National Association for Patient Participation



National Association for Patient Participation

An independent registered charity, the National Association for Patient Participation (N.A.P.P)  is the only UK-wide umbrella body for patient-led groups in GP practices. 

It has 35 years’ experience and expertise in supporting and developing Patient Participation Groups (PPGs) which work in partnership with GPs and practice teams to foster the highest possible quality standards in primary medical care.

General practices provide the means by which patients gain access to all levels of NHS provision and links with social care. 

Over many years, responsibilities and services have been relocated to GP practices, with consequent pressure on their ability to deliver high quality clinical care as well as being responsive to the needs of patients and their need for access. N.A.P.P. understands these problems and works with PPGs and professional to seek solutions.

British Medical Association

The BMA is running a complementary campaign on the urgent need for more resourcing in general practice, called Your GP cares. Please do support both campaigns where you can, as the louder our voices become, the clearer the message will be.

Royal College of Paediatrics and Child Health

For the majority of children who fall ill, their first contact with a healthcare professional is with their GP.  Children and young people make up over a quarter of the typical GP’s workload, with pre-school children typically visiting 6 times a year and school age children 2-3 times. 

The RCPCH supports the Put Patients First campaign which sets out to ensure shorter waiting times, more flexible opening hours and the ability to access more services to closer to home to reduce unnecessary hospital visits. We also strongly support the RCGP in pushing for extending GP training to include more focus on paediatrics, so that GPs are confident and well equipped to treat children outside the hospital setting.

The RCPCH is responsible for training and examining paediatricians in the UK. The College has over 15,000 members in the UK and abroad and sets standards for professional and postgraduate medical education.

Royal College of Nursing

Dr Peter Carter, Chief Executive & General Secretary of the Royal College of Nursing said:

“The Royal College of Nursing has long called for care to be delivered in new ways which reflect the changing health care needs of an ageing population. This means providing quality care outside of hospitals, and general practice will play a key part in this.

Greater investment and innovation can develop the roles of nurse practitioners, practice nurses and health care support workers who can all work with general practitioners to continue improving care for the changing needs of patients.”

General Practitioners Committee of the BMA

It is vital that we urgently address the current unsustainable workload pressures on GPs. This requires a planned strategy of investment in general practice, so that we have increased capacity of GPs, staff and premises to deliver the vital care that patients need and deserve, within an environment of rising demand from an ageing population and increasing care in the community. We therefore support the RCGP’s campaign for general practice.

The College of Emergency Medicine

The College of Emergency Medicine welcomes the opportunity to reinforce the benefits of a comprehensive GP service. Patients with good access to care in the community have improved health and require hospital-based emergency care much less often. The future sustainability of urgent care in the NHS requires timely access to effective general practice services in all parts of the UK on a 24/7 basis.

Action Cancer

Action Cancer supports the concept of community based services as outlined in Transforming Your Care. These services must however be properly planned and resourced.  General Practitioners, in partnership with other agencies, are key to ensuring that appropriate, quality and effective care is available and delivered in a timely, accessible and efficient manner.

Action Cancer is a people focused charity providing community based early detection screening services for breast cancer and general health through its extensive health check programme. It also delivers cancer awareness sessions, obesity programmes, counselling, complementary therapy, life coaching and self- management (Positive Living) programmes in community settings.

Health and Social Care Alliance Scotland (the ALLIANCE)

Health and Social Care Alliance Scotland (the ALLIANCE)

General practice is, for many people, the first, closest and most consistent point of contact with health and social care services. General practice teams play a crucial role in supporting people living with long term conditions, and their role will increase in the context of integrated health and social care.

We support the call for improvement and innovation across general practice, focused on better outcomes for the people they support. Redesign must be co-produced with people who use services, with a key focus on enhancing links with asset-based, community-led supports that enable people to self-manage, remain active and connected and live well.

Aware Defeat Depression

Aware Defeat Depression supports the ‘Put Patients First’ campaign from the Royal College of GPs. It is often the case that when someone goes to their GP displaying signs and symptoms of a mental illness, they need more time than a standard appointment provides.

It is important that GPs are supported to ensure that the appropriate amount of time is dedicated to people with mental illness and that the sufficient amount of resources are put in place to ensure this is the case.

The World Health Organisation predict that by 2020, depression will be the second leading cause of disability, therefore it’s vital that people with the illness of depression are given full support from their GP; and that GPs are adequately resourced to ensure they can provide that full support.

