Evidence map›Paper›PMID 28596217›Full record

ArticleBMJ open2017

General practitioners' views of clinically led commissioning: cross-sectional survey in England.

Valerie Moran, Kath Checkland, Anna Coleman, Sharon Spooner, Jonathan Gibson, Matt Sutton

Abstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. The influence of training experiences on career intentions of the future GP workforce: a qualitative study of new GPs in England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
    Article
  3. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Valerie MoranDepartment of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, Tavistock Place, London, UK.
Kath ChecklandDivision of Population Health, Health Services Research and Primary Care,University of Manchester, Manchester, UK.
Anna ColemanDivision of Population Health, Health Services Research and Primary Care,University of Manchester, Manchester, UK.
Sharon SpoonerNIHR School for Primary Care Research, University of Manchester, Manchester, UK.
Jonathan GibsonCentre for Health Economics, University of Manchester, Manchester, UK.
Matt SuttonCentre for Health Economics, University of Manchester, Manchester, UK.

Funding

Department of Health [UK]
6 · The paper itself

Abstract

objectivesInvolving general practitioners (GPs) in the commissioning/purchasing of services has been an important element in English health policy for many years. The Health and Social Care Act 2012 handed responsibility for commissioning of the majority of care for local populations to GP-led Clinical Commissioning Groups (CCGs). In this paper, we explore GP attitudes to involvement in commissioning and future intentions for engagement. DESIGN AND

settingSurvey of a random sample of GPs across England in 2015.

methodThe Eighth National GP Worklife Survey was distributed to GPs in spring 2015. Responses were received from 2611 respondents (response rate = 46%). We compared responses across different GP characteristics and conducted two sample tests of proportions to identify statistically significant differences in responses across groups. We also used multivariate logistic regression to identify the characteristics associated with wanting a formal CCG role in the future.

resultsWhile GPs generally agree that they can add value to aspects of commissioning, only a minority feel that this is an important part of their role. Many current leaders intend to quit in the next 5 years, and there is limited appetite among those not currently in a formal role to take up such a role in the future. CCGs were set up as 'membership organisations' but only a minority of respondents reported feeling that they had 'ownership' of their local CCG and these were often GPs with formal CCG roles. However, respondents generally agree that the CCG has a legitimate role in influencing the work that they do.

conclusionCCGs need to engage in active succession planning to find the next generation of GP leaders. GPs believe that CCGs have a legitimate role in influencing their work, suggesting that there may be scope for CCGs to involve GPs more fully in roles short of formal leadership.

Indexed as

Attitude of Health PersonnelAdultAdvisory CommitteesCross-Sectional StudiesEnglandFemaleGeneral PracticeGeneral PractitionersHumansMaleMiddle AgedPrimary Health CareProfessional RoleState Medicineclinical commissioning groupsclinically-led commissioninggeneral practicehealth policysurvey

Identifiers

PMID28596217
PMCPMC5734491

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.