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This study found skill mix implementation was challenging due to the inherent complexity of general practice caseloads and was associated with a mix of positive and negative outcome measures.

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Imelda McDermott 1, Sharon Spooner 1,*,, Mhorag Goff 1, Jon Gibson 1, Elizabeth Dalgarno 1, Igor Francetic 1, Mark Hann 1, Damian Hodgson 2, Anne McBride 3, Katherine Checkland 1, Matt Sutton 1

1 Institute for Health Policy and Organisation, Centre for Primary Care and Health Services Research, University of Manchester, Manchester, UK
2 Sheffield University Management School, University of Sheffield, Sheffield, UK
3 Institute for Health Policy and Organisation, Alliance Manchester Business School, Manchester, UK
* Corresponding author Email: sharon.spooner@manchester.ac.uk

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