Table 2.

The impacts of a large-scale general practice collaboration (multipractice organisation in England) from a qualitative study

Author and journal	Title of paper	Study methods	Reported impact on processes and indicators of quality of care	Reported impact on workforce satisfaction	Reported impact on patient experience
Baker et al (2013), Journal of Health Services Research and Policy28	Primary care quality and safety systems in the English National Health Service: a case study of a new type of primary care provider	Interviews with senior staff and owners with responsibility for policy on quality and safety. Ethnographic observation in non-clinical areas. Interviews with staff in three practices. Analysis of company documentation. Study undertaken 2011 to 2012	Standardised policies and procedures. Facilitated the implementation of systems, such as incident reporting, investigating, and sharing learning. Reduced continuity of care in some cases	Relieved some clinical staff of administrative duties. Enhanced training and inter-staff support. Reports of feeling undervalued. Recruitment and retention difficulties with high staff turnover (particularly of GPs)	Patients viewed as customers with strong focus on monitoring patient experience. Overall positive, caring attitude towards patients. Indications of unpopularity of call centre. Indications of dissatisfaction with level of continuity of care. Indications of antipathy towards a commercial organisation