The abolition of the GP fundholding scheme: a lesson in evidence-based policy making

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Title The abolition of the GP fundholding scheme: a lesson in evidence-based policy making
Author Kay, Adrian
Journal Name British Journal of General Practice
Year Published 2002
Place of publication London
Publisher Royal Society of General Practitioners
Abstract The general practitioner (GP) fundholding scheme was introduced as part of the Conservative government's 1991 National Health Service reforms and abolished by the Labour government in 1998. This paper contends that the scheme was introduced and abolished without policy-makers having any valid evidence of its effects. In particular, it focuses on the salient features of the decision to abolish. These were: (a) that it was not based on evidence; (b) that it came relatively soon after the introduction of the scheme; and (c) the GP fundholding scheme was voluntary and increasing numbers of GPs were being recruited. The overtly political nature of the introduction of GP fundholding is already well documented and is important in understanding the lack of evidence involved in the development of the fundholding scheme.
Peer Reviewed Yes
Published Yes
Volume 52
Issue Number 475
Page from 141
Page to 144
ISSN 0960-1643
Date Accessioned 2006-07-21
Date Available 2008-02-14T08:21:26Z
Language en_AU
Faculty Griffith Business School
Subject Public Policy
URI http://hdl.handle.net/10072/16821
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1x

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