Analyses of SPICE data - before and after analysis of nGMS contract

Analyses of SPICE data - before and after analysis of nGMS contract

Investigators

Guthrie, B. (University of Dundee) Sutton, M. (HERU) and Watt, G. (University of Glasgow)

Summary

The nGMS contract introduced a new data system for measuring quality (the Quality Outcomes Framework – QOF). Few datasets exist for comparing the quality of care before and after the introduction of the new contract. SPICE is a voluntary quality measurement initiative in which practices collect and receive feedback on a wide range of aspects of their clinical care. The nGMS contract has been introduced during the period in which SPICE has operated, offering the opportunity for before and after comparison of performance on the SPICE indicators. SPICE collects information on indicators not measured and rewarded in the nGMS contract, and offers the opportunity to assess whether nGMS has distorted priorities. The results showed that the incentives induced providers to improve targets quality and make investments in quality that extended beyond the scheme.

Contact

D Skåtun

Status

Complete

Publications

Sutton, M., Elder, R., Guthrie, B. and Watt, G.C.M. Record rewards: the effects of targeted quality incentives on the recording of risk factors by primary care providers. Health Economics. 2009; 19(1):1-13.

Elder, R., Kirkpatrick, M., Ramsay, W., Macleod, M., Guthrie, B., Sutton, M. and Watt, G. Measuring quality in primary medical services using data from SPICE. Report to NHS Quality Improvement Scotland. ISDScotland July 2007.

Sutton, M., Elder, R., Guthrie, B. And Watt, G. Record rewards: the effect on risk factor monitoring of new financial incentives for UK general practices. University of York Health Econometrics and Data Group Working paper 08/21, 2008.

Presentations

Sutton, M., Elder, R., Guthrie, B. and Watt, G. What quality improvement did the Quality and Outcomes Framework produce? HESG.BrunelUniversity, September 2007.

Sutton, M., Elder, R., Guthrie, B. and Watt, G.C.M. Record rewards: the effects of targeted quality incentives on the recording of risk factors by primary care providers. National Primary Care R&D Centre.University of Manchester, 2008.