Quality improvement in collaborative general practice

Prior to the development of Primary Care Networks, using the RCGP Position Statement on Quality in General Practice as a framework, the College interviewed six ‘at scale’ organisations to learn more about quality and efficiency at scale.

We have evaluated these organisations and produced a 'General Practice at Scale: A cross organisational examination of quality and efficiency' report. This report provides a summary of the findings following semi structured interviews with six at scale organisations in England. The interview questions were created to explore how the organisations are delivering quality and efficiency while operating at scale. It was found that irrespective of the organisation structure there are similar challenges and solutions to improving the quality and efficiency.

The key themes were:

  • Practices are merging for more than just financial efficiencies, economies of scale and recruitment challenges.
  • Practices merge to deliver better care to their patients and to deliver care in the communities.
  • There is a difficult balance to develop between access to care and continuity of care, different models of care are developing across the country to address this.
  • Through coming together, at scale organisations have more opportunities to innovate and to support patients in different ways, such as through multi-disciplinary team meetings, group appointments, increasing appointment times, the use of allied health professionals in practice and for home visits, increased access, and improved estates.


General Practice at Scale Survey 

The RCGP conducted a series of surveys in collaboration with the Nuffield Trust to explore and map the landscape of collaborative working in general practice. For more information and reports you can access the 2015 and 2017 surveys directly.



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