British Geriatric Society

Effective care of older patients should be driven by comprehensive, multidisciplinary assessment and structured around an individualised health and social care plan.

Such care requires careful coordination by a single professional, and the role of general practice in this cannot be overlooked. Funding and contractual models for general practice must recognise the time needed for adequate assessment and care coordination.

The BGS supports adequately resourced primary care as part of broader integration across primary and secondary care to support the growing number of frail older people who deserve the best from our health and social services.

Cancer Focus Northern Ireland

Cancer Focus Northern Ireland is pleased to support the ‘Put Patients First Campaign’. A properly resourced, effective general practice service is essential to promoting the prevention and early detection of cancer and to providing care to cancer patients in their own community working in partnership with specialist services. To be effective in this role, General Practitioners need to have adequate time with patients and access to on-going training and information.

Centre for Mental Health

Good quality general practice is vital to make parity of esteem for mental health a reality in the NHS. Three-quarters of people with a mental health problem never receive any help. Most who do get treated get the majority of their health support from primary care.

We need to ensure that all GPs have the knowledge, skill and time to offer effective support to adults and children with mental health needs. Good quality general practice can ensure that people’s needs are recognised early, that their care is well managed and that physical and mental health care are properly integrated.

Family Doctor Association

It is vital that general practice is properly resourced to deliver the best health care for patients in an increasingly complex NHS system. 

The Family Doctor Association is delighted to add its support to the ‘Put Patients First’ campaign from the Royal College of GPs. As a patient-centred organisation, the Family Doctor Association is a national voice on the importance of continuity of care, the cornerstone of UK general practice. 

There is increasing evidence to demonstrate that this relational continuity is an essential component of quality health care, it benefits patients, improves health outcomes and delivers cost-effective primary care.


Although many of our Gransnet users receive a satisfactory service from their GPs, there is certainly room for improvement and we wholly support this campaign that will enable GPs to provide a better and more accessible service.

Shorter waiting times, longer appointments where necessary and extended outreach to those with specific healthcare needs are all vital improvements which would make the world of difference to all patients, and especially older people.

The National Council for Palliative Care

Ensuring primary care is properly resourced is vital if people are to get the care that is right for them including at the end of their life, which is why the National Council for Palliative Care is pleased to support the RCGP’s ‘Put Patients first: Back general practice’ campaign.

GPs are clearly on the front line of patient care, but sometimes the pressure makes it almost impossible for them to do their job. The endless re-organisation of the NHS and the extra responsibilities that have been passed to GPs, alongside the lack of adequate resources are all beginning to take their toll. 

Older people want their GPs to be able to spend time with them and have an overview of all their health needs. For too long the health service has dealt with one bit of the patient at a time, rather than seeing the bigger picture. This needs to change, but it will only happen when we have more resources going into general practice. This way we can increase the number of GPs, as well as district nurses, and invest in better and more modern facilities. Let’s Put Patients First.

Pallant Medical Chambers

Our 80 freelance GPs have performed 2 million consultations for over 500 NHS practices, supporting them at the point of most need to ensure local patients’ needs are being met in an ever increasingly complex health service.

In Pallant Medical Chambers, all our GPs are supported by a team of managers, which gives us much more time to care for patients. Supporting general practice is key to ensuring our health service delivers appropriate care to everyone in our nation, to put patients first.


Penumbra supports the RCGP campaign Put patients first: Back general practice. Penumbra provides a range of person centred community based services for people with mental health problems. GPs provide a vital service supporting the people we support to maintain their physical and mental health.

We provide practical support with everyday tasks and helping people build their confidence, resilience and mental wellbeing. We believe that stronger partnerships between GPs and community services such as ours are vital to ensure people live fulfilling and contributing lives. Time and resource constraints often hamper such partnerships; this is why we support the RCGP campaign.

The Rainbow Project

The Rainbow Project supports this campaign to ensure that urgent action is taken to address the growing crisis in general practice and ensure that GPs are given the resources they need to provide the highest quality care to patients.

We support this campaign because we believe that general practice needs to be fit for purpose to meet the diverse needs of the Lesbian, Gay, Bisexual and or Transgender community. Without proper and continued investment in innovation and training on health and wellbeing issues which disproportionately affect the LGB and or T community, general practitioners cannot effectively provide the best information, advice and medical or emotional support to our community.

