Improving Together: A National Framework for Quality and GP Clusters in Scotland

Complements the development of the Scottish national GP contract.


1. Guthrie B, Tang J ; What Did we learn from 12 years of QOF?; Literature Review Series, Scottish School of Primary Care; Available from

2. Realistic Medicine: The Chief Medical Officer's Annual Report 2014-15;

3. Berwick DM. Era 3 for Medicine and Health Care. JAMA. 2016;315(13):1329-1330. doi:10.1001/jama.2016.1509

4. Communication on Supporting Materials in relation to Transitional Quality Arrangements ( TQA) for the 2016/17 General Medical Services Contract:

5. Practice Quality Lead - One GP from each practice (not necessarily always the same GP) will have the responsibility and protected time to link with the Cluster Quality Lead. Under the requirements of the GMS contract the PQL might reasonably spend two hours per month reflecting and preparing practice responses to data provided by the cluster.

6. Cluster Quality Lead - A GP nominated by the cluster with responsibility and protected time to provide a Continuous Quality Improvement leadership role in the GP cluster. The CQL will liaise between practices and the NHS board/Health and Social Care Partnership on quality improvement issues.

7. Healthcare Improvement Scotland, RCGP Scotland. Developing a Quality Framework for Scottish General Practice [Internet]. HIS; 2014. Available from:

8. More information on SPIRE is available from



11. GP Cluster Briefing Papers, Scottish School of Primary Care; available from


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