Comment
This week the Care Quality Commission (CQC) published comparable information on all GP surgeries in England for the first time, with the aim of identifying which practices should be prioritised for newly introduced inspections. Understanding whether, and why, some GP practices fail to provide quality care is important given the vital role that GPs play within the NHS. In recent years, there have been substantial changes to the organisation of GP practices, with a shift away from single-handed practices towards practices with six or more full time equivalent GPs. A new IFS report published today finds that small, and in particular single-handed, GP practices are more likely to provide poorer quality care than larger GP practices, as measured along a number of dimensions. This suggests that the trend towards larger practice sizes may have had beneficial effects on the overall quality of primary care provided.