ENGLISH

GPs and Purchasing in the NHS: The Internal Market and Beyond

By Bernard Dowling

Book information

Publisher
Routledge
Year
2019
ISBN
1138634344, 9781138634343
Language
english
Format
EPUB
Filesize
5 MB (4979813 bytes)
Series
Routledge Revivals
Pages
276\0
Topic
Economy
Time added
2022-07-16 14:45:13

Description

This title was first published in 2000: The relative performance of health authorities and general practitioners as commissioners of health care services is a crucial question in the current health care policy debate, but hitherto a poorly researched area. This work addresses that topic, and represents a systematic direct comparison of GPs and health authorities as purchasers of health care services. In doing this it centres upon two of the chief controversies about the NHS internal market: the equality of hospital waiting times for fund-holding patients, and the fairness of the budgets received by fund-holding practices for commissioning effective surgery. In discussing the policy implications of the research, the book then addresses what lessons should be learned from the internal market about equity and efficiency in the service now that the present Labour Government is reforming the NHS with the introduction of Primary Care Groups and Primary Care Trusts.

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