Practices must implement two 'high impact actions' by March 2019

Every practice in England should have implemented at least two of NHS England's 10 'high impact actions' by March 2019, according to an update of NHS plans for 2018/19.

The 10 High Impact Actions aim to free up GPs' time to deliver more patient care (Photo: iStock)
The 10 High Impact Actions aim to free up GPs' time to deliver more patient care (Photo: iStock)

The 10 High Impact Actions are aimed at helping to free up GP time to enable them to deliver more clinical care. They form part of NHS England’s General Practice Development Programme.

NHS England and NHS Improvement's updated 2018/19 plan for the NHS says that CCGs should ensure that ‘every practice implements at least two of the high impact "time to care" actions.’

NHS England has provided funding to support several initiatives that link into the actions, including £100m to embed clinical pharmacists in general practices, £45m to roll out online consultations and a £30m for the ’Releasing Time for Patients’ programme, which supports practices to look at how they can change workflows in order to free up GP time.

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What are the 10 High Impact Actions?

  1. Active signposting – Providing patients with a first point of contact that directs them to the most appropriate source of help. Web and app-based portals can also be used for this.
  2. New consultation types – Introducing phone and email consultations, for example, to help improve continuity and convenience for the patient, and reducing clinical contact time
  3. Reduce DNAs
  4. Develop the team – Broaden the workforce in order to reduce demand for GP time and connect the patient directly with the most appropriate professional.
  5. Productive workflows – Introduce new ways of working which enable staff to work smarter, not harder.
  6. Personal productivity – Support staff to develop their personal resilience and learn skills that enable them to work in the most efficient way possible.
  7. Partnership working – Create partnerships and collaborations with other practices and providers in the local health and social care system.
  8. Social prescribing – Use referral and signposting to non-medical services in the community that increase wellbeing and independence.
  9. Support self care – Take every opportunity to support people to play a greater role in their own health and care.
  10. Develop quality improvement expertise – Develop a specialist team of facilitators to support service redesign and continuous quality improvement.

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