31 December 2018

A cross organisational examination of quality and efficiency in General Practice at scale

General Practice at Scale: A cross organisational examination of quality and efficiency
RCGP Autumn 2018
  • This report takes a deep dive into 6 GP at Scale organisations, prior to the development of Primary Care Networks, to understand the ways they are improving the quality of care provision and the efficiency of practice operation.
  • The key results from the interviews include:
    • Practices are merging for more than just financial efficiencies, economies of scale and recruitment challenges.
    • Practices merge to deliver better care to their patients and to deliver care in the communities.
    • There is a difficult balance to develop between access to care and continuity of care, different models of care are developing across the country to address this.
    • Through coming together, at scale organisations have more opportunities to innovate and to support patients in different ways, such as through multi-disciplinary team meetings, group appointments, increasing appointment times, the use of allied health professionals in practice and for home visits, increased access, and improved estates.