ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2017
Population health needs as predictors of variations in NHS practice payments: a cross-sectional study of English general practices in 2013-2014 and 2014-2015.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Deprivation scores and NHS practice payment trends in England 2018-2019 to 2023-2024:a multivariable analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Additional Roles Reimbursement Scheme uptake, patient satisfaction, and QOF achievement: an ecological study from 2020-2023.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Primary care funding entrenches health inequalities: time for a rethink.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
- Article
- Continuity of care as a predictor of ongoing frequent attendance in primary care: a retrospective cohort study.BJGP open · 2020Article
- Relationship between general practice capitation funding and the quality of primary care in England: a cross-sectional, 3-year study.BMJ open · 2019Article
- Socioeconomic deprivation scores as predictors of variations in NHS practice payments: a longitudinal study of English general practices 2013-2017.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Article
- GP speciality training in areas of deprivation: factors influencing engagement. A qualitative study.BJGP open · 2019Article
- Article
- Chronic morbidity, deprivation and primary medical care spending in England in 2015-16: a cross-sectional spatial analysis.BMC medicine · 2018Article
- Impact of primary care funding on secondary care utilisation and patient outcomes: a retrospective cross-sectional study of English general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Article
- General practice and the Sustainability and Transformation imperatives.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Article
Corrections and comments
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Authors and funding
6 authors.
Funding
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Abstract
backgroundNHS general practice payments in England include pay for performance elements and a weighted component designed to compensate for workload, but without measures of specific deprivation or ethnic groups.
aimTo determine whether population factors related to health needs predicted variations in NHS payments to individual general practices in England. DESIGN AND
settingCross-sectional study of all practices in England, in financial years 2013-2014 and 2014-2015.
methodDescriptive statistics, univariable analyses (examining correlations between payment and predictors), and multivariable analyses (undertaking multivariable linear regressions for each year, with logarithms of payments as the dependent variables, and with population, practice, and performance factors as independent variables) were undertaken.
resultsSeveral population variables predicted variations in adjusted total payments, but inconsistently. Higher payments were associated with increases in deprivation, patients of older age, African Caribbean ethnic group, and asthma prevalence. Lower payments were associated with an increase in smoking prevalence. Long-term health conditions, South Asian ethnic group, and diabetes prevalence were not predictive. The adjusted R
conclusionPopulation factors related to health needs were, overall, poor predictors of variations in adjusted total practice payments and in the payment component designed to compensate for workload. Revising the weighting formula and extending weighting to other payment components might better support practices to address these needs.
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