This paper sets out the Care Quality Commission's new approach of inspecting and regulating all GPs and out-of-hours services. The new system will include better, more systematic use of people’s views and experiences, including suggestions and complaints. The new expert inspection teams will comprise trained inspectors, clinical input led by GPs and nurses, practice managers and GP Registrars. There will be a rolling programme of inspections carried out systematically in each clinical commissioning group (CCG) area across England; a focus on how general practice is provided to key patient groups, including vulnerable older people and mothers, babies and children; and tougher action in response to unacceptable care, including where necessary closing down unsafe practices. All practices will be rated to help drive improvement and support people's choice of surgery.