DH report shoots down evidence for shift of work from A&E to GPs NHS plans to shift huge volumes of care from hospital A&E departments to polyclinics and urgent care centres are fundamentally flawed, according to a report commissioned by the Department of Health. NHS appraisals website back online The NHS Appraisals Toolkit website is back online, more than three weeks after an emergency shutdown due to security concerns. Video Abolition of practice boundaries 'not helpful', says RCGP chairman.