The 1991 health service reforms introduced the internal market and gave individual fundholding practices budgets with which they could attempt to secure preferential access to secondary health care for their patients.
In the view of many doctors this undermined the principle of equity on which the NHS was founded.
In Nottingham 200 non-fundholding general practitioners have joined together to act in liaison with their purchasing health authority.
A committed representative group of general practitioners can collectively offer more time and knowledge to the contracting process whime minimising the impact on clinical workload.
As a large purchaser with low management costs the group has secured access to quality secondary care which is equitably available to all patients, preventing the development of a local two tier service.
Mots-clés Pascal : Royaume Uni, Système santé, Economie santé, Accessibilité, Soin, Homme, Médecin généraliste, Réforme, Europe
Mots-clés Pascal anglais : United Kingdom, Health system, Health economy, Accessibility, Care, Human, General practitioner, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0704695
Code Inist : 002B30A01B. Création : 09/06/1995.