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- GP_Fundholding abstract "GP Fundholding was created in 1991 as part of the quasi-market created in the National Health Service by the Thatcher Government's National Health Service and Community Care Act 1990. It has some similarities to the role played by Clinical Commissioning Groups in the reforms of the English NHS following from the Health and Social Care Act 2012.The Audit Commission claimed in 1993 that the pendulum had swung too far in favour of GPs who wished to pursue their own interests as there was no mechanism to get them to support national objectives. Some of the first wave of fundholders ended the year with surpluses in excess of £100,000. Five had surpluses of £200,000. On the other hand the Sheffield Far Lane Medical Centre was stripped of fundholding status after running up a £100,000 deficit and placing a block on the referral of patients with non-urgent conditions. The Commission wanted to see commissioning organised more cost-effectively by district and family health service authorities carrying out joint commissioning, but involving GPs in decision-making.Fundholding was abolished by the Labour Government in 1997/8 because of concerns that it helped to foster a two-tier health service. The scheme did not survive long enough to permit proper evaluation. As Rudolf Klein says "We rarely allow enough time to evaluate pilot, let alone national, policies". but it enabled the incoming government to introduce primary care groups — "thereby universalising fundholding while repudiating the concept." Research by Dr Russell Mannion at the University of York identified some benefits of the scheme:Reduced rates of referrals to hospitals for electivesFewer emergency related bed daysQuicker waiting time for emergency treatmentBetter co-ordination between primary and community support servicesMore GP engagement in developing care pathwaysand some disadvantages:Less patient satisfactionGreater costs for management and transactionsReduced coordination between organisations, with reduction in shared care delivery↑ ↑ ↑ ↑ ↑ ↑ ↑ ↑ ↑ ↑".
- GP_Fundholding wikiPageID "44056449".
- GP_Fundholding wikiPageLength "3984".
- GP_Fundholding wikiPageOutDegree "9".
- GP_Fundholding wikiPageRevisionID "657017782".
- GP_Fundholding wikiPageWikiLink Category:National_Health_Service.
- GP_Fundholding wikiPageWikiLink Clinical_Commissioning_Group.
- GP_Fundholding wikiPageWikiLink Clinical_commissioning_group.
- GP_Fundholding wikiPageWikiLink Health_and_Social_Care_Act_2012.
- GP_Fundholding wikiPageWikiLink Labour_Party_(UK).
- GP_Fundholding wikiPageWikiLink Margaret_Thatcher.
- GP_Fundholding wikiPageWikiLink National_Health_Service.
- GP_Fundholding wikiPageWikiLink National_Health_Service_and_Community_Care_Act_1990.
- GP_Fundholding wikiPageWikiLink Quasi-market.
- GP_Fundholding wikiPageWikiLink Rudolf_Klein.
- GP_Fundholding wikiPageWikiLinkText "GP Fundholding".
- GP_Fundholding hasPhotoCollection GP_Fundholding.
- GP_Fundholding wikiPageUsesTemplate Template:Reflist.
- GP_Fundholding subject Category:National_Health_Service.
- GP_Fundholding comment "GP Fundholding was created in 1991 as part of the quasi-market created in the National Health Service by the Thatcher Government's National Health Service and Community Care Act 1990.".
- GP_Fundholding label "GP Fundholding".
- GP_Fundholding sameAs m.0121_r7m.
- GP_Fundholding sameAs Q18392178.
- GP_Fundholding sameAs Q18392178.
- GP_Fundholding wasDerivedFrom GP_Fundholding?oldid=657017782.
- GP_Fundholding isPrimaryTopicOf GP_Fundholding.