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Working Well in Organisations and Systems of Care

A GP will care for patients at every level in the NHS – from individual consultations to complex webs of services coordinated by a team of General Practitioners and other specialists. Working Well in Organisations and Systems of Care covers the skills GPs acquire as they become increasingly involved in the improvement of services, and are also responsible for managing the improvement of their own performances.


Working Well in Organisations and Systems of Care – Core Capabilities

The Core Capabilities within Working Well in Organisations and Systems of Care are:

Maintaining Performance, Learning, and Teaching

One of the most important aspects of a GP’s career is the maintenance of strong performance and CPD of the individual practitioner, and their wider team. GPs may participate in quality research and improvement, leading clinical development, or becoming involved in commissioning work – but all of their duties should be supported by sound evidence. Trainees should therefore be confident in understanding and interpreting evidence from peer-reviewed journals and other sources of research, and maintain both a critical eye and commitment to learning throughout their career.

The Competences within Maintaining Performance, Learning, and Teaching are:

Continuously Evaluating and Improving Care Provision

As part of Working Well in Organisations and Systems of Care, candidates should demonstrate an understanding of the following competences:

MRCGP assessments: WPBA (CbD, PSQ, MSF, CSR). For more information see our Assessment Tools page.

Adopting a Scientific Approach to Improving Quality of Care

As part of Working Well in Organisations and Systems of Care, candidates should demonstrate an understanding of the following competences:

MRCGP assessments: AKT, WPBA (CbD, CSR). For more information see our Assessment Tools page.

Supporting the Education and Development of Colleagues

As part of Working Well in Organisations and Systems of Care, candidates should demonstrate an understanding of the following competences:

MRCGP assessments: WPBA (CbD, PSQ, MSF, CSR). For more information see our Assessment Tools page.

Organisational Management and Leadership

GPs must have a thorough understanding of NHS organisation and the systems that keep it functioning. Trainees will therefore be expected to develop strong administration, record-keeping, IT, and structured care-planning skills. They must be prepared to work well within teams, but also to take on a leadership role if necessary. GPs should support their patients’ decisions about their own healthcare, and must be increasingly aware of healthcare costs.

The Competences within Organisational Management and Leadership are:

Applying Leadership Skills to Improve Performance

As part of Working Well in Organisations and Systems of Care, candidates should demonstrate an understanding of the following competences:

MRCGP assessments: WPBA (CbD, MSF, CSR). For more information see our Assessment Tools page.

Using Information Management and Communication Systems

As part of Working Well in Organisations and Systems of Care, candidates should demonstrate an understanding of the following competences:

MRCGP assessments: AKT, CSA, WPBA (CbD, COT, CEX, PSQ, MSF, CSR). For more information see our Assessment Tools page.

Developing Financial and Business Skills Necessary for a GP

As part of Working Well in Organisations and Systems of Care, candidates should demonstrate an understanding of the following competences:

 MRCGP assessments: WPBA (CbD, MSF, CSR). For more information see our Assessment Tools page.

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