This article describes four international examples of how contract and payment innovation and the use of incentives have been used to change and improve general practice services. The examples are ...

In England, NHS general practice contracts (‘GP contracts’) are held between NHS England and individual general practices, and are managed by the primary care commissioning team in each integrated ...

Rebecca left the Nuffield Trust in December 2024. Rebecca joined as a Senior Fellow in Health Policy at the Nuffield Trust and is a General Practitioner in Greenwich. She is also an accredited public ...

The need to revisit and agree the purpose and functions of general practice within the NHS is no less urgent than it was when highlighted in the 1950 Collings report into general practice! Recent ...

The first contract in 1948 – the General Medical Services (GMS) contract – was held between individual GPs and the Secretary of State for Health and drew GPs into the NHS. This built on the terms of ...

In England, the NHS General Medical Services (GMS) contract and its later variants – the Personal Medical Services (PMS) and Alternative Provider Medical Services (APMS) contracts – set the terms on ...

One important part of the recent plan to reform elective care is the role of patient-initiated follow-up (PIFU), which is a ...

The government has set out a new plan to reform elective (planned) hospital care with the aim of meeting its target of 92% of patients receiving treatment within 18 weeks by 2029. This collection ...

Do you want to help create a better health and social care system through rigorous applied research and expert commentary? The Nuffield Trust is a great place to work – come and join our highly ...

Financial subsidies from the government for new and emerging roles has been a key factor in their growth. For example, three-quarters (78%) of the growth in staff in general practice over the last ...