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Guidance document - To help GPs push back against the unmanageable and inappropriate workload demands we are faced with
Workload Control Guidance
Date: January 4, 2023
Workload Control Guidance

We would like to share an Advice Sheet – Managing Extreme Workload Pressure prepared by colleagues at Humberside LMCs for its constituent practices.  Humberside LMCs have kindly given their permission for this to be shared with Essex practices.

The LMC fully endorses the advice contained within the document.  However, with regard to temporary list closures, we would point out that practices do not have to seek permission from the ICS for this action.  Further information on list closures can be found elsewhere on our website here :   Applications to Close Lists or Temporarily Halt New Patient Registrations – Essex LMC


To help GPs push back against the unmanageable and inappropriate workload demands we are faced with, GPC England previously published Workload control guidance.

The information in this guide will arm practice managers and GP partners with a range of practical tools to reduce your practice’s workload. The benefits of implementing this strategy include helping to define what unacceptable and dangerous workload looks like, improved GP morale and wellbeing, locality working with CCGs and practices providing support, and integrated primary care systems giving general practice a stronger voice.

This guide will help agree to quantitative limits to individual safe practice for GPs. Appropriate limits on workload will depend on the unique circumstances of each practice and the preferences of each individual GP, as well as the complexity of care being provided. There will also be variation in the amount of spinoff work depending on the complexity of the case mix and also on the contractual status of the doctor.  – June 2021