ArticleBMJ open2019
Relationship between general practice capitation funding and the quality of primary care in England: a cross-sectional, 3-year study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- General practice incentives: a review of the international literature.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Pooled it
- 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
- Active practice charter accreditation is associated with higher quality outcomes in English general practice: a cross-sectional observational study.BMC primary care · 2026Observational
- Evaluating the impact of capitation funding top-up payments in primary care.BMC primary care · 2026Observational
- The performance of general practice in the English National Health Service (NHS): an analysis using Starfield's framework for primary care.Health affairs scholar · 2024Article
- Does workforce explain the relationship between funding and patient experience? A mediation analysis of primary care data in England.BMJ open · 2024Article
- The Impact of COVID-19 on the Performance of Primary Health Care Service Providers in a Capitation Payment System: A Case Study from Poland.International journal of environmental research and public health · 2021Article
- 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
- Impact of primary care funding on patient satisfaction: a retrospective longitudinal study of English general practice, 2013-2016.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
- Article
- Confessions of a CQC inspector.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
- Indonesian General Practitioners' Experience of Practicing in Primary Care under the Implementation of Universal Health Coverage Scheme (JKN).Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo explore the relationship between general practice capitation funding and quality ratings based on general practice inspections.
designCross-sectional study pooling 3 years of primary care administrative data.
settingUK primary care.
participants7310 practices (95% of all practices) in England which underwent Care Quality Commission (CQC) inspections between November 2014 and December 2017.
main outcome measuresCQC ratings. Ordered logistic regression methods were used to predict the relationship between practice capitation funding and CQC ratings in each of five domains of quality: caring, effective, responsive, safe and well led, together with an overall practice rating.
resultsHigher capitation funding per patient was significantly associated with higher CQC ratings across all five quality domains: caring (OR 1.14, 95% CI 1.04 to 1.23), effective (OR 1.08, 95% CI 1.00 to 1.16), responsive (OR 1.09, 95% CI 1.02 to 1.17), safe (OR 1.11, 95% CI 1.05 to 1.18), well led (OR 1.13, 95% CI 1.06 to 1.20) and overall rating (OR 1.13, 95% CI 1.06 to 1.19).
conclusionHigher capitation funding was consistently associated with higher ratings across all CQC domains and in the overall practice rating. This study suggests that measured dimensions of the quality of care are related to the underlying capitation funding allocated to each general practice, implying that additional capitation funding may be associated with higher levels of primary care quality.
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