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

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  • Ian Greener
  • Russell Mannion

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.

Suggested Citation

  • Ian Greener & Russell Mannion, 2008. "Will Practice-Based Commissioning in the English NHS Resolve the Problems Experienced by GP Fundholding?," Public Money & Management, Taylor & Francis Journals, vol. 28(4), pages 231-238, August.
    • Handle: RePEc:taf:pubmmg:v:28:y:2008:i:4:p:231-238
    DOI: 10.1111/j.1467-9302.2008.00649.x
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    1. Mark Dusheiko & Hugh Gravelle & Rowena Jacobs & Peter C Smith, "undated". "The Effect of Budgets on Doctor Behaviour: Evidence From A Natural Experiment," Discussion Papers 03/04, Department of Economics, University of York.
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