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.
Original language | English |
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Pages (from-to) | 231-238 |
Number of pages | 8 |
Journal | Public Money and Management |
Volume | 28 |
Issue number | 4 |
DOIs | |
Publication status | Published - Aug 2008 |
Externally published | Yes |