Practice based commissioning: applying the research evidence

Smith, J., Dixon, J., Mays, N., McLeod, H., Goodwin, N., McLelland, S., Lewis, R. and Wyke, S. (2005) Practice based commissioning: applying the research evidence. British Medical Journal, 331(7529), pp. 1397-1399. (doi:10.1136/bmj.331.7529.1397)

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Abstract

The English NHS is unusual in its continuing faith in primary care based organisations to carry out effective purchasing of healthcare services. The latest incarnation of this approach is to encourage all general practices to be responsible for a budget to purchase community health services and secondary care on behalf of their enrolled populations by the end of 2006.1 2 The logic is that in doing so, they will act more cost effectively, scrutinising the demand for hospital care and redesigning services across the hospital-community interface. Some evidence supports this logic.3 We assess current policy on purchasing in the light of evidence from research concerning purchasing by primary care organisations in the 1990s and more recent evaluations of primary care groups and trusts and draw out some key messages that may be helpful in its further development

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Wyke, Professor Sally
Authors: Smith, J., Dixon, J., Mays, N., McLeod, H., Goodwin, N., McLelland, S., Lewis, R., and Wyke, S.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Social Scientists working in Health and Wellbeing
College of Social Sciences
Journal Name:British Medical Journal
Journal Abbr.:BMJ
Publisher:B M J Group
ISSN:0959-8138
ISSN (Online):1756-1833

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