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Episode 243: Local incentives and general practice: what does the evidence show?

 

Today, we’re speaking to Matt Conroy. Matt is a PhD fellow at the University of Manchester and also works for NHS Greater Manchester (ICB) as the Head of Primary Care Intelligence.

Title of paper: Impact of local enhanced incentive schemes on the performance of general practices within the United Kingdom: a systematic review

Available at: https://doi.org/10.3399/BJGP.2025.0377

Most local commissioning bodies in England, known as Integrated Care Boards (ICBs), have developed their own additional local pay-for-performance (P4P) incentive schemes alongside the Quality and Outcomes Framework (QOF). To our knowledge this is the first review to date to summarise existing evidence on the scope and effectiveness of local incentive schemes implemented in general practice in the UK with a focus on the indicators and their alignment with national schemes.

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