To explore the experience of existing collaborations between GP practices in both rural and urban areas, to determine the costs and benefits of establishing and operating such GP collaborations, and examine what has helped or hindered their progress.
Many GP practices in England already collaborate with others and in some cases they have done so for many years. These collaborations take many forms, including GP federations, super-partnerships, out-of-hours cooperatives, community health organisations, and care networks.
The particular objectives, structures and working arrangements vary between collaborations and can change over time. Objectives for GP collaborations can include: improving health outcomes; managing demand; saving costs; integrating services; and developing new services in primary care settings.
The new GP contract requires all GPs to be in primary care networks by 1 July 2019, these being of 30,000 to 50,000 patient population in scale. There is clearly a need for policy makers, practitioners and others to understand how best to establish and operate the new primary care networks, and to have evidence to inform how they can best be implemented, supported, and sustained over time.
This evaluation project comprises a review of the existing UK and international research evidence on GP collaborations; a workshop with policy makers and researchers active in the field to identify the main gaps and weaknesses in the existing evidence base; and evaluation research within four case study sites.
The case studies will include GP collaborations that have so far experienced differing levels of success and that cover both urban and rural settings.
- A final report submitted to the National Institute for Health Research, Health Services and Delivery Research stream (NIHR HS&DR) to be published in the NIHR Journals Library.
- A short summary report in digital format highlighting the overarching findings.
- Blogs and other comment pieces to highlight interim and final findings.
- Videos of research team members and others reflecting on the evaluation and its conclusions.
- One or more papers published in peer-reviewed, academic journals.
- Oral and/or poster conference presentations.
September 2019 - January 2020
- Judith Smith [PI – contact person]
- Amelia Harshfield (PM)
- Sarah Ball
- Natasha Elmore
- Manni Sidhu
- Jon Sussex