Practice Management, Patient Safety & Informatics
AKT High-Yield Breakdown
Practice management, patient safety, and health informatics are increasingly tested in the AKT as the NHS evolves. Questions cover NHS structure, GP contracting and QOF, clinical governance frameworks, significant event analysis, the duty of candour, GDPR in clinical practice, and CQC inspection standards.
What You'll Learn
Master QOF domain structure and exception reporting, ICB and ICS NHS structures, significant event analysis methodology, the Duty of Candour requirements, GDPR lawful bases for patient data, the CQC five domains, and key prescribing safety frameworks tested in the AKT.
Practise Practice Management & Patient Safety MCQs
From ICBs replacing CCGs and QOF exception reporting to significant event analysis, the duty of candour threshold, GDPR Subject Access Requests, and the five CQC domains — tackle focused MCQs across the full Practice Management curriculum.
NHS Structure and Primary Care Organisation
NHS structures have changed significantly since 2022. The AKT tests the current arrangements for primary care commissioning, provider organisation, and integration.
Current NHS England Structure (post-2022)
- NHS England (NHSE): national body responsible for commissioning specialist services, primary care (directly for GPs), and oversight of ICBs
- Integrated Care Boards (ICBs): statutory bodies responsible for NHS commissioning across a geographic area; replaced Clinical Commissioning Groups (CCGs) in July 2022; led by an Integrated Care System (ICS)
- Integrated Care Systems (ICS): partnership of organisations in a local area — NHS, local councils, voluntary sector — working together to plan and deliver health and care services
- Primary Care Networks (PCNs): groups of GP practices working together serving 30,000–50,000 patients; ARRS (Additional Roles Reimbursement Scheme) allows practices to recruit pharmacists, physiotherapists, paramedics, social prescribers, etc.
- GP federations and super-partnerships: larger groupings of practices for operational efficiency
GP Contract Types
- GMS (General Medical Services): nationally negotiated contract; standard list-based contract; most common contract type
- PMS (Personal Medical Services): locally negotiated with ICB; flexible around GMS; can include enhanced services
- APMS (Alternative Provider Medical Services): typically time-limited; can be held by non-traditional providers (e.g. NHS trusts, private companies); used for new/failing practices
- Extended Access: contractual requirement to provide evening/weekend appointments
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