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GP practices to send out distress signals when facing ‘unsafe’ workload pressure

by Awil Mohamoud
12 February 2020

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GPs in Devon will be able to use a new flagging system to notify their LMC when they have reached ‘unsustainable and unsafe workload levels’, Devon LMC has announced. 

Practices are being asked to send an ‘alert status’ to the LMC through a weekly report, to help the group of GPs highlight the pressures they face due to rising patient demands. 

NHS Devon CCG will also be using the information to help it decide how it can best support local practices when they experience increased pressure. 

LMC chair Dr Bruce Hughes said: ‘Our innovative new reporting system will help provide robust evidence about the pressure faced by our local GP practices – and greater recognition of the scale and challenges.

‘The pressure acute hospitals are under is well publicised and is captured by the OPEL (Operational Pressures Escalation Levels) Framework. General practice has had no equivalent and so the Government, healthcare providers, commissioners and patients can sometimes assume that things are not so bad for local GP practices.’

How it works

GPs are being encouraged to complete anonymous weekly reports for the LMC, choosing from four colour-coded alert levels. A black status would indicate a GP practice is ‘in distress’, at which point it would be able to identify itself and request support from the local health system.

Red would mean it is ‘running safely under significant pressure, but requiring immediate action to relieve the burden. Conversely, green would mean the practice is running normally with adequate resources and acceptable waiting times. 

The average county-wide alert level is publicly shared on the LMC website each week. Roughly 80 GPs in the area are already submitting weekly reports to the LMC with more expected to take part as it is fully rolled out. 


A Medical Protection Society (MPS) survey published last year revealed two-thirds of all doctors go in to work despite feeling too tired, unwell or stressed and half do not feel supported in terms of their well-being. The Royal College of GPs (RCGP) called for the wholesale introduction of distress signals for GPs back in 2015, stressing the risk burnout poses to patient safety. 

‘Ground-breaking’

Clinical Chair of NHS Devon Dr Paul Johnson said: ‘We know there is a link between general practice being unusually busy and subsequent pressures elsewhere within the health system, so it can serve to provide an early warning to assist other providers in better assessing and planning for future demand.’

Fremington Medical Centre GP partner Dr Hughes added: ‘This is a ground-breaking move for general practice. Devon is believed to be the first area in the country to roll out a GP alert status. Our innovative scheme has attracted interest from several other LMCs who look set to follow suit.’


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