Guidance

The guidance section holds a wealth of information on a wide range of subjects relating to general practice.

Physician Assistants – advice for GPs following the publication of the Leng Review
Physician Assistants – advice for GPs following the publication of the Leng Review
The Leng Review into physician and anaesthesia associates was published on 16th July 2025.  The government has accepted the recommendations in full and NHS England has issued guidance to systems leaders on changes to be implemented immediately. The report has been published following stakeholder engagement and an evidence review.  It makes 18 recommendations, including: The […]
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Serious Shortage Protocols (SSPs)
Serious Shortage Protocols (SSPs)
9 January 2023
In February 2019, the Human Medicines Regulations 2012 were changed to introduce SSPs. Further changes came into force in July 2019, in the NHS (amendments relating to serious shortage protocols)…
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Gender dysphoria and requests for monitoring
Gender dysphoria and requests for monitoring
21 December 2022
Gender Dysphoria and General Practice: Navigating Roles, Responsibilities, and Referrals Gender identity and the care of patients with gender dysphoria remain one of the most frequently queried topics received by…
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PCNs – clarification on CQC registration
PCNs – clarification on CQC registration
31 August 2022
Following concerns and some confusion at local level regarding Primary Care Networks (PCNs) and Care Quality Commission (CQC) registration, the following clarification has been provided by CQC: ‘It is important…
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