Workload in general practice under the new contract.

Practice nursing in Glasgow after the new general practitioner contract.

Six months after the implementation of the new general practitioner contract in April 1990, practice nurses employed in greater Glasgow were surveyed using a self completed postal questionnaire. Of the 165 practice nurses employed in greater Glasgow 153 (93%) were identified and surveyed. Of these, 131 responded to the questionnaire (86%). The practice nurses were well qualified and experienced...

Workload and reward in the Quality and Outcomes Framework of the 2004 general practice contract.

BACKGROUND The Quality and Outcomes Framework (QOF) of the 2004 UK General Medical Services (GMS) contract links up to 20% of practice income to performance measured against 146 quality indicators. AIM To examine the distribution of workload and payment in the clinical domains of the QOF, and to compare payment based on true prevalence to the implemented system applying an adjusted prevalence...

The new contract: renaissance or requiem for general practice?

Practice nurse workload before and after the introduction of the 1990 contract for general practitioners.

BACKGROUND A study of practice nurse workload in 1989 by the East Anglian reporting system revealed that nurses were undertaking a wide range of activities, with 12% of nursing time being spent on administration. The 1990 contract for general practitioners emphasized the role of general practice in health promotion. AIM The 1989 study was repeated by the East Anglian reporting system in 1992 ...

Minor surgery by general practitioners under the 1990 contract: effects on hospital workload.

OBJECTIVE To determine the extent to which minor surgery undertaken by general practitioners after the introduction of the 1990 contract substituted for hospital outpatient workload. DESIGN Before and after observational study. SETTING Four English family health services authorities. SUBJECTS Patients in 22 practice populations who were operated on by their general practitioner or referre...