Abstract
General practioner fund-holding was an idea hatched in the early 1980s but introduced only at a late stage into the NHS reforms outlined in the 1989 white paper Working for Patients. Giving large general practices a budget for drugs, staff and certain hospital services was seen as having a number of advantages. It would provide an incentive to GPs to make economic use of these resources; it would empower GPs to improve hospital services by acting as informed purchasers on behalf of their patients; and it would provide a method of cash-limiting important elements of NHS expenditure by devolving to GPs the responsibility for rationing their use.
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Notes
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© 1997 Duncan Keeley
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Keeley, D. (1997). Beyond Fund-Holding. In: Anand, P., McGuire, A. (eds) Changes in Health Care. Palgrave Macmillan, London. https://doi.org/10.1007/978-1-349-13710-7_7
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DOI: https://doi.org/10.1007/978-1-349-13710-7_7
Publisher Name: Palgrave Macmillan, London
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