Large-scale general practice in England: what can we learn from the literature?

This report presents findings of an extensive literature review examining the evidence of whether collaborative ‘at-scale’ models of general practice can really deliver what is expected of them.

Report

Published: 05/09/2016

Download the literature review [PDF 604.1KB]

Authors

In this paper authors present the findings of a review of the literature which contributes to the Nuffield Trust’s stream of work on large-scale general practice, including the recently published findings of a 15-month mixed methods research study, Is Bigger Better? Lessons for Large-Scale General Practice.

The report, published in collaboration with the London School of Hygiene & Tropical Medicine, aims to answer the following questions:

1. Which organisational form(s) have large-scale collaborations of GP practices adopted in England?

2. What are they expected to deliver?

3. What evidence is available on their impact in England?

4. What can we learn from initiatives with similarities?

Suggested citation

Pettigrew L, Mays N, Kumpunen S, Rosen R, and Posaner R (2016) Large-scale general practice in England: what can we learn from the literature? Literature review. Nuffield Trust.