Expansion of the multidisciplinary team (MDT) and cluster working are at the heart of the new Scottish GP contract (formally introduced in April 2018) aiming to reduce GP workload and improve quality of care (including for patients with complex problems). However, in 18 qualitative interviews, key stakeholders and cluster quality leads reported slow progress, little or no reduction in GP workload, nor improvements in patient care. Key barriers identified were lack of time, poorly developed relationships, and inadequate support. There is a need for better workforce planning, better primary care data, and more support, if the new Scottish GP contract is to succeed. |