Publications by authors named "Donna Bramwell"
Article Synopsis
- - The Additional Roles Reimbursement Scheme (ARRS) aims to bolster primary care in England by helping Primary Care Networks (PCNs) recruit an additional 26,000 staff by 2024, aiming to ease workload pressures and improve access to services.
- - A qualitative study involving seven PCNs found that the implementation of the ARRS varied significantly, influenced by the COVID-19 pandemic and highlighted issues like lack of space for new staff and rigid funding rules.
- - The study concluded that while the ARRS shows promise in enhancing patient care and reducing GP workloads, addressing operational challenges such as funding, facility needs, and staff management is crucial for its long-term success, especially as it approaches the end of its initial term in 202
Background: Significant health inequalities exist in England. Primary care networks (PCNs), comprised of GP practices, were introduced in England in 2019 with funding linked to membership. PCNs have been tasked with tackling health inequalities.
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- This study evaluates primary care networks (PCNs) in the English National Health Service to understand how they are structured to achieve their goals and the factors influencing their effectiveness.
- Conducted through qualitative case studies in seven diverse PCNs, researchers performed 91 interviews and observed practices over 87 hours from May 2019 to December 2022.
- Results indicate that while PCNs are well-established, their success varies based on managerial support, existing relationships, and the nature of collaboration developed during the pandemic, highlighting the importance of these dynamics in service delivery.
Background: A 2018 review of the English primary care pay-for-performance scheme, the Quality and Outcomes Framework, suggested that it should evolve to better support holistic, patient-centred care and leadership for quality improvement (QI). From 2019, as part of the vision of change, financially incentivised QI cycles (initially in prescribing safety and end-of-life care), were introduced into the scheme.
Objectives: To conduct a rapid evaluation of general practice staff attitudes, experiences and plans in relation to the implementation of the first two QI modules.
Background: Public health has had a history characterised by uncertainty of purpose, locus of control, and workforce identity. In many health systems, the public health function is fragmented, isolated and under-resourced. We use the most recent major reforms to the English National Health Service and local government, the Health and Social Care Act 2012 (HSCA12), as a lens through which to explore the changing nature of public health professionalism.
View Article and Find Full Text PDFObjectives: From April 2015, NHS England (NHSE) started to devolve responsibility for commissioning primary care services to clinical commissioning groups (CCGs). The aim of this paper is to explore how CCGs are managing potential conflicts of interest associated with groups of GPs commissioning themselves or their practices to provide services.
Design: We carried out two telephone surveys using a sample of CCGs.