Prepared for commissioning? A qualitative study into the views of recently qualified GPs.

BACKGROUND: Expectations of the latest manifestation of GPled commissioning, in delivering cost-savings and improved services, are considerable. However, previous models suggest clinical engagement and other factors may hinder its success. It is timely to explore the views of the newest generation of GPs about involvement in commissioning, to inform plans for preparing the future workforce. AIM: To explore the views of recently qualified GPs about their future role in commissioning health services. DESIGN AND SETTING: A qualitative study with GPs qualifying with Severn Deanery between 2007 and 2010. METHOD: Semi-structured interviews with 18 GPs between November 2011 and April 2012. RESULTS: These GPs lack understanding of roles and skills required for commissioning. Readiness is related to experience as a GP and of how services are financed and run, making timeliness for becoming involved important. Not all GPs feel motivated for commissioning and readiness is further hindered by feelings of conflict and uncertainty about how commissioning will work. There is optimism around working differently and better representing patients, but caution around risks and for some, cynicism about motives, will need addressing. CONCLUSION: While there is some optimism among these GPs about representing patients, leading reform and working differently with colleagues, there are concerns. GPs need to better understand the processes involved, experience and skills needed, and roles they can take. They can be helped through education and mentoring by established GPs to be ready for a role in commissioning.