The Care Quality Commission (CQC) has developed Joint framework: commissioning and regulating together—a practical guide for staff with NHS England and NHS Clinical Commissioners to reduce duplication in the regulation and oversight of general practice. It is the first output of the Regulation of General Practice Programme Board (RGPPB), which was established following the publication of the General practice forward view.

Intended for staff working in clinical commissioning groups, NHS England, and the CQC, the framework is designed to provide clarity on when and how to share information to improve efficiency and avoid unnecessary duplication of requests for information. 

The scope of the framework covers general practice in England, describing:

  • roles and responsibilities
  • when and how the CQC, NHS England, and CCGs will share information
  • how organisations will respond to concerns and risk
  • what a good working relationship between the CQC and commissioners looks like.

Over time, the framework is expected to expand to include other organisations with roles in commissioning, regulation, and oversight of general practice.

Several areas of collaborative working are explored in the framework, including:

  • benefits of collaboration
  • routine information sharing
  • local meetings
  • support for improvement
  • emerging and urgent non-routine concerns
  • coordinating ongoing activities.

It also provides case studies of successful collaboration and efficient working relationships.

Professor Steve Field, Chair of the RGPPB, said: ‘This document is a small but significant step towards closer working between the main statutory oversight and regulatory bodies involved in general practice.’