Will Practice-Based Commissioning in the English NHS Resolve the Problems Experienced by GP Fundholding?

Ian Greener and Russell Mannion

Public Money & Management, 2008, vol. 28, issue 4, 231-238

Abstract: Labour's new approach to primary health care, based around the policy of practice-based commissioning, has considerable potential for learning from the general practitioner fundholding reforms put in place by the Conservative governments of the 1990s. However, practice-based commissioning seems to repeat many of the same problems as the earlier policy. Despite the increased scope for GPs to make a significant difference to the shape of local health economies because of the incentives and opportunities offered by payment by results and patient choice reforms, the potential problems of practice-based commissioning threaten the reform's viability and long-term success.

Date: 2008
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DOI: 10.1111/j.1467-9302.2008.00649.x

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