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Practice-based commissioning : implications for secondary care
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Charlton, Rodger. (2008) Practice-based commissioning : implications for secondary care. Clinical Medicine, Vol.8 (No.1). pp. 61-64. ISSN 1470-2118
Full text not available from this repository.Abstract
General practitioner (GP) practice-based commissioning (PBC) is a much debated politically driven NHS innovation at a time of ongoing change. Unlike GP fundholding it is envisaged that PBC will involve all GP practices by 2008. A possible outcome is that some current secondary care services may be commissioned in primary care in the form of local enhanced services or intermediate clinics and run by GPs with special interests. Examples where this has occurred are diabetes and anticoagulation. Similarly, private providers may be commissioned. Inevitably there will be an impact on hospital services through a possible reduction in funding and consultants being subcontracted to provide services in primary care. Issues such as clinical governance and cost-effectiveness, however, require evaluation to determine the potential effect on the working relationships and so the interface between generalists and specialists.
| Item Type: | Journal Article |
|---|---|
| Subjects: | R Medicine |
| Divisions: | Faculty of Medicine > Warwick Medical School > Institute of Clinical Education (ICE) Faculty of Medicine > Warwick Medical School |
| Library of Congress Subject Headings (LCSH): | Health services administration -- Great Britain, National health services -- Great Britain -- Administration, Primary care (Medicine) -- Great Britain, Medical personnel and patient, Medical referral |
| Journal or Publication Title: | Clinical Medicine |
| Publisher: | Royal College of Physicians |
| ISSN: | 1470-2118 |
| Date: | February 2008 |
| Volume: | Vol.8 |
| Number: | No.1 |
| Number of Pages: | 4 |
| Page Range: | pp. 61-64 |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Access rights to Published version: | Restricted or Subscription Access |
| Related URLs: | |
| References: | 1 Department of Health. The new NHS. Modern. Dependable. London: DH, 1997. www.archive.official-documents.co.uk/document/doh/ newnhs/contents.htm 2 Department of Health. The NHS improvement plan. Putting people at the heart of public services. London: DH, 2004. www.dh.gov.uk/en/Publicationsandstatistics/Publications/Publications PolicyAndGuidance/DH_4084476 3 Richardson T. Developing secondary care services in primary care. National Association of Primary Care review 2006:19–20. www.napc.co.uk 4 Department of Health. Practice-based commissioning: frequently asked questions. www.dh.gov.uk/en/Policyandguidance/ Organisationpolicy/Commissioning/Practice-basedcommissioning/ FAQonly/DH_065204 5 Neal J. Practice based commissioning: an introduction. BMJ Careers Focus 2005;331:gp130–1. 6 Walford S. Choose and Book. Clin Med 2006;6:473–6. 7 Department of Health. Our health, our care, our say: a new direction for community services. London: DH, 2006. www.dh.gov.uk/en/Publicationsandstatistics/Publications/Publications PolicyAndGuidance/DH_4127453 8 Kingsland J. Practice based commissioning reviewed. National Association of Primary Care review 2006:11. www.napc.co.uk 9 Department of Health. Tackling hospital waiting: the 18 week patient pathway – an implementation framework and delivery resource pack. London: DH, 2006. www.dh.gov.uk/en/Publicationsandstatistics/ Publications/PublicationsPolicyAndGuidance/DH_4134668 10 Dickson N. The NHS: the next few years. National Association of Primary Care review 2006:12. www.napc.co.uk 11 Melis RJF, Rikkert MGMO, Parker SG, van Eijken MIJ. What is intermediate care? BMJ 2004;329:360–1. 12 Rosen R. PBC will need us all to work. General Practitioner 2006:52. 13 Titmarsh S. Practice based commissioning. Prog Neurol Psychiatry 2006;10:31–2. 14 Jeffries D. An ostrich contemplates PBC. Br J Gen Pract 2006;65:730. 15 Kingsland J. Your guide to PBC. Med Economics 2006:11–2. 16 Greener I, Mannion R. Does practice based commissioning avoid the problems of fundholding? BMJ 2006;333:1168–70. |
| URI: | http://wrap.warwick.ac.uk/id/eprint/30130 |
Data sourced from Thomson Reuters' Web of Knowledge
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