For this to happen GPs must be given the correct support and training on best practice and only through this can they make a real difference to the lives of the Lesbian, Gay, Bisexual and or Transgender community and their families in Northern Ireland.

The Lullaby Trust

We are supporting the Put Patients First campaign because all families with new babies rely on their local GP for advice and support in those first crucial months. As a charity raising awareness of the risk of Sudden Infant Death Syndrome (SIDS), we believe that GPs are very well placed to advise parents, particularly vulnerable young mothers, on safe sleep and how to give babies the best start in life.

Many GPs are able to offer a range of services in their practices which support new parents including weighing clinics; breast-feeding support; counselling and drop in sessions for isolated mums. These can be a lifeline for parents struggling with a new baby.

General Practice must have more resources if these vital services are to continue in the future. GPs are the bedrock for promoting infant and family health and this needs to be protected at all costs.

Royal College of Nursing Scotland

The Royal College of Nursing supports this campaign for continued improvement and innovation in general practice. We need to transform the way that care is delivered, putting individuals and communities at its heart, to provide quality care, equally accessible to all Scotland’s citizens. To do this we need to explore and invest in emerging models and develop the roles of advanced nurse practitioners, practice nurses and health care support workers whose increasing expertise complements and augments their General Practitioner colleagues.

Royal College of Nursing Wales

A significant proportion of the membership of the RCN are Practice Nurses. These nurses provide important and valued services to people close to their home, and are a vital part of not only ensuring effective community services, but also reducing pressures on unscheduled care services.

The RCN in Wales therefore welcomes the Royal College of General Practitioners campaign Put patients first: Back general practice, which asks for urgent action to address a growing crisis in general practice and ensure that GPs are given the resources they need to provide the highest quality care to patients.

Scottish Association for Mental Health

“SAMH has an increasingly positive and productive relationship with RCGP, working closely on key policy issues including the Mental Health Strategy for Scotland 2012-2015. We value a shared vision that GPs and community partners must play an increasingly important role in the prevention and early intervention of mental ill-health.

An innovative partnership between RCGP, GPs at the Deep End, The Alliance and SAMH is piloting a new community development approach through the use of Link Workers, based directly in GP practices, to encourage help seeking behaviours and expand timeous clinical and (crucially) community based responses. Resourcing and scaling this vital work is one example of why we support the RCGP campaign Put Patients First: Back general practice.

See Me

See me believes people with lived experience of mental health problems and their carers are entitled to the best possible patient care, treatment and resources available in general practice and that the best way to deliver this is through early intervention and support, improving access to services and extended consultations delivered to patients in their local community.

GPs and local surgeries are best placed to build partnerships with local agencies and transform the way care is delivered to patients in their community which is why we support the RCGP's ‘Put patients first: Back general practice’ campaign to give GPs the resources they need to provide these vital services.

67% of children at one of our centres were not registered with a GP and yet have complex mental and physical health needs. As a result vulnerable children are being systematically let down and overlooked. Kids Company acknowledges the importance of general practice in supporting children's health care needs and is concerned that a fragmented, market led system of competing providers will further disadvantage children who desperately need easy access to stable care and support. The most vulnerable children and young people need more time and care, not less, and are in danger of not receiving help early enough, except in the case of  an emergency.

The Medical Women's Federation

The Medical Women’s Federation (MWF) promotes the personal, professional and educational development of women in medicine and supports women’s health issues. As women make up the majority of GPs and women are more likely to seek primary care it is imperative that we support the Put patients first: Back general practice campaign to increase funding for general practice to improve the care provided to patients and the working lives of GPs.

The Chartered Society of Physiotherapy

The Chartered Society of Physiotherapy supports greater investment in primary care and community services to reflect the need for more care closer to people's homes which better supports older people with multiple healthcare needs. A wide range of skills and competences are required to deliver healthcare, and physiotherapists, as autonomous clinicians, are ideally placed to work with general practitioners to do so in order to keep people as independent as possible. The CSP believes that long term strategies are needed to improve the overall health of the population, and reduce the growing demands on health and social care services. GPs and physiotherapists can play an important role in public health and prevention. Physiotherapists can work with GPs to reduce unnecessary demand on GPs and free up GP time and skills.  For example, physiotherapists can reduce the need for many patients with non complex conditions to see their GP. Many patients can benefit from faster access to physiotherapy through self-referral; which saves GP time and is proven to be clinically and cost effective.

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