Non GP practitioners

Gillian Lansley made this Rhyddid Gwybodaeth request to NHS England

This request has been closed to new correspondence from the public body. Contact us if you think it ought be re-opened.

Roedd y cais yn rhannol lwyddiannus.

Dear NHS England,

As you are aware, more GP surgeries now employ nurse practitioners or advanced nurse practitioners to consult with and assess patients.

how do you check on their accreditation to perform such important and high risk roles?

are there cases where nurses have been working as advanced nurse practitioners without the requisite and recognised training and accreditation?

how often does NHS check to ensure all staff working in and for each GP practice , to assess and treat your patients , is appropriately qualified?

Which director at NHS England is responsible for oversight of and maintaining this important quality standard

How many practices are utilising the services of pharmacists, physician associates, ANP and NP roles to perform patient consultations and assessments instead of them being performed by a qualified GP.

How are you ensuring that they are adequately qualified?
Is it a criminal offence for a clinician to perform a role for which they are not adequately qualified or accredited? as an example, a nurse physically assessing children under 2 years of age but without the requisite training and accreditation to perform such a role?

Yours faithfully,

Gillian Lansley

CONTACTUS, England (NHS ENGLAND), NHS England

Dear Customer,

Thank you for your email. **Please read the important information below**

Please refer to the information below on how the Customer Contact Centre
can help you.

Our normal working hours are 08:00 to 18:00 from Monday to Friday and we
regret the delay in reply over the non-working hours.
The Customer Contact Centre is experiencing a high volume of enquiries. We
aim to respond to all general enquiries within 10 working days. If you
have raised a new complaint, you will receive a separate acknowledgement
within 3 working days

In the meantime, you may find the following information helpful.

How can the Customer Contact Centre help me?
NHS England commissions or buys primary care services; for example, GPs,
dentists, opticians, and pharmacy services. We are also responsible for
prison healthcare, military health services, and some specialised
services. We can provide advice about accessing, giving feedback or making
a complaint about these services.
You may be able to find the answer you are looking for in our Frequently
Asked Questions<https://www.england.nhs.uk/contact-us/ho...>
and our website explains how to feedback or make a
complaint<https://www.england.nhs.uk/contact-us/co...>.

What if I have an enquiry or complaint about hospital care, NHS 111 or
out-of-hours GP services?
If your enquiry or complaint is about secondary care, this includes
hospital care, NHS 111 services, mental health services, out-of-hours
services and community services such as district nursing you’ll need to
contact your local Clinical Commissioning Group (CCG). You can find their
contact details using the NHS Choices service
finder.<https://www.nhs.uk/Service-Search/Clinic...>

Do you provide medical advice?
No. Our advisors and not clinically trained and are unable to provide
medical advice. If you require emergency medical attention, dial 999 or
attend your local Accident and Emergency department if you are able to do
so.
If you require non-urgent medical advice please contact your GP, local
walk-in or urgent healthcare centre, or call NHS 111. Calls are free from
landlines and mobile phones.

How do I report a change of name or address?
You should report a change of name or address to your GP practice so they
can update their records. If your new address is outside the practice’s
catchment area you may be asked to register with a new GP practice.
You should also advise your dentist or optician of a change of name or
address as they keep their own records.

Where can I find further information about NHS England?
You can find information about NHS England and our work on our
website.<https://www.england.nhs.uk/about/>

How we use your information: Our privacy notices explains how we use,
share and store your personal information. You can find this on the NHS
England website https://www.england.nhs.uk/privacy

dangos adrannau a ddyfynnir

FOI, England (NHS ENGLAND), NHS England

Dear Gillian Lansley,

 

Re: Freedom of Information request (Our Ref: FOI-058381)

 

Thank you for your Freedom of Information (FOI) request dated 25 January
2019.

 

Your exact request was:

 

“As you are aware, more GP surgeries now  employ nurse practitioners or
advanced nurse practitioners to consult with and assess patients.

 

how do you check on their accreditation to perform such important and high
risk roles?

 

are there cases where nurses have been working as advanced nurse
practitioners without the requisite and recognised training and
accreditation?

 

how often does NHS check to ensure all staff working in and for each GP
practice , to assess and treat your patients , is  appropriately
qualified?

 

Which director at NHS England   is responsible for oversight of and
maintaining this important quality standard

 

How many practices are utilising the services of pharmacists, physician
associates, ANP and NP roles to perform patient consultations and
assessments instead of them being performed by a qualified GP.

 

How are you ensuring that they are adequately qualified?

Is it a criminal offence for a clinician to perform a role for which they
are not adequately qualified or accredited? as an example,  a nurse
physically assessing children under 2 years of age but  without the
requisite training and accreditation to perform such a role?”

NHS England holds some information in relation to your request.

 

For ease of reference, we will answer each of your questions in turn.

 

It may help if we first explain that NHS England is not the same as ‘the
NHS in England’. The NHS in England is not a single organisation but is
made up of a range of organisations such as Hospitals, Clinical
Commissioning Groups (CCGs) and Ambulance Trusts. NHS England is
responsible for commissioning primary care services such as GP and dental
surgeries, as well as some specialised secondary care services. Therefore,
any recorded information NHS England may be able to provide in response to
an FOI request will generally relate to the services NHS England
commissions.

 

For information on commissioned services and the types of information NHS
England holds can be found on our [1]website and [2]publication scheme.
For further information on the NHS, its structure and other NHS
organisations please refer to [3]NHS Choices.

 

Q1) How do you check on their accreditation to perform such important and
high-risk roles?

 

Nurse practitioners and advanced nurse practitioners are employed by
general practice employers directly so it is for the employer to ensure
that these staff are competent and skilled to carry out their role.

 

Q2) Are there cases where nurses have been working as advanced nurse
practitioners without the requisite and recognised training and
accreditation?

 

All registered nurses are accountable to the Nursing and Midwifery Council
(NMC) and must ensure that they remain fit for practice and purpose as per
NMC standards.

 

Q3) How often does the NHS check to ensure all staff working in and for
each GP practice, to assess and treat your patients, is appropriately
qualified?

 

This is the individual employers responsibly

 

Q4) Which director at NHS England is responsible for oversight of and
maintaining this important quality standard?

 

In practice, the NHS Standard Contract is used as the basis for the local
agreement between a provider and its commissioners. This contract places a
requirement on providers around staffing and can be found in section 5 of
the contract:
[4]https://www.england.nhs.uk/publication/n...

 

Q5) How many practices are utilising the services of pharmacists,
physician associates, ANP and NP roles to perform patient consultations
and assessments instead of them being performed by a qualified GP?

 

NHS England does not hold information in relation to this aspect of your
request. This information may be held by NHS Digital. As such, you may
wish to redirect this element of your request to NHS Digital directly. We
have included their contact information below for your convenience:

 

Email:             [5][email address]

 

By Post:         Information Governance Compliance Team

NHS Digital

1 Trevelyan Square

Boar Lane

Leeds

LS1 6AE

 

Q6) How are you ensuring that they are adequately qualified?

 

It is for the individual employer to ensure that the staff they employ are
fit for purpose. All registered nurses are accountable to the NMC and must
ensure that they remain fit for practice and purpose as per NMC standards.
  

 

Q7) Is it a criminal offence for a clinician to perform a role for which
they are not adequately qualified or accredited? as an example, a nurse
physically assessing children under 2 years of age but without the
requisite training and accreditation to perform such a role?

 

NHS England does not hold this information. If there are such concerns,
the NMC is the professional regulator who sets the standards for fitness
to practise and that they can be contacted at
[6]https://www.nmc.org.uk/contact-us/phone-...

 

Copyright: NHS England operates under the terms of the open government
licence. Please see the NHS England Terms and conditions on the following
link:

 

[7]http://www.england.nhs.uk/terms-and-cond...

 

We hope this information is helpful. However, if you are dissatisfied, you
have the right to ask for an internal review. This should be requested in
writing within two months of the date of this letter. Your correspondence
should be labelled “Internal Review” and should outline your concerns
and/or the area(s) you would like the review to consider. Internal Review
requests should be sent to:

 

NHS England

PO Box 16738

REDDITCH

B97 9PT

 

Email: [8][NHS England request email]

 

Please quote the reference number FOI-058381 in any future communications.

 

If you are not content with the outcome of the internal review, you have
the right to apply directly to the Information Commissioner for a
decision. The Information Commissioner’s Office (ICO) can be contacted at:

 

The Information Commissioner’s Office

Wycliffe House

Water Lane

Wilmslow

Cheshire

SK9 5AF

 

Telephone: 0303 123 1113

Email: [9][email address]  

Website: [10]www.ico.org.uk

 

Please note there is no charge for making an appeal.

 

Please be aware that in line with the Information Commissioner’s directive
on the disclosure of information under the FOI Act, your request will be
anonymised and published on our website as part of our disclosure log.

 

Please do not reply to this email. This message has been sent from a
central mailbox. To communicate with NHS England regarding Freedom of
Information (FOI) requests, enquiries or complaints we ask these are sent
directly to NHS England’s customer contact centre. This is to ensure all
communications are progressed correctly. Their postal address, telephone
number and email details are as follows: PO Box 16738, Redditch, B97 9PT;
0300 3 11 22 33, [11][NHS England request email].

 

 

Yours sincerely,

 

Freedom of Information

Corporate Communications Team

Transformation and Corporate Operations Directorate

 

NHS England

PO Box 16738

REDDITCH

B97 9PT

 

Tel: 0300 311 22 33

Email: [NHS England request email]

 

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