Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-14T16:46:16.119Z Has data issue: false hasContentIssue false
  • English
  • Français

What general practitioner fundholders want to buy from a psychiatric service

Published online by Cambridge University Press:  02 January 2018

Christine Wright
Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The Government White Paper ‘Working for Patients' (1989) incorporated the idea of general practitioners (GPs) managing funds in order to purchase health services for the patients under their care. The aim was for decisions about purchasing and providing health care to be taken as close to the patient as possible, by their own GP. It has meant that two forms of purchasing have grown side by side – health authority and GP fundholding. Subsequent policy changes have made fundholding accessible to more practices, and have extended the fundholders' areas of purchasing. More than 50% of the population in England are now covered by fundholding GPs. The proportion of GPs who are fundholders varies enormously geographically, with high levels in the West Midlands, Trent, South Thames, Oxford and Anglia regions, where the collective purchasing function of GP fundholders is now very considerable.

Type
Research Article
Information
Advances in Psychiatric Treatment , Volume 3 , Issue 4 , July 1997 , pp. 225 - 232
Copyright
Copyright © The Royal College of Psychiatrists 1997 

References

Department of Health (1994) Report of the Review of Mental Health Nursing. London: HMSO.Google Scholar
Department of Health (1995) Building Bridges: A Guide to Arrangements for Inter-Agency Working for the Care and Protection of Severely Mentally Ill people. London: Department of Health.Google Scholar
Clinical Standards Advisory Group (1995) Schizophrenia: Protocol for Assessing Services for People with Severe Mental Illness, vol. 2, p. 21. London: HMSO.Google Scholar
Corney, R. (1984) The effectiveness of attached social workers in the management of depressed female patients in general practice. Psychological Medicine, 14 (Monograph Suppl. 6), 1–47.Google Scholar
Cumella, S., Williams, R. & Sang, B. (1996) How mental health services are commissioned. In Commissioning Mental Heath Services (eds Thornicroft, G. & Strathdee, G.) pp. 59–69. London: HMSO.Google Scholar
Gournay, K. & Brooking, J. (1994) Community psychiatric nurses in primary health care. British Journal of Psychiatry, 165, 231–238.Google Scholar
Horder, J. (1988) Working with general practitioners. British Journal of Psychiatry, 153, 513–520.Google Scholar
Kendrick, T. (1994) Fundholding and commissioning general practitioners. Psychiatric Bulletin, 18, 196–199.Google Scholar
Kendrick, T., Burns, T., Freeling, P. et al (1994) Provision of care to general practice patients with disabling long-term mental illness: a survey in 16 practices. British Journal of General Practice, 44, 301–305.Google Scholar
Kingston and Richmond Multifund (1996) The Mental Health Project Report. Surbiton, Surrey: Kingston and Richmond Multifund.Google Scholar
McKee, M. & Clarke, A. (1985) Guidelines, enthusiasms, uncertainty, and the limits to purchasing. British Medical Journal, 310, 101–104.Google Scholar
NHS Executive (1996) NHS Psychotherapy Services in England: Review of Strategic Policy. London: Department of Health.Google Scholar
NHS Management Executive (1994) Developing NHS Purchasing and GP Fundholding: Towards a Primary Care-led NHS [EL(94)79]. London: Department of Health.Google Scholar
NHS Management Executive (1995) An Accountability Framework for GP Fundholding: Towards a Primary Care-Led NHS [EL(95)54]. London: Department of Health.Google Scholar
Pantellis, C., Taylor, J. & Campbell, P. (1988) The South Camden Schizophrenia Survey. An experience of community-based research. Bulletin of the Royal College of Psychiatrists, 12, 98–101.Google Scholar
Shapiro, J. (1996) Global commissioning by general practitioners. British Medical Journal, 312, 652–653.Google Scholar
Strathdee, G. (1990) Psychiatrists in primary care: the general practitioner viewpoint. Family Medicine, 5, 111–115.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.