Is your GP practice confident in its emergency response training? Running a GP practice means juggling patient care, staffing, admin, and an ever-growing list of governance responsibilities. One area that catches practices out more often than you’d think? Basic Life Support training. Whether you’re preparing for a CQC inspection or simply want to make sure your team can respond confidently in an emergency, here’s what you need to know. Let’s talk about CQC compliance and BLS training for GP practices.
Annual BLS Training Is Mandatory… But Not Necessarily Because of CQC
Here’s something that surprises a lot of people in primary care: CQC doesn’t set a fixed, mandatory BLS training frequency for GP practice staff. CQC states that practices should trained clinical staff annually, but they must have the required knowledge, skills and equipment for managing expected medical emergencies; what better way to evidence this than regular BLS and emergency updates? CQC requires you to demonstrate your staff are suitably trained for their role, can respond safely to emergencies, and can evidence that training is current and relevant.
Annual BLS and AED training is mandatory for GPs under two separate requirements:
- RCGP appraisal requirements: The Royal College of General Practitioners requires evidence of BLS and AED competence annually
- NHS England National Performers List: GPs must demonstrate annual CPR and AED competence to remain on the performers list
Most responsible officers (ROs) look for a certificate dated within the last 12 months at the time of your appraisal. Even if you hold an ALS certificate, you still need to demonstrate annual BLS (CPR and AED) competence annually to maintain your in-date status for primary care.
Face-to-face is mandatory. Since 2022, reinforced by the 2025 Resuscitation Council UK Guidelines, online-only BLS modules are not considered sufficient for clinical staff. You must physically demonstrate chest compressions and the use of an AED.
Paediatric BLS is expected. Unless you have zero paediatric exposure in your work, your training must include Paediatric BLS. If your course was adult-only, you may be asked for supplementary evidence of paediatric competence.
So while CQC itself doesn’t mandate annual BLS, the professional bodies that regulate medical and healthcare professionals do. That’s why annual BLS is the entrenched standard across primary care. For this reason as well, CQC does have expectations around BLS training for GP practices.
What CQC Actually Expects Around BLS Training
CQC doesn’t set a fixed BLS training frequency for GP practices, although strongly recommends annual updates. What it does require is that practices demonstrate staff are suitably trained for their role, can respond safely to emergencies, and can evidence that training is current and relevant.
That sits within the broader Safe and Well-led key questions of the CQC inspection framework, where inspectors look at staffing, competence, and governance as a whole.
In practice, inspectors will look for evidence that:
- You train staff appropriately for their role and the emergencies they’re likely to encounter
- Training records are kept, accessible, and up to date
- Your practice has a clear protocol for responding to cardiac arrest or medical emergencies
- Governance arrangements support ongoing staff competence
If your training records are patchy, out of date, or don’t reflect role-appropriate training across your team, that’s a gap an inspector may pick up on.
BLS Training for Clinical and Non-Clinical Staff: Why Everyone Has a Role
BLS training isn’t just for GPs and nurses. Receptionists, healthcare assistants, and admin staff are often the first people to encounter a patient who collapses in a waiting room, and CQC expects all staff to understand their role in an emergency response.
BLS Training for Clinical Staff
Annual BLS and AED training is required for GPs under RCGP and National Performers List requirements. Clinical staff should also be familiar with:
- AED use and oxygen delivery
- Leading a resuscitation attempt until emergency services arrive
- Your practice’s specific emergency response protocol

BLS Training for Non-Clinical Staff
For receptionists, admin, and support staff, the expectation is role-appropriate rather than clinical. Inspectors may assess whether non-clinical staff understand their role in an emergency and whether the practice has trained staff appropriate to their duties.
Although BLS training is not mandatory; as we’ve mentioned, CQC strongly recommend annual updates, but the practice can risk assess this. At a minimum, non-clinical staff should be able to:
- Recognise a cardiac arrest
- Start CPR and call for help
- Know who to alert and what their role is in your emergency protocol

A well-run practice makes sure everyone knows their part, not just the clinical team.
Why Regular BLS Refresher Training Supports CQC Readiness
Skills fade fast. Research consistently shows that CPR quality drops significantly within months of training without refreshers. Regular BLS updates aren’t just a tick-box exercise; they genuinely keep your team sharp and your patients safer.
They also give you a clean, up-to-date paper trail. If CQC asks for evidence of staff training, you want to hand over a clear record without scrambling. Documented, current BLS training supports your overall inspection readiness and demonstrates the kind of proactive governance CQC looks for under the Well-led framework.
What Good BLS Training Looks Like for a GP Practice
Not all BLS training is equal. For a GP practice, you want a provider who understands the clinical environment, not just the basics.
Look for:
- Scenario-based BLS training that reflects real GP setting emergencies (anaphylaxis, collapse in the waiting room, post-procedure complications)
- Flexible delivery that works around your team’s rota, ideally a half-day session on-site
- Certification and documentation that supports your RCGP appraisal evidence and CQC governance records
- A trainer with clinical credibility who can answer your team’s questions properly and deliver hands-on practical assessment
- Paediatric BLS included to meet professional standards
Training delivered by someone who has worked in clinical environments makes a real difference. Your team will engage more, ask better questions, and retain more.
How Respire Medical Supports GP Practice BLS Training
At Respire Medical, our BLS training for GP practices is delivered by a specialist paramedic practitioner with ALS instructor status and real-world emergency experience. We understand what professional standards and CQC governance look like in primary care, and we design our sessions to make sure your whole team, clinical and non-clinical, comes away confident and competent in their role.
Our half-day BLS sessions cover up to 12 staff members, fit around your schedule, and leave you with the documentation you need to support your RCGP appraisal evidence and CQC records. We tailor scenarios to your practice’s specific needs and patient population, and all sessions include paediatric BLS competence.
Ready to get your practice BLS-compliant? Â get in touch to talk through what your team needs.
Frequently Asked Questions About BLS Training for GP Practices
Is annual BLS training mandatory for GPs?
Yes. The RCGP and NHS England national performers list require annual BLS and AED training. Most responsible officers look for a certificate dated within the last 12 months at appraisal. This is separate from CQC requirements, but it’s a non-negotiable professional standard. Training must be face-to-face, hands-on, and include paediatric BLS unless you have zero paediatric exposure.
Do receptionists and admin staff need BLS training?
All staff should understand their role in an emergency response. CQC recommend yearly updates, and expects practices to have trained staff appropriate to their duties, which includes non-clinical staff knowing how to recognise an emergency, start CPR, and follow your practice’s emergency protocol.
What could happen if my practice has poor BLS training records at a CQC inspection?
Gaps in training records can contribute to concerns under the Safe or Well-led key questions. The outcome will depend on the overall inspection findings and risk assessment, but inadequate evidence of staff competence is something inspectors take seriously.
Can BLS training be delivered online?
No, not for clinical staff. Since 2022, online-only BLS modules are not considered sufficient. You must attend a face-to-face, hands-on course to demonstrate competence in chest compressions and AED use. Staff can complete some awareness content online, but practical assessment must be in person. Respire Medical offers blended learning options combining online theory with practical face-to-face assessment.
How long does a BLS training session take?
Our half-day BLS sessions typically take 2-4 hours depending on your requirements, and cover up to 12 participants. This fits easily around your practice schedule without disrupting patient care.
Conclusion
Annual BLS training for GP practices isn’t just a suggestion from CQC, it’s a professional one. The RCGP and NHS England National Performers List both require evidence of annual CPR and AED competence, and that’s the standard your practice needs to meet. Make sure everyone on your team knows their role in an emergency, keep your records current and face-to-face, and you’ll be ready for both appraisal and inspection. Respire Medical is here to help you get there.

