Box 1.

How NHS England manages concerns about GPsa

  1. Area team becomes aware of concern.

  2. Initial risk rating and information gathering by case reviewer where the risk to patients and likelihood of the concern reoccurring are assessed.

  3. Initial risk rating taken to a PAG to determine whether an initial investigation is to be carried out or if the case can be closed.

  4. If action is needed, the case is referred to the performers list decision making panel, which can put restriction on a doctor’s practice, give out conditions to be fulfilled, such as learning, and also remove a doctor from the performers list.

  5. Case closed by PAG.

  • a Adapted from NHS England guidance.11 PAG = Performance advisory group.