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GP list cleansing is having a significant impact on general practice, with practices across England reporting falling patient numbers, reduced funding and growing concerns about staffing and financial sustainability.
In this week’s episode, brought to you in partnership with Practice Index, we welcome back Robyn Clark and Alison Daff to discuss why list cleansing has intensified, the challenges practices face and the potential consequences for PCNs and patients.
They explore the administrative burden of validating patient registrations, the risks to vulnerable patients and the knock-on effects for practice funding, workforce capacity and neighbourhood working.
The conversation also covers practical steps practices can take to attract new patients, improve online registration processes, strengthen community engagement and prepare for the financial impact.
What is GP list cleansing? (01:15)
Why list cleansing is increasing (02:02)
The impact on practice funding and workload (04:48)
Patient concerns and risks for vulnerable groups (05:53)
The administrative burden of validating patient registrations (06:08)
The implications for PCN funding and neighbourhood working (08:34)
Practical ways to attract new patients (10:22)
Financial planning and staffing pressures (11:53)
Why some practices are more affected than others (13:31)
How long could list cleansing continue? (14:57)
Patient safety and preventative care (15:43)
Raising concerns with NHS England (16:36)
Will the money saved return to primary care? (19:34)
The Carr-Hill formula and GP funding (20:49)
Practice Index resources and practical support (23:57)
Explore the resources below for further information and practical support:
How much will the National Minimum Wage rise cost your practice?
To visit the Practice Index website, click here, or contact James Dillon here.
For all enquiries about the Ockham podcast, please contact Ben Gowland here.
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