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Research project: Nurse staffing & quality of care in UK general practice - Dormant

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This study explored links between practice nurse staffing levels and the quality of chronic disease care in English General Practices

A cross sectional study using routinely collected data stage 2

The first phase of work that focused on the contribution that general practice nurses make to the Quality Outcomes Framework (QOF) is coming to a close. A paper that presents finding on practice nurse staffing and readmission rates for three chronic conditions (diabetes, asthma, chronic obstructive pulmonary disease) is currently under review. A second paper, nearing completion, that examines whether the positive association of increased nurse staffing on outcomes, found for certain QOF clinical areas previously investigated, is attenuated by organisational factors.

The next phase will concentrate specifically on diabetes but on this occasion findings will be generated from patient level data. The NNRU have acquired (THIN) data on 250,000 diabetics from EPIC. Patient medical and therapy records can be linked directly to practice staff thereby enabling the study of workforce configurations at both the practice

and patient level. Work has commenced on creating datasets that gauge diabetic control and that reflect staffing activity.


Related research groups

Health Work and Systems
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