How was the Audit developed?
This audit was developed as part of a research project commissioned by NHS England and the initial results were published in ‘Making Time in General Practice’ available at http://www.nhsalliance.org/making-time-in-general-practice/ It helped create the evidence base for the recent ‘Forward View for General Practice’. Initial results suggested that, on average, 27% of appointments in general practice were potentially avoidable if other services and support were put in place. NHS England is now committed to extending this work by funding support for practices - so there is no direct cost - of an App you can download on to your computer screen, making it really easy for you to see how many of your appointments might be avoidable and helping you explore how you might be able to do something about it.
Once a GP or nurse in the practice has completed the audit they get immediate feedback about how their results compare to others nationally. And when all clinicians in the practice have finished, we prepare a report that compares all your GPs and nurses within the practice against national benchmarks with suggestions about where and how you might want to focus your effort for making improvements. The aim is that it provides a good basis for an informed discussion within your practice about the best ways to reduce the current workload by using your time as effectively as possible.
We are also starting to work with bigger groups of practices across federations, whole CCG areas or LMCs. There is an option for larger groups of practices to tailor the audit with a second set of questions about specific skill groups or services for practices.