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Frequently asked questions

1. Is the log-in the same as the previous CGPSAT? 

No. The previous IT platform has been withdrawn and replaced by Caforb (the same IT platform as the IG Toolkit). Users will need to access Caforb and register for the CGPSAT 'team'. Registration is a one off requirement as all future CGPSAT submissions will be managed through this log-in. 

2. Is the link for the CGPSAT still accessible via the Surgery Self-Service Portal? 

The CGPSAT submission form can be accessed in two ways; The link from the CGPSAT webpage hosted on Primary Care One: Access CGPSAT form here and the link on the Surgery Self-Service Portal which has been updated to direct users to the new platform also.  

Each chapter in the submission form includes a hyperlink to the website chapter concerned, this is to support easy navigation between the form and the guidance on completing it. 

3. I am having issues logging in or registering for the first time. When I log on all I can see is the IG toolkit? 

Caforb hosts various teams. In order to access the CGPSAT team click on the “DHCW” icon at the top right of the screen then click on “Register” and choose the CGPSAT team registration form from the list.  

If not already registered, then click here to access the CGPSAT registration page. 

If still experiencing log in issues, please click here and title the query ‘CGPSAT registration issue’. Screen shots and specific detail of the issue being experienced is encouraged. 

4. Can multiple users from same practice be registered? 

Multiple users (with different Portal accounts) can complete a form together. In fact it is encouraged, as it is a way to delegate and therefore share the responsibility for completing the submission. However, only one user can make changes to a Section at a time.  

Practices may wish to encourage practice teams to include one or two of the chapters as agenda items at regular team meetings, so the workload can be spread throughout the year. 

5. My organisation is coming up as ‘invalid organisation has been selected’ and my practice has a triangle next to it and won’t let me submit a registration request. What should I do? 

A triangle next to a practice name indicates there is already a user registered. Additional users can be added manually, such requests need to be submitted by email here. 

6. How long does it take to get access granted and will I get a notification once approved? 

The request is sent to the primary care services web team in Shared Services and (dependent on time of day submitted) access will be granted without much delay. You should receive an email after your request has been approved. 

7. I have lost or forgotten my CGPSAT password. How do I get it reset? 

Users can submit password reset requests to the Caforb team here. 

8. I am experiencing technical issues with CGPSAT that are not listed here. Who do I contact? 

Users can submit requests for technical support in relation to Caforb here. Screen shots and specific detail of the issue being experienced is encouraged. 

9. Who do I contact regarding content queries for the CGPSAT Toolkit Guidance?   

Queries submitted via Primary Care One will be directed to the content curators for review and feedback.  

10. Who do I contact regarding any other CGPSAT related issues I may be having that are not listed here?    

Queries submitted via Primary Care One will be directed to the most appropriate person for review and feedback.  

11. GPs could be asked to look at the indicators in the old CGSPAT. The new CGPSAT involves reading and building plans; which could lead to more work for me, the Practice Manager, as the rest of the practice may not have time to do this, how can this be mitigated? 

The new CGPSAT is designed to allow for the delegation of matrices to different team members and support discussions in existing team meetings. For example: chapters can be delegated to others in the practice who may be more knowledgeable about that subject area, thus freeing up the Practice Manager from the responsibility for completing the whole submission themselves.  

Not everything can or should need a plan – encourage the team to identify what needs the greatest improvement rather than try to tackle everything and fail. An effective system of clinical governance should be business as usual, so working with or tweaking existing practice processes.

12. Do Practices have to upload evidence? E.g. If wanting to mark as level 3 or 4 is evidence of having completed a PDSA or clinical audit mandatory? 

There is no mandatory requirement to submit evidence. However Practices should be able to provide evidence upon request if asked why they self-rated at a specific level. The Caforb form has a free text box for each matrix so the name/ location of any documents used to justify the self-rating can be recorded. This is simply an aide-memoire so that if asked, it can be  referred back to. This will be helpful if responsibility for completing the CGPSAT has been delegated to several team members. The free text box contents will be included in the printout  of the CGPSAT summary should the user choose to print it out, to  keep a hard copy of the submission. 

13. Is there a template for a Practice Development Plan available for adaptation to suit individual practice needs? 

Yes, example templates are available on the CGPSAT toolkit page under chapter 13. These can be used as they are or adapted to suit the practice needs. Alternatively practices can use a preferred template if they have one. 

14. Will we have feedback on what we have submitted? 

The CGPSAT is essentially a self-rating tool that has been designed to support and guide practice teams to develop an effective system of clinical governance. In its first year, practices are only required to submit a rating for all the matrices, together with a single practice development plan, by 31st March. If feedback is desired, then practices are free to ask other practices in the GMS or Primary Care Nursing or AHP  collaborative to give feedback on policies/processes. This has the advantage that if a practice has already achieved level 4 (significant assurance), then opening the practice processes up to review by the collaborative and receiving feedback, could qualify  level 5 (exemplar). Alternatively, if a practice receives a governance visit from the Health Board, under the Unified Contract Assurance Framework, then feedback can be asked for from the visiting team. 

15. Will HIW (Health inspectorate Wales) ask for practice policies if they are cited on CGPSAT as evidence?  

HIW may ask practices how they came to select a specific self-rating level, and it would be helpful to refer to the relevant documentation or have it readily available on screen for this purpose. This would also apply to Health Boards at a governance visit. 

16. Is there an expectation for actions noted in the practice development plans to be completed annually? and will this be checked? 

Clinical Governance is about continually learning and improving or maintaining high standards. Some actions to improve will take longer than a year to completed, some will be completed in days. CGPSAT requires just one practice development plan to be submitted by 31st March. Whilst there is no expectation that every practice development plan will be reviewed by a Health Board, if a practice receives a governance visit under the Unified Contract Assurance Framework, then review of the content of and progress with the practice development plan is likely to be a focus of discussions. This is the opportunity for the practice team to demonstrate how they truly have a system of clinical governance that is truly effective, always improving quality or maintaining high standards. 

17. Are there plans to link practice performance on CGPSAT to the tiered QA visits linked to the Contract Assurance Framework? 

Failure to submit a self-rating scale or a Practice Development Plan is already a trigger indicator in the Unified Contract Assurance Framework. There is no requirement to achieve a minimum level for all matrices at this stage. However, it is a GMS contractual requirement to endeavour to continually improve quality and maintain high standards. We therefore advise that practice development plans reflect those topics/matrices where the self-rating level is 1 or 2, before trying to increase the self-ratings at level 4 or 5.  

18. Where would a copy of the last CGPSAT submission be available from? 

CGPSAT forms submitted prior to May 2024 are still accessible to anyone who has used the Formbuilder system to create them, and those designated as Form Reporters/ Administrators. Simply click here and log in using the Formbuilder log in details to retrieve a copy. Note submissions prior to May 2024 will not be comparable with later submission as the questions have all changed. 

From May 2024 any new CGPSAT forms will be submitted using the Caforb system and users can go to the “Reports” page on Caforb and see the list of submissions made for that practice.   

19. Who would I contact to advise of a Practice merger or similar reconfiguration?    

As Caforb in administrated by the NHS Wales Shared Services Partnership any Practice mergers or reconfigurations will automatically be applied to CGPSAT. 

20. Can an already submitted CGPSAT form be re-opened?    

Additional submissions can be granted for the current submission period which would allow Practices to resubmit in the current cycle. If submitted in error, then a request for technical support can be raised via the Caforb team here.