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Fund-holding general practices and old age psychiatry

Published online by Cambridge University Press:  02 January 2018

Christopher F. Fear  and
Howard R. Cattell
Christopher F. Fear
Affiliation:
Academic Subdepartment of Psychological Medicine, North Wales Hospital, Denbigh, Clwyd LL16 5SS
Howard R. Cattell
Affiliation:
Department of Old Age Psychiatry, Ysbyty Maelor, Croesnewydd Road, Wrexham, Clwyd LL13 7TD
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Abstract

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In a retrospective study, referrals to a community old age psychiatry service were obtained for local practices a year before and a year subsequent to the introduction of prospective general practitioner (GP) fund-holding. Although overall patterns of referral were the same, there was a significant reduction in domiciliary consultations requested by fund-holding GPs which was not balanced by a rise in other referrals. The findings suggest a shortfall in the number of referrals to old age psychiatry services in the light of GP fund-holding, prompting speculation as to the fate of those who would otherwise have been referred.

Type
Original papers
Information
Psychiatric Bulletin , Volume 18 , Issue 5 , May 1994 , pp. 263 - 265
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

References

Colligan, G. Macdonald, A. Herzberg, J. et al (1993) An evaluation of the multidisciplinary approach to psychiatric diagnosis in elderly people. British Medical Journal, 306, 821–624.Google Scholar
DHSS (1981) National Health Service Hospital Medical and Dental Staff (England and Wales): terms and conditions of service. Revised edition. London: HMSO.Google Scholar
Jolley, D. J. (1993) Psychiatric services for elderly people. Doctors should be in the front line. (Letter) British Medical Journal 306, 1411.Google Scholar
Keeley, D. The fund-holding debate: should practices reconsider the decision not to fundhold? British Medical Journal 306, 697–698.CrossRefGoogle Scholar
Sutherby, K., Srinath, S. & Strathdee, G. (1992) The domiciliary consultation service: outdated anachronism or essential part of community psychiatric outreach? Health Trends, 24, 103–105.Google ScholarPubMed
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