Practices with salaried GPs score more quality points

Practices with salaried posts have higher quality framework scores, according to a study by the National Primary Care Research and Development Centre.

Practices with at least one salaried GP scored an average of 1,017 quality framework points in 2004/5 compared with 993 for practices with principals only.

Salaried GP posts were introduced in the late 1990s, in the hope that GPs free from administrative duties and incentives to increase list size would provide better quality of care.

However, performance in deprived areas has not improved since salaried posts were introduced, says the study.

The study’s authors suggest this is because salaried GPs are now concentrated in more affluent areas, which generally score higher than deprived areas.

Although overall growth in GP numbers has increased the number of doctors in deprived areas, it has been at a lower rate than in affluent areas.

The article, published in the BJGP, gathered data from 33,380 responses to the 2005 GP census. Of these GPs, 12 per cent were salaried.

tom.ireland@haymarket.com

British Journal of General Practice

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