The Nuffield Trust is an independent health think tank. We aim to improve the quality of health care in the UK by providing ...

Sally Gainsbury responds to the Public Accounts Committee report on NHS financial sustainability. The Nuffield Trust is an ...

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 ...

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 ...

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 ...

The elective recovery plan landed on a busy day in general practice. First Mondays of the new year are always hectic, and the NHS is again facing significant winter pressures. But GPs will have taken ...