title: 'The biggest car crash in NHS history': the media portrayal of GP pay before and after the introduction of the Health and Social Care Bill 2011.
abstract: The introduction of the Health and Social Care Bill (2011) changed the role of GPs to include commissioning of health services. Aim This study aimed to identify any differences in the media portrayal of GPs before and after the introduction of the Bill.
  
  
  
  We retrospectively searched four British newspapers over the period 2009-2013 using the media database Nexis. In order to directly compare the findings of the study with the work of Tanner et al., articles relating to GP pay were analysed using thematic analysis. Themes were identified and each article was scored to determine whether it portrayed GPs positively or negatively.
  
  
  
  GPs were portrayed slightly less negatively after the introduction of the Bill. The theme of 'high salaries' persisted despite reference to 'pay freezes'. References to decreased trust in the patient-doctor relationship appeared after the introduction of the Bill.
  
  
  
  Negative portrayal of GP pay has continued and a lack of trust in GPs has started to be portrayed. This trend may exacerbate the low morale amongst the profession and difficulties in recruiting and retaining GPs.
authors.affiliation: 1Medical Student,Leeds Institute of Health Sciences,Charles Thackrah Building, University of Leeds,Leeds, UK.
authors.forename: Adam
authors.initials: A
authors.lastname: Balkham
authors.affiliation: 2Clinical Lecturer in Primary Care,Leeds Institute of Health Sciences, Charles Thackrah Building,University of Leeds,Leeds, UK.
authors.forename: Sarah
authors.initials: S
authors.lastname: Alderson
mesh_terms: D001294:Attitude to Health; D015706:Bibliometrics; D004739:England; D006801:Humans; D009524:Newspapers as Topic / Q000706:statistics & numerical data* / Q000639:trends; D010817:Physician-Patient Relations; D010821:Physicians, Family / Q000191:economics / Q000331:legislation & jurisprudence* / Q000458:organization & administration; D011320:Primary Health Care / Q000191:economics / Q000331:legislation & jurisprudence* / Q000458:organization & administration; D012456:Salaries and Fringe Benefits / Q000331:legislation & jurisprudence / Q000639:trends; D013222:State Medicine / Q000191:economics / Q000331:legislation & jurisprudence* / Q000458:organization & administration; D035502:Trust
keywords: GP; GP pay; General practitioner; Health and Social Care Bill; media portrayal