- Run by Frontier Economics.
- Aimed to explore whether GPs who are involved in training, commissioning and other initiatives achieve better outcomes for patients with long-term conditions, as well as cost savings through fewer unplanned hospital admissions.
- Measured GP engagement with training, commissioning, new technologies and new drugs, and examined the effect on outcomes for patients with diabetes, dementia and cancer.
This Frontier Economics project examined whether GPs who are involved in training, commissioning and other initiatives achieve better outcomes for patients with long-term conditions, and contribute to reduced secondary care costs. It focused on five aspects of GP ‘activeness’:
- participation in GP with Special Interest (GPSI) programmes
- participation in other training
- prescription of new drugs
- adoption of new technologies
- involvement in the management of clinical commissioning groups (CCGs).
The project team collated and analysed data from a range of sources, including secondary care usage data and GP practice prescription data, as well as their own survey of 500 practices.
An in-depth econometric analysis was undertaken, looking at the links between GP activeness and quality of care.
The analysis showed that there are aspects of patient outcomes that, in some conditions, are improved by the engagement of GPs with up-to-date practices, for example in new technology, clinical expertise or prescribing. There are other GP activities – particularly participation in commissioning – which do not appear to consistently improve patient outcomes.
The results revealed that the biggest barrier to improved activeness is GPs’ inability to think strategically about long-term quality improvement due to their clinical workload. Local context also had an impact. For example, GPs working in deprived areas face a considerably higher workload, which could explain why these practices are less likely to engage in some activeness behaviours.
It is possible that the introduction of Primary Care Networks will help address current pressures. However, GPs said that creating these networks requires time, and managing the expanded workforce could reduce the amount of time available for patient-facing activity or for strategic thinking.
For more information, contact Nick Fitzpatrick, Frontier Economics.
You might also like...
Health Foundation response to Understanding Society data on the reduction in treatment for people...
The data suggest that some face to face GP appointments may have been replaced by virtual...
Martin Wilkie reflects on his 10-year experience in renal care and explores quality improvement...
Health Foundation @HealthFdn
We’ve partnered with @NHSConfed and @AHSNNetwork to form part of the #NHSReset campaign, and explore how the health… https://t.co/Al8ykU87zGFollow us on Twitter
Work with us
We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.View current vacancies
The Q community
Q is an initiative connecting people with improvement expertise across the UK.Find out more