Siriwardena, A Niroshan (2007) Commissioning for quality. Quality in Primary Care, 15 (6). pp. 323-324. ISSN 1479-1072

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Abstract

Practice-based commissioning (PBC) is no longer the new kid on the block of NHS reform. A direct descendant of the purchaser–provider split conceived by Margaret Thatcher and Alan Enthoven as part of the market reforms of the 1990s, referred to in earlier policy documents and developed in the White Paper on community care, Our health, our Care, our Say it is nevertheless a move towards greater partnership and patient centredness in health care. Whereas general practice (GP) fundholding encouraged individual entrepreneurialism which subsequent primary care groups and trusts were never able to match, PBC, by working directly at the coalface of primary care, does have the potential to lead to rapid transformation more widely.

Item Type:	Article
Additional Information:	Practice-based commissioning (PBC) is no longer the new kid on the block of NHS reform. A direct descendant of the purchaser–provider split conceived by Margaret Thatcher and Alan Enthoven as part of the market reforms of the 1990s, referred to in earlier policy documents and developed in the White Paper on community care, Our health, our Care, our Say it is nevertheless a move towards greater partnership and patient centredness in health care. Whereas general practice (GP) fundholding encouraged individual entrepreneurialism which subsequent primary care groups and trusts were never able to match, PBC, by working directly at the coalface of primary care, does have the potential to lead to rapid transformation more widely.
Keywords:	general practice, Practice-based commissioning, commissioning, purchasing, quality improvement, primary care
Subjects:	B Subjects allied to Medicine > B990 Subjects Allied to Medicine not elsewhere classified A Medicine and Dentistry > A300 Clinical Medicine
Divisions:	College of Social Sciences > Faculty of Health & Social Sciences > Lincoln School of Health & Social Care
Depositing User:	Alison Wilