Evidence map›Paper›PMID 40903204›Full record

ArticleBJGP open2026

Has the new Scottish GP contract improved GPs' working lives in deprived areas? A secondary analysis of two cross-sectional national surveys of GPs' views in 2018 and 2023.

Lauren Ng, Carey J Lunan, Stewart W Mercer

Abstract read
In one paragraph

Article in BJGP open, 2026. 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. 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

3 authors.

Lauren NgUsher Institute, University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0009-0005-9929-6191
Carey J LunanUsher Institute, University of Edinburgh, Edinburgh, UK.
Stewart W MercerUsher Institute, University of Edinburgh, Edinburgh, UK stewart.mercer@ed.ac.uk.ORCID https://orcid.org/0000-0002-1703-3664

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe new 2018 Scottish GP contract aimed to reduce GP workload and address health inequalities in primary care.

aimTo compare the working life experiences of GPs working in affluent and deprived areas in 2023, and assess changes since 2018. DESIGN &

settingTwo postal surveys were conducted in 2018 (

methodSecondary analysis of GP working life experiences (job satisfaction, job pressures, negative and positive job attributes) in the most affluent and deprived quintiles. Analysis of covariance (ANCOVA) was used to adjust mean values for GP and practice characteristics that differed significantly between affluent and deprived settings.

resultsIn 2023, GPs in affluent areas reported lower job pressures (

conclusionSince the implementation of the 2018 Scottish GP contract, stark contrasts continue to exist in the working life experiences of GPs in affluent areas compared with deprived areas. Targeted strategies are required to address the inverse care law in order to achieve the contract's intended goals.

Indexed as

deprivationgeneral practicehealth inequalitieshealth inequitiesinverse care lawprimary health careScottish GP contract

Identifiers

PMID40903204
PMCPMC13540343

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.