• J Ambul Care Manage · Jul 2012

    The commissioning reforms in the English National Health Service and their potential impact on primary care.

    • Felix Greaves, Matthew Harris, Nick Goodwin, and Anna Dixon.
    • Department of Primary Care and Public Health, Charing Cross Campus, Imperial College London, London, United Kingdom. felix.greaves08@imperial.ac.uk
    • J Ambul Care Manage. 2012 Jul 1; 35 (3): 192-9.

    AbstractReform of the National Health Service in England will increase power and responsibility for family doctors. They will have a larger role in planning and buying health care including control of substantial budgets. This article examines the likely implications of the proposed reforms for primary care, and in particularly for family doctors. This article considers the effect of the new clinical role in commissioning health care, changes to the accountability structures, and the effect on competition and integration within health services. It also considers the effect of new financial incentives and the possibility of creating conflicts of interest.

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