Perspectives on General Practice Performance

• Research type

  Research Study

• Full title

  Patient and professional perspectives on General Practice Performance: identifying the barriers and facilitators

• IRAS ID

  266111

• Contact name

  Veline L'Esperance

• Contact email

  veline.lesperance@kcl.ac.uk

• Sponsor organisation

  King's College London

• Duration of Study in the UK

  2 years, 0 months, 31 days

• Research summary

  Background
  Primary care is often described as the cornerstone of a strong healthcare system. It has been demonstrated across a wide range of international settings that greater investment in primary care is associated with improved population health outcomes. At a practice level, healthcare outcomes for patients are determined by a variety of factors including resource allocation (staffing and funding) and registered patient characteristics Primary care funding data was first made publicly available in 2015. Outcome achievement and allocated funding varies widely across practices in England, raising the consideration that outcomes might be optimised for a given level of funding.

  The aim of this current study is to understand patient, professional and system influences general practice delivery. This is in order to inform the development of a performance improvement tool, by addressing the following objectives:
  1.To explore the factors facilitating and impeding high quality care in general practice and how can efficiency be improved.
  2.To explore patient and healthcare professional perspectives on the barriers and facilitators to efficiency within general practice

  Methods
  This study will use qualitative methods. Semi-structured interviews will be conducted with 40 general practice staff members from six practices. Additionally, one focus group of 6-8 participants per practice will also be completed. An individualised practice report will be prepared for each practice with feedback on how their services can be improved.

  Potential benefits to patients
  The potential benefit to patients includes utilisation of the Performance Improvement Tool in each practice to deliver high quality patient care for a given level of funding. This tool can be used to maximise clinical achievementpatient satisfaction. The findings from this proposal may be used to shape national policy by contributing to the development of a Performance Improvement Tool.

• REC name

  London - Surrey Research Ethics Committee

• REC reference

  19/LO/1267

• Date of REC Opinion

  7 Oct 2019

• REC opinion

  Further Information Favourable Opinion