Effect of fundholding
and indicative prescribing schemes on general practitioners' prescribing costs.
Tory MPs want the new GP fundholding
consortia in place by April 2013, but in the light of Mr Clegg's latest intervention, this is looking like an increasingly forlorn hope.
Since payment by capitation creates incentives to over-refer to specialists and hospitals, as one's own effort is not rewarded at the margin, some form of cost sharing for referrals is advisable, for example as with GP fundholding
in the English NHS, even though gate keeping is already relatively strong in Canada (Figure 3.12).
"Some commentators are describing the proposed changes as 'fundholding
In the 1990s efforts by the Conservative Party to introduce GP fundholding
saw only half of them take up the offer.
He previously held the deputy director of finance position for North Tyneside PCT from 2002 to 2004 and prior to that, he was primary care group manager for Whitley Bay PCG and GP fundholding
manager for Newcastle and North Tyneside Health Authority.
However, evidence suggests that the financial incentives associated with GP fundholding
were successful in controlling activity and reducing waiting times (Dusheiko, Gravelle and Jacobs, 2004; Dusheiko et al., 2006).
York University's Professor Alan Maynard, the economist whose ideas led to GP fundholding
and Nice, the body which assesses the clinical performance of drugs, is fond of saying we should use as a template the 1845 Lunacy Act.
This Scottish White Paper sets out the new Labour government's stall for phasing out the internal market, and with it GP fundholding
and contracting for services.
The response of fundholding
family doctors to price signals.
The New Labour Government then abolished fundholding
for GPs, the system by which GPs paid hospitals for every treatment their patients got.