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Fund-holding and commissioning general practitioners

Recent government policy and legislation

Published online by Cambridge University Press:  02 January 2018

Tony Kendrick
Tony Kendrick*
Affiliation:
Health Centre, Chertsey, Surrey KT16 8HZ, Department of General Practice, St George's Hospital Medical School, London SW17 0RE
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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.

Type
Original papers
Information
Psychiatric Bulletin , Volume 18 , Issue 4 , April 1994 , pp. 196 - 199
Creative Commons
Creative Common License - CCCreative Common License - BY
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.
Copyright
Copyright © Royal College of Psychiatrists, 1994

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