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Commissioning for quality

By A Niroshan Siriwardena

Abstract

Practice-based commissioning (PBC) is no longer\ud the new kid on the block of NHS reform. A direct\ud descendant of the purchaser–provider split conceived\ud by Margaret Thatcher and Alan Enthoven as part of\ud the market reforms of the 1990s, referred to in earlier\ud policy documents and developed in the White Paper on community care, Our health, our Care, our Say it is nevertheless a move towards greater partnership and\ud patient centredness in health care. Whereas general\ud practice (GP) fundholding encouraged individual entrepreneurialism which subsequent primary care groups\ud and trusts were never able to match, PBC, by working\ud directly at the coalface of primary care, does have the\ud potential to lead to rapid transformation more widely

Topics: B990 Subjects Allied to Medicine not elsewhere classified, A300 Clinical Medicine
Publisher: Radcliffe Publishing
Year: 2007
OAI identifier: oai:eprints.lincoln.ac.uk:3380

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Citations

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