Evidence map›Paper›PMID 40234012›Full record

ArticleBJGP open2025

Incentivising general practice: a review of the Scottish targeted enhanced recruitment scheme (TERS) through recruitment and training data.

Markus Chan, Peter D Donnelly, Frank Sullivan, Lindsey Pope, Nitin Gambhir

Abstract read
In one paragraph

Article in BJGP open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Access to general practice: why policy must be rural-proofed.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Article
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

5 authors.

Markus ChanPopulation and Behavioural Sciences Division, School of Medicine, University of St Andrews, St Andrews, UK markus.chan2@nhs.scot.
Peter D DonnellyPopulation and Behavioural Sciences Division, School of Medicine, University of St Andrews, St Andrews, UK.
Frank SullivanPopulation and Behavioural Sciences Division, School of Medicine, University of St Andrews, St Andrews, UK Fms20@st-andrews.ac.uk.ORCID https://orcid.org/0000-0002-6623-4964
Lindsey PopeSchool of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Nitin GambhirNHS Education for Scotland, Glasgow, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOne of the challenges facing UK general practice is the dwindling workforce, particularly in deprived or remote areas. One solution is to increase trainees' exposures to these environments by incentivising training in these locations. The Scottish Targeted Enhanced Recruitment Scheme (TERS) offered a one-time grant to general practice specialty trainees (GPSTs) in historically under-subscribed training programmes from 2017-2023.

aimTo evaluate the impact of the TERS grant on GPST recruitment across Scotland and within the targeted programmes. DESIGN &

settingAnalytical observational study of recruitment and training data from NHS Education for Scotland.

methodRecruitment data from 2015-2023 was provided by NES. Odds ratios (ORs) of recruitment rates were calculated before and after the introduction of TERS, as well as between programmes based on their eligibility for TERS.

resultsThe TERS recruited 734 individuals to GP specialty training posts across Scotland. In total, 1522 individuals were recruited to programmes not eligible for TERS in the same timeframe. The odds ratio of the effect of the TERS grant on recruitment across all programmes was 4.81 (95% confidence interval = 3.87 to 5.99). The OR for the TERS grant on recruitment within eligible programmes was 2.33 (95% CI = 1.74 to 3.12).

conclusionWe found a one-off £20 000 conditional grant was associated with a doubling of the odds of recruitment to historically under-filled GP specialty training programmes. Further work is needed to explore the effect of the TERS grant, and its withdrawal in 2024, on retention and the GP workforce.

Indexed as

educationgeneral practiceprimary care educationprimary care workforceworkforceworkforce planning

Identifiers

PMID40234012
PMCPMC12728843

What OpenQuestion holds

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Registered trials

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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.