ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2008
Impact of the 2004 GMS contract on practice nurses: a qualitative study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Relations between task delegation and job satisfaction in general practice: a systematic literature review.BMC family practice · 2016Pooled it
- Implementation of self management support for long term conditions in routine primary care settings: cluster randomised controlled trial.BMJ (Clinical research ed.) · 2013Trial
- Community participation and contracting between state and non-state actors in primary care: A scoping review of evidence.International journal for equity in health · 2025Article
- The impact of remuneration, extrinsic and intrinsic incentives on interprofessional primary care teams: results from a rapid scoping review.BMC primary care · 2025Article
- Advanced Nurse Practitioner (ANPs) experiences of the Quality and Outcomes Framework (QOF) Scheme: a UK case study.BMJ open · 2024Article
- A pay for performance scheme in primary care: Meta-synthesis of qualitative studies on the provider experiences of the quality and outcomes framework in the UK.BMC family practice · 2020Article
- The Year of Care approach: developing a model and delivery programme for care and support planning in long term conditions within general practice.BMC family practice · 2019Article
- Associations between degrees of task delegation and job satisfaction of general practitioners and their staff: a cross-sectional study.BMC health services research · 2017Article
- Does a local financial incentive scheme reduce inequalities in the delivery of clinical care in a socially deprived community? A longitudinal data analysis.BMC family practice · 2015Article
- 'Just another incentive scheme': a qualitative interview study of a local pay-for-performance scheme for primary care.BMC family practice · 2014Article
- Trends over time in prescribing by English primary care nurses: a secondary analysis of a national prescription database.BMC health services research · 2014Article
- A qualitative study exploring the experience of the partners of cancer survivors and their views on the role of primary care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2012Article
- Experience of contractual change in UK general practice: a qualitative study of salaried GPs.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Article
- Delivering a national programme of anticipatory care in primary care: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Article
- Practice nurses' workload, career intentions and the impact of professional isolation: A cross-sectional survey.BMC nursing · 2010Article
- Interpretive medicine: Supporting generalism in a changing primary care world.Occasional paper (Royal College of General Practitioners) · 2010Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe new GMS contract has led to practice nurses playing an important role in the delivery of the Quality and Outcomes Framework (QOF).
aimThis study investigated how practice nurses perceive the changes in their work since the contract's inception. DESIGN OF STUDY: A qualitative approach, sampling practice nurses from practices in areas of high and low deprivation, with a range of QOF scores.
settingGlasgow, UK.
methodIndividual interviews were conducted, audiotaped, transcribed, and analysed using a thematic approach.
resultsThree themes emerged: roles and incentives, workload, and patient care. Practice nurses were positive about the development of their professional role since the introduction of the new GMS contract but had mixed views about whether their status had changed. Views on incentives (largely related to financial rewards) also varied, but most felt under-rewarded, irrespective of practice QOF achievement. All reported a substantial increase in workload, related to incentivised QOF domains with greater 'box ticking' and data entry, and less time to spend with patients. Although the structure created by the new contract was generally welcomed, many were unconvinced that it improved patient care and felt other important areas of care were neglected. Concern was also expressed about a negative effect of the QOF on holistic care, including ethical concerns and detrimental effects on the patient-nurse relationship, which were regarded as a core value.
conclusionsThe new GMS contract has given practice nurses increased responsibility. However, discontent about how financial gains are distributed and negative impacts on core values may lead to detrimental long-term effects on motivation and morale.
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