The Health service journal
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The poor image of NHS management is largely undeserved. The greatest expansion in the number of managers took place before the introduction of the internal market. Many of the white paper proposals, including the establishment of primary care groups, suggest a substantial bureaucracy.
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The white paper proposal to fund primary care groups according to a set formula is beset with difficulties. At present there appears to be no suitable formula for allocating funds at sub-district level. Applying to primary care the national formula now used to allocate funds to health authorities would change current spending considerably and could lead to greater inequities.