Whither British general practice after the 2004 GMS contract? Stories and realities of change in four UK general practices

Journal of Health, Organisation and Management

Volumn 22, Issue 1, 2008, Pages 63-78

  Huby, Guro ^a   Guthrie, Bruce ^b   Grant, Suzanne ^c   Watkins, Francis ^d   Checkland, Kath ^e   McDonald, Ruth ^e   Davies, Huw ^b,f  

^a UNIVERSITY OF EDINBURGH   (United Kingdom)

^b UNIVERSITY OF DUNDEE   (United Kingdom)

^c UNIVERSITY OF GLASGOW   (United Kingdom)

^d Social Development Direct   (United Kingdom)

^e UNIVERSITY OF MANCHESTER   (United Kingdom)

^f UNIVERSITY OF ST ANDREWS   (United Kingdom)

Author keywords

General practice; Health services; Organizational change; Team working; United Kingdom

Indexed keywords

EID: 40849139610     PISSN: 14777266     EISSN: None     Source Type: Journal    
DOI: 10.1108/14777260810862416     Document Type: Article

References (29)

1. Adam, R. and Guthrie, B. (2001), "The death of the personal doctor", Journal of Health Services Research and Policy, Vol. 6, pp. 129-30.
2. Agar, M.H. (1980), The Professional Stranger, Academic Press, London.
3. Balint, M. (1957), The Doctor, His Patient and the Illness, Pitman Medical Publishing, London.
4. Bourdieu, P. (1977), Outline of a Theory of Practice, Cambridge University Press, Cambridge.
5. Clarke, J. and Newman, J. (1997), The Managerial State: Power, Politics and Ideology in the Remaking of Social Welfare, Sage, London.
6. Department of Health and Social Security (1980), Inequalities in Health: Report of a Research Working Group, Black Report, Department of Health and Social Security, London.
7. Ferlie, E., Pettigrew, A., Ashburner, L. and Fitzgerald, L. (1996), The New Public Management in Action, Oxford University Press, Oxford.
8. Foucault, M. (1982), "The subject and power", in Dreyfus, R. and Rabinow, P. (Eds), Michel Foucault: Beyond Structuralism and Hermeneutics, University of Chicago Press, Chicago, IL.
9. Good, B.J. (1994), Medicine, Rationality and Experience: An Anthropological Perspective, Cambridge University Press, Cambridge.
10. Hart, J.T. (1992), "Two paths for medical practice", Lancet, Vol. 340, pp. 772-5.
11. Hart, J.T. (1994), Feasible Socialism: The National Health Service Past, Present and Future, Socialist Health Association, London.
12. Heath, I. (1995), The Mystery of General Practice, Nuffield Provincial Hospital Trust, London.
13. Humphries, M. and Brown, A.D. (2002), "Narratives of organizational identity and identification: a case study of hegemony and resistance", Organization Studies, Vol. 23, pp. 421-47.
14. Macintyre, S. (1997), "The Black Report and beyond: what are the issues?", Social Science and Medicine, Vol. 44 No. 6, pp. 723-45.
15. Plummer, K. (1995), Telling Sexual Stories: Power, Change and Social Worlds, Routledge, London.
16. Power, M. (1977), The Audit Society: Rituals of Verification, Oxford University Press, Oxford.
17. Ritches, D. (1985) in Fardon, R. (Ed.), "Power as a representational model", in Power and Knowledge, Proceedings of a Conference Held in St Andrews, December 1982, Scottish Academic Press, Edinburgh, pp. 83-101.
18. Rudebeck, C.E. (1992), "General practice and the dialogue of clinical practice: on symptoms, symptom presentation and bodily empathy", Scandinavian Journal of Primary Health Care, p. 1, Suppl 1.
19. Shekelle, P. (2003), "New contract for general practitioners", British Medical Journal, Vol. 326, pp. 457-8.
20. Strathern, M. (Ed.) (2000), Audit Cultures: Anthropological Studies in Accountability, Ethics and the Academy, Routledge, London.
21. Timmins, N. (2005), "Do GPs deserve their recent pay rise?", BMJ, Vol. 331, p. 800.
22. UK Department of Health (2003), Investing in General Practice: The New GMS Contract, DoH, London.
23. Wang, Y. (2006), "Practice size and quality attainment under the new GMS contract: a cross sectional analysis", British Journal of General Practice, Vol. 56, pp. 830-5.
24. Weick, K.E. (1995), Sensemaking in Organisations, Sage Foundations for Organisational Science Series, Sage, Newbury Park, CA.
25. Weick, K.E. (2000), Making Sense of the Organization, Blackwell, London.
26. Day, M. (2007), "So how much do doctors really earn?", BMJ, Vol. 334, pp. 236-7.
27. Goodle, F. (2007), "Editor's choice: how much should doctors earn?", BMJ, Vol. 334, p. 214.
28. Irish, B. (2007), "Is greed good?", BMJ Career Focus, Vol. 334 No. 6.
29. Maynard, A. (2007), "Head to head: is doctors' self interest undermining the NHS?", BMJ, Vol. 334, p. 234.