Reducing Bureaucracy

A Project Carried Out for

Reducing the burden of bureaucracy on practices

  • Thank you for helping with this work. The aim of the project is to identify how the overall burden of bureaucracy on GP general practices might be reduced by NHS England, directly or through its various agents and through using their influence on others such as CCGs, Local Authorities etc. The report ‘Making time in General Practice’ highlighted the opportunity to reduce bureaucracy on general practice and this follow-up is to understand more about what needs to be done, particularly because of the changed processes and the very public difficulties that have arisen.
  • In responding to each question please do NOT include the time providing care or interacting with patients. Only include admin/management time.
  • Where you are asked for a breakdown of your time, please give your best estimate.
  • Please focus on last month and try to exclude issues that arose during the transiton to Capita if they have now been fixed.

Finally, thank you very much for completing the survey. Should you have any questions, in the first instance, please email survey@pcfbenchmarks.co.uk and someone will get back to you as soon as possible. Alternatively ring Henry Clay on 07775 696360

For any technical issues with the survey please email enquiries@cfepsurveys.co.uk

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Getting Paid

In the practice, how much administrative time was spent on getting paid? Please include chasing and reconciling payments, providing information needed to receive payments, setting up payment processes and systems and educating yourself and others on these processes. Include all sources of NHS or Local Authority funding but exclude any private fees.

Please give time spent on getting paid in a typical month (to the nearest whole hour) for each of the following areas:






0

Comparison of time spent on getting paid:

Compared to 2014/2015 (which is a full year after the move away from PCTs, so contracts were held separately with NHS England, Local Authorities and CCGs, but before both the NAO’s critical report into GPES and the award to Capita of the contract to provide primary care support services) we wish to understand if the task of getting paid is more or less onerous.


Q2 Supporting patients in dealing with NHS and other services

In the practice, how much administrative time was spent helping patients navigate the NHS and other services? We do NOT want to include the time spent on the normal transactions but please do include any of the extra time involved for any staff in chasing up or sorting out results and tests, patient transport, following-up on behalf of patients with hospitals, community services, physiotherapy etc. and facilitating patient support from social services, local authorities and voluntary services.

Please give time spent supporting patients in this way in a typical month (to the nearest whole hour) for each of the following areas:











0

Comparison of time spent supporting patients in this way:

Compared to the 2014/2015 (Before the deadline for electronic transfer of information from hospitals) is the task of providing this support to patients more or less onerous.


Q3 Processing information from hospitals and other providers

In the practice, how much administrative time was spent processing information about patients from hospitals, out-of-hours and NHS111 providers, community service providers and social services? This includes letters, notification of tests results, details of attendances etc.

Please give time spent processing information about patients in a typical month (to the nearest whole hour) for each of the following areas:





0

Comparison of time spent processing information about patients:

Compared to 2014/2015 (Before the deadline for electronic transfer of information from hospitals) we wish to understand if the task of processing information and recording it on the practice systems is more or less onerous.


Q4 Reporting other information

In the practice across all administrative and support staff, how much time was spent reporting statistical and performance information? This includes data for NHS England, health, infection, and primary care information for Public Health England, Healthwatch or local authority, performance information required by your CCG and reporting required by other organisations (such as CQC, HMRC).

Please give time spent on reporting other information in a typical month (to the nearest whole hour) for each of the following areas:







0

Comparison of time spent on reporting other information:

Compared to 2014/2015 (when some practices complained requests were sometimes framed after the work had been done and that they were receiving requests from different commissioners or bodies, often for essentially similar information) we wish to understand if the task of providing information and reporting is more or less onerous.


Q5 Keeping up to date

Across the practice, how much administrative time was spent keeping up to date? This includes updating safety notices and similar, processing local information from NHS and social services about pathways and employment, health and safety and other regulatory changes.

Please give time spent on keeping up to date in a typical month (to the nearest whole hour) for each of the following areas:





0

Comparison of time spent on keeping up to date:

Compared to the 2014/2015 (when practices commented that much of the information came to them in a series of separate emails and notices) we wish to understand if the task of keeping up to date is more or less onerous.


Q6 Overall view of time burden


Q7 What changes would reduce the burden?

7.1 Thinking about all of the areas that were included above, what are the few specific changes that might be made nationally (NHS England, NHS Digital to GPES/CQRS, Capita etc.) that would best reduce the burden of bureaucracy on your practice:

Please describe these improvements as fully as you can, with the one that you would most welcome first:




7.2 Thinking about all of the areas that were included above, what are the few specific changes that might be made locally (CCG, Local Authority, STP level) that would best reduce the burden of bureaucracy on your practice:

Please describe these improvements as fully as you can, with the one that you would most welcome first:




7.3 NHS England is committed to simplifying the central payment system for practices.


7.4 The standard contract for hospitals in England was changed so that hospitals should ensure that any decision to discharge a patient after non-attendance is only made by clinicians, avoiding any blanket policy of automatic discharge to the GP and hospitals have also been encouraged to offer a two-week window during which the patient can rebook.


7.5: What steps are you taking to make it easier to manage workload in the practice? (provide up to 3):

Q8 The Future



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