Clinical commissioning: GPs in charge?

"Clinically led approaches to planning and designing health services are more likely to be both innovative and effective. For this reason, clinical commissioning groups (CCGs) were set up to put GPs at the heart of NHS planning decisions. What progress have CCGs made in implementing their clinically led model and what more needs to be done? This report looks at what has been learnt – including strategies to overcome challenges and identification of the main barriers to effective involvement – and makes recommendations for the future. Its findings about clinical involvement are relevant not only to policy-makers and CCGs but also to other organisations across the NHS involved in planning and designing services."

Clinical commissioning: GPs in charge?
R Robertson, S Ross, C Naylor, H Holder, S Machaqueiro
The King's Fund
July 2016

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Large-scale general practice in England

"In this paper authors present the findings of a review of the literature which contributes to the Nuffield Trust’s stream of work on large-scale general practice, including the recently published findings of a 15-month mixed methods research study, Is Bigger Better? Lessons for Large-Scale General Practice. The report, published in collaboration with the London School of Hygiene & Tropical Medicine, aims to answer the following questions:

1. Which organisational form(s) have large-scale collaborations of GP practices adopted in England
2. What are they expected to deliver?
3. What evidence is available on their impact in England?
4. What can we learn from initiatives with similarities?"

Large-scale general practice in England: What can we learn from the literature?
L Pettigrew, N Mays, S Kumpunen, R Rosen
Nuffield Trust
September 2016

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Understanding effective care management implementation in primary care

"Although care management can introduce many new changes into the delivery of primary care clinical practice, implementing it successfully as a new complex intervention is possible."

Understanding effective care management implementation in primary care: a macrocognition perspective analysis
JS Holtrop, G Potworowski, L Fitzpatrick, A Kowalk, LA Green
Implementation Science, 2015, 10:122

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Patients's expectations about primary care physicians' practices

"Patients are generally highly satisfied with their PCP. They have a wide range of expectations which should be taken into account when considering potential improvements."

What are patients' expectations about the organization of their primary care physicians' practices?
P Sebo, FR Herrman, P Bovier, DM Haller
BMC Health Services Research, 2015, 15:328

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Resource modelling to inform decision making and service planning

"Resource modelling of this type complements conventional cost-effectiveness analyses and can help inform policy making and service planning."

Using resource modelling to inform decision making and service planning: the case of colorectal cancer screening in Ireland
L Sharp, et al.
BMC Health Services Research, 2013, 13:105

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