Research Catalog

Implementing GP fundholding : wild card or winning hand?

Title
Implementing GP fundholding : wild card or winning hand? / Howard Glennerster ... [et al.].
Publication
Buckingham ; Philadelphia : Open University Press, c1994.

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Details

Additional Authors
Glennerster, Howard
Description
viii, 205 p.; 23 cm.
Summary
  • GP fundholding was one of the most contentious elements in the British Government's controversial reforms to the NHS. It gave GPs the power to buy services direct from hospitals on behalf of their patients, the most radical change in the funding of the service since 1946. Did this give more choice and power to patients or did it give fundholders' patients an unfair advantage? Is it destabilizing the NHS? Are GPs or district health authorities the best purchasers of health care?
  • Professor Glennerster of the LSE has been monitoring the scheme since 1990 as part of a King's Fund-supported research project. This book reports on his research. It traces the origins of the idea and looks at the way it was implemented in three regions. It goes on to study in detail the impact on ten first wave and sixteen second wave practices and examines the financial issues. Finally, the book weighs up the pros and cons of UP fundholding and suggests a way forward.
  • Implementing GP Fundholding will be of interest to a wide range of health professionals, health authority members and managers. It will also be useful for students of social policy, public administration and health studies.
Series Statement
The State of health series
Uniform Title
State of health series.
Subject
  • Fundholding (Medical economics) > Great Britain
  • Economics, Medical
  • United Kingdom
Bibliography (note)
  • Includes bibliographical references (p. [198]-203) and index.
Contents
1. Fundholding: a microcosm of the future? -- 2. The scheme -- 3. The study -- 4. Implementing the scheme -- 5. What did the practices hope to achieve? -- 6. Contracting: GPs or districts? -- 7. Containing the drugs budget -- 8. Managing the budget -- 9. Budget setting -- 10. Introducing weighted capitation -- 11. Countering the risk of biased selection -- 12. The balance sheet -- Appendix: The scope of the scheme.
ISBN
  • 033519334X
  • 0335191088 (pbk.)
LCCN
94027679
OCLC
  • 30811868
  • ocm30811868
  • SCSB-4774686
Owning Institutions
Columbia University Libraries