The new general practice contract and reform of primary care in the United kingdom.


Peckham, S; (2007) The new general practice contract and reform of primary care in the United kingdom. Healthcare policy = Politiques de sante, 2 (4). pp. 34-48. ISSN 1715-6572

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Abstract

In April 2004, the United Kingdom introduced a new General Medical Services (GMS) contract that provided new governance and incentive arrangements for general practice. In particular, the new Quality and Outcomes Framework is a points-based system that sets targets for clinical, organizational and practice-related standards with financial payments for achieving set levels of performance. This paper describes the new contract arrangements and their impact on general practice - focusing on the experience in England, where wider policy changes are also having an important impact on practices - and drawing out potential lessons that will be of interest to Canadian practitioners and policy makers.

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Health Services Research and Policy
PubMed ID: 19305731
URI: http://researchonline.lshtm.ac.uk/id/eprint/4933

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