The Nuffield Trust has published Is bigger better? Lessons for large-scale general practice. Published following 15-month study of large-scale general practice organisations in England this report examined the factors affecting their evolution and their impact on quality, staff and patient experience, the wider health economy and the quality of care. The study combined national surveys with an in-depth mixed-methods evaluation of contrasting, large-scale general practice organisations.
The full report includes detailed insights about governance, leadership, management or change, staff perceptions and quality improvement methods used in each of the case study sites.
Additional link: RCGP press release