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GPs are advised to cut back on extra work to defend core services

BMJ 2015; 350 doi: https://doi.org/10.1136/bmj.h245 (Published 14 January 2015) Cite this as: BMJ 2015;350:h245
  1. Gareth Iacobucci
  1. 1The BMJ

GPs should decline unfunded additional work if it interferes with their ability to deliver safe and high quality core services to patients, the BMA’s General Practitioners Committee has advised.

This recommendation is contained in new guidance designed to help practices cope with an escalating workload that the BMA warns is threatening to damage patient care. The guidance, Managing Workload to Deliver Safe Patient Care,1 offers detailed practical advice to general practices on how to work “within manageable limits” to deliver safe and high quality care.

The guidance urged GPs not to undertake clinical work that has been transferred from secondary or community care unless they receive adequate funding to do so. “If the clinical commissioning group (CCG) or commissioner does not fund workload shift, or an enhanced service, then the practice should decline to provide it, since …

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