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Fund-holding and commissioning general practitioners: Recent government policy and legislation

  • Tony Kendrick (a1)
Extract

General practice fund-holders purchase secondary care for their patients directly, encouraging competition between providers. The scheme now includes almost all community mental health services. Practice counsellors may now be funded from secondary care budgets. Fund-holders may use their purchasing power to influence out-patient policies, have consultant sessions in their surgeries, gain direct referral to community psychiatric nurses, resist sectorisation, or change to a different provider altogether. The implications for mental health teams and their patients are discussed. Mental health workers must define their roles very dearly, and get involved in negotiating contracts now, to influence future service provision.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Glennerster, H., Matsaganis, M. & Owens, P. (1992) A Foothold for Fundholding. London: King's Fund Institute.
Goldberg, D.P. & Huxley, P. (1992) Common Mental Disorders. A Bio-Social Model. London: Routledge.
Kendrick, T., Sibbald, B., Addington-Hall, J., Brenneman, D. & Freeling, P. (1993) Distribution of mental health professionals working on-site within English and Welsh general practices. British Medical Journal, 307, 544546.
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Labour Party (1993) GP Fundholding: bad for your health. London: Labour Party.
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National Health Service Management Executive (1992) Guidance on the Extension of the Hospital and Community Health Services Elements of the GP Fundholding Scheme from 1 April 1993. Health Care Directorate (Service Development) London: NHSME.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Fund-holding and commissioning general practitioners: Recent government policy and legislation

  • Tony Kendrick (a1)
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