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Related Experiment Videos

The new GMS contract: impact and implications for managing the changes.

Peter Spurgeon1, Carolyn Hicks, Stephen Field

  • 1University of Birmingham, Birmingham B15 2RT, UK. P.Spurgeon@bham.ac.uk

Health Services Management Research
|May 20, 2005
PubMed
Summary

General Practitioners (GPs) favored contract aspects reducing workload and increasing salary, but opposed those adding targets and bureaucracy. This indicates moderate support for the new GP contract, with implementation strategies needing to address concerns.

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Area of Science:

  • Healthcare Policy
  • General Practice Management

Background:

  • A new General Practitioner (GP) contract was implemented in February 2003.
  • A national ballot approved the contract but did not gauge specific component acceptability.
  • Understanding GP opinions on contract elements is crucial for effective implementation.

Purpose of the Study:

  • To survey General Practitioners (GPs) in the West Midlands regarding their views on the new contract's key features.
  • To identify specific contract components that were more or less acceptable to GPs.

Main Methods:

  • A postal survey was conducted among 360 GPs.
  • A specially devised questionnaire was used to gather opinions.

Main Results:

  • Most acceptable aspects included opting out of out-of-hours work, service flexibility, income prediction, and performance targets.

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  • Least acceptable elements were performance monitoring, the financial formula, patient involvement, and 24/48 hour access.
  • GPs anticipated positive outcomes like increased salaries and better care quality, but doubted stress reduction and workload equity.

    • Conclusions:

    • Support was strongest for contract elements perceived to reduce workload and enhance salary.
    • Opposition was noted for aspects increasing targets and bureaucracy.
    • Moderate overall support suggests potential skepticism towards top-down changes and their practical impact.