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Transforming General Practice: what are the levers for change?

Published: 17th June 2015

This briefing and accompanying literature review extrapolates learning from current and past use of incentives to encourage change in General Practice.

The briefing argues that financial rewards, which are currently used to incentivise small scale changes by the Quality and Outcomes Framework (QOF), are at risk of being overused and are not the best way to encourage widespread reform in general practice.

Download Transforming General Practice: what are the levers for change? and the accompanying literature review on methods for supporting change in general practice and primary care

Instead, the briefing argues that in order for this radical transformation to succeed, time should be devoted to developing new skills and working practices across the whole GP workforce, investing properly in equipping organisations to change and ensuring that better data is available to evaluate impact.

The briefing outlines six ways to support the transformation of frontline professional activities in general practice:

  1. Strike a different balance between financial micro-incentives for small-scale change and investment for sustainable improvement in general practice
  2. Create a greater coherence between existing workforce strategies and training curricula that ensure exposure to new ways of working
  3. Develop realistic estimates of the costs of transformation programmes, including the cost of the professional participation
  4. Invest in information and data linkage to support transformation
  5. Set realistic timeframes for delivering outcomes and managing risk
  6. Avoid excessive policy to guide primary care transformation

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