Version 3, 29 June 2023

  1. NHS (2019), Long Term Plan.
  2. NHS England and NHS Improvement (2020), Advice on how to establish a remote ‘total triage’ model in general practice using online consultations, April 2020.
  3. NHS England (2023), GP Contract 2023/24: NHS England.
  4. NHS England (2023), Delivery plan for recovering access to primary care, In: Department of Health and Social Care, ed. London: NHS England.
  5. Department of Health and Social Care (2020),  Hancock M. The Future of Healthcare. In: Care DoHaS, ed. GOV.UK.
  6. Topol E (2019), Preparing the Healthcare Workforce to Deliver the Digital Future. London: Health Education England.
  7. NHS England (2019). GP Contract documentation 2019/20: NHS England.
  8. Montgomery U, Kanani N. Letter (2022), General practice contract arrangements in 2022/23. NHS England.
  9. Fisher R, Fraser C. (2021), How has the COVID-19 pandemic impacted primary care? The Health Foundation 202
  10. Greenhalgh T, Ladds E, Hughes G and others (2022), Why do GPs rarely do video consultations? qualitative study in UK general practice. Br J Gen Pract 2022;72(718):e351-e60. doi: 10.3399/bjgp.2021.0658 [published Online First: 20220428]
  11. Greenhalgh T, Shaw S, Alvarez Nishio A and others, (2022), Remote care in UK general practice: baseline data on 11 case studies [version 2; peer review: 2 approved]. NIHR Open Research 2022;2(47)
  12. Greenhalgh T, Shaw S, Alvarez Nishio A and others (2022), Protocol: Remote care as the “new normal?” Multi-site case study in UK general practice [version 1; peer review: 1 approved]. NIHR Open Research 2022;2(46)
  13. Wherton J, Greenhalgh T, Shaw SE (2021), Expanding Video Consultation Services at Pace and Scale in Scotland During the COVID-19 Pandemic: National Mixed Methods Case Study. J Med Internet Res 2021;23(10):e31374. [published online first: 7.10.2021]
  14. Murphy M, Scott LJ, Salisbury C and others (2021),  Implementation of remote consulting in UK primary care following the COVID-19 pandemic: a mixed-methods longitudinal study. British Journal of General Practice 2021;71(704):e166-e77.
  15. Greenhalgh T, Rosen R, Shaw SE and others (2021),  Planning and Evaluating Remote Consultation Services: A New Conceptual Framework Incorporating Complexity and Practical Ethics. Front Digit Health 2021;3:726095. [published online first: 20210813]
  16. Royal College of General Practitioners (2021), GP consultations post-COVID should be a combination of remote and face to face, depending on patient need, says College RcGP2021.
  17. NHS Digital (2023), Appointments in General Practice, February 2023: NHS Digital; 2023.
  18. Wachter RM (2016), Making IT Work: Harnessing the Power of Health Information Technology to Improve Care in England: Report of the National Advisory Group on Health Information Technology in England: National Advisory Group on Health Information Technology in England.
  19. Farrell D, Sood H (2020), The NHS Digital Academy – learning from the past to look ahead. Future Healthcare Journal 2020;7(3):185-88.
  20. Royal College of General Practitioners (2020), General practice in the post Covid world: challenges and opportunities for general practice. London: RCGP.
  21. Royal College of General Practitioners (2021), The future role of remote consultations and patient ‘triage’: general practice COVID-19 recovery. London: RCGP.
  22. Clarke GM, Dias A, Wolters A (2022), Access to and delivery of general practice services: a study of patients at practices using digital and online tools. In: Briefing IAU, ed. London: The Health Foundation.
  23. General Medical Council (2022), National Training Survey 2022: GMC.
  24. James HM, Papoutsi C, Wherton J and others (2021), Spread, Scale-up, and Sustainability of Video Consulting in Health Care: Systematic Review and Synthesis Guided by the NASSS Framework. J Med Internet Res 2021;23(1):e23775.

7.1 Appendices

7.1.1 Appendix A: Breakdown of how the research was publicised

The research was publicised via:

  • The Digital Nurse Network (webinars and Twitter)
  • The Primary Care Bulletin
  • GP Practice Manager Bulletin
  • Primary Care Deans
  • The Royal College of General Practice
  • The BMA General Practice committee
  • Society of Academic Primary Care
  • Future NHS
    • Digital First Primary Care workspace
    • Primary Care Networks Development Support workspace
  • The Royal College of Nursing
  • The Nursing and Midwifery Council
  • Regional Communications Leads
  • Digital First Primary Care Regional Offices
  • NHSE/I Primary Care Twitter Account
  • NHSE/I Corporate Social Media
  • NHS Digital Social Media
  • NHSx Social Media
  • General Pharmaceutical Council
  • Health Education England Networks and Twitter Account

7.1.2 Appendix B: Breakdown of Phase 1 participant characteristics across n=31

Number of participants per role
Broad group of support staff, including practice managers, reception staff, CCG staff, an assistant practice manager and medical secretary 13
Pharmacists 5
GPs 9
Nurses 4
Practice Locations
North West 2
North East and Yorkshire 7
Midlands 4
East of England 3
South West 2
South East 4
London 9
Practice Types
Urban 14
Suburban 13
Rural 4
Size of practice
5001 -10,000 14
10,001 - 15,000 9
15,000 and above 8

Table 3: Breakdown of Phase 1 participant characteristics

7.1.3 Appendix C: Expanded breakdown of Phase 2 participant characteristics across n=791

Length of time in general practice
Less than 2 years 80
2-5 years 124
6-10 years 122
More than 10 years 464
Practice locations
North West 74
North East and Yorkshire 90
Midlands 127
East of England 48
South West 168
South East 154
London 128
Number of partners
1 41
2 114
3 163
4 124
5 or more 336
Size of practice
Less than 5000 47
5000 -10,000 114
10,001 - 15,000 258
15,000 and above 226
Level of deprivation in patient population
Very high 108
Fairly high 215
Neither high nor low 217
Fairly low 149
Very low 70
Don’t know 29

Table 4: Expanded breakdown of Phase 1 participant characteristics*

*Note: it was not mandatory for respondents to answer all questions.