Analyses of SPICE data - before and after analysis of nGMS contract
Guthrie, B. (University of Dundee) Sutton, M. (HERU) and Watt, G. (University of Glasgow)
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.
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