Transforming Primary Care in London: General Practice - A Call to Action questionnaire

Closed 1 Apr 2014

Opened 26 Nov 2013


‘Transforming Primary Care in London: General Practice - A Call to Action’ sets out the challenges facing general practice in London, and the priorities that doctors and patients have told us are important to improve. 

Health and care services provided by GPs and practice nurses are the cornerstone of the NHS - 90% of patient contact with the NHS takes place in general practice.  High quality general practice provides a holistic approach to our care, from preventing illness and diagnosing problems, to treating diseases and managing long term conditions. However, the model of general practice that has served Londoners well in the past is now under unprecedented strain. There are significant challenges that must be addressed. Population growth and the complexity of serving larger numbers of patients with long term conditions are driving up demand and general practice is struggling to respond effectively.

London has a growing and ageing population and we are seeing an ever-increasing number of patients suffering from multiple long term conditions.  London has some stark health inequalities between boroughs and variations in the quality of provision of across the city.  We have relatively high numbers of small practices, some of which are struggling to offer the same access and range of services as larger or federated practices.  We are also acutely aware that Londoners overall satisfaction levels with primary care is lower than in other areas of the country and that some Londoners can be particularly frustrated when they try and access services in ways that are more convenient to them.

There is a growing consensus amongst the medical profession that London’s primary care services are unsustainable unless we make big changes to the way they are organised and run. London needs solutions that will sustain primary care for the next 50 years, rather than small incremental changes.

NHS England (London Region) will not prescribe the future model of primary care.  Different solutions will suit different communities in London. We will however work closely with GPs to support them in making positive changes and have already engaged with London Clinical Commissioning Council, the RCGP and Londonwide LMCs to develop and discuss the key themes in this report.

We will use the feedback we receive from GPs, patients and other stakeholders to develop a set of proposals describing the service offer that we believe all practices would like to provide and that all Londoners should have access to.  The service offer will focus on three aspects of care: accessible care, proactive care and coordinated care.  It will be published in January and will undergo extensive engagement with practices, patients and other stakeholders.

You will see that ‘Transforming Primary Care in London: General Practice - A Call to Action’ poses some questions which we would welcome your feedback on.


Please also give feedback on our London – A Call to Action document, which describes the  significant challenges that we must address in order to sustain a high quality, free at the point of need, health and care system in London.


  • GPs
  • Nurses
  • Health visitors
  • Clinicians
  • Managers
  • Commissioners
  • Directors of public health
  • Pharmacists
  • Doctors
  • Midwives
  • Health care assistants
  • Healthcare scientists
  • Paramedics
  • Dentists
  • Art therapists
  • Drama therapists
  • Music therapists
  • Chiropodists/podiatrists
  • Dietitians
  • Occupation therapists
  • Orthotists
  • Orthopists
  • Prosthesists
  • Physiotherapists
  • Diagnostic radiographers
  • Therapeutic radiographers
  • Speech and language therapists
  • Childcare providers
  • Allied health professionals
  • Care-givers
  • Ophthalmic practitioners
  • Responsible officers
  • Clinical psychologists
  • Paediatric neuropsychologists
  • Foundation trusts
  • Mental health trusts
  • Community healthcare trusts
  • Tribunal service
  • Clinical commissioning groups (CCGs)
  • Commissioning support units (CSUs)
  • Strategic clinical networks (SCNs)
  • Care Quality Commission
  • Health Education England
  • Health Protection Agency
  • Local Government Association
  • Monitor
  • National Institute for Health and Care Excellence
  • Health and Wellbeing boards
  • Healthwatch (national and local)
  • Health and Social Care Information Centre
  • NHS Trust Development Authority
  • Local Involvement Networks
  • National directors
  • Regional directors
  • Area Team directors
  • All NHS England Staff
  • Voluntary groups
  • Community groups
  • Charities
  • Advocacy or support organisations
  • DH third sector strategic partners
  • Regulatory bodies
  • Academic/professional institutions
  • Employer representatives
  • Employee representatives
  • Trade unions
  • Deaneries
  • Higher education institutions
  • Royal Colleges
  • Service providers
  • Local authorities
  • Social care providers
  • Patients
  • Carers
  • Service users
  • Retailers
  • Suppliers
  • Information providers
  • Information professionals
  • Informatics professionals


  • Primary care
  • NHS England