New contract pushes up cost of GP care in Scotland

BMJ 2008; 337 doi: (Published 07 July 2008) Cite this as: BMJ 2008;337:a692
  1. Bryan Christie
  1. 1Edinburgh

    The cost of care provided by GPs in Scotland has risen by 40% since the new GP contract was introduced in 2004. Total NHS Scotland spending rose by just under 28% in the same period.

    The extra costs resulted in a £160m (€200m; $320m) overspend in the first three years of the contract, which NHS Scotland’s boards have had to meet out of their own budgets. The biggest factor was an underestimate of the number of GPs who would qualify for incentive payments under the quality and outcomes framework (QOF). The Scottish health department estimated that 80% …

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