Factors affecting decisions to extend access to primary care: results of a qualitative evaluation of general practitioners' views.
Sally V Fowler DavisHilary PiercySarah PearsonBen ThomasShona J KellyPublished in: BMJ open (2018)
The variation in practice engagement and capacity to manage changes in primary care services warrants a subtle and specialist approach to programme planning. The study makes the case for enhanced planning and organisational development with GPs as stakeholders within individual practices and groups. This would ensure that policy implementation is effective and sustained at local level. A failure to localise implementation may be associated with increased workloading in primary care without the sustained benefits to patients and the public. To enable GPs to become involved in systems transformation, further research is needed to identify the best methods to engage GPs in programme planning and evaluation.