University of Surrey

Test tubes in the lab Research in the ATI Dance Research

Nurse Staffing and Quality of Care in UK General Practice: Cross sectional study using routinely collected data

Griffiths, P, Murrells, T, Maben, J, Jones, S and Ashworth, M (2010) Nurse Staffing and Quality of Care in UK General Practice: Cross sectional study using routinely collected data British Journal of General Practice, 570. pp. 34-39.

[img] Text
2010 - bjgp - Nurse Staffing and Quality of Care in UK General Practice- Cross sectional study using routinely collected data,.pdf
Restricted to Repository staff only
Available under License : See the attached licence file.

Download (186kB)
[img] Text (licence)
SRI_deposit_agreement.pdf
Restricted to Repository staff only

Download (33kB)

Abstract

Background In many UK general practices, nurses have been used to deliver results against the indicators of the Quality and Outcomes Framework (QOF), a ‘pay for performance’ scheme. Aim To determine the association between the level of nurse staffing in general practice and the quality of clinical care as measured by the QOF. Design of the study Cross-sectional analysis of routine data. Setting English general practice in 2005/2006. Method QOF data from 7456 general practices were linked with a database of practice characteristics, nurse staffing data, and census-derived data on population characteristics and measures of population density. Multi-level modelling explored the relationship between QOF performance and the number of patients per full-time equivalent nurse. The outcome measures were achievement of quality of care for eight clinical domains as rated by the QOF, and reported achievement of 10 clinical outcome indicators derived from it. Results A high level of nurse staffing (fewer patients per full-time equivalent practice-employed nurse) was significantly associated with better performance in 4/8 clinical domains of the QOF (chronic obstructive pulmonary disease, coronary heart disease, diabetes, and hypertension, P = 0.004 to P<0.001) and in 4/10 clinical outcome indicators (diabetes: glycosylated haemoglobin [HbA1C] ≤7.4%, HbA1C ≤10% and total cholesterol ≤193 mg/dl; and stroke: total cholesterol ≤5 mmol/L, P = 0.0057 to P<0.001). Conclusion Practices that employ more nurses perform better in a number of clinical domains measured by the QOF. This improved performance includes better intermediate clinical outcomes, suggesting real patient benefit may be associated with using nurses to deliver care to meet QOF targets.

Item Type: Article
Authors :
NameEmailORCID
Griffiths, PUNSPECIFIEDUNSPECIFIED
Murrells, TUNSPECIFIEDUNSPECIFIED
Maben, JUNSPECIFIEDUNSPECIFIED
Jones, SUNSPECIFIEDUNSPECIFIED
Ashworth, MUNSPECIFIEDUNSPECIFIED
Date : 1 January 2010
Identification Number : 10.3399/bjgp10X482086
Related URLs :
Depositing User : Symplectic Elements
Date Deposited : 28 Mar 2017 14:09
Last Modified : 31 Oct 2017 14:43
URI: http://epubs.surrey.ac.uk/id/eprint/722275

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year


Information about this web site

© The University of Surrey, Guildford, Surrey, GU2 7XH, United Kingdom.
+44 (0)1483 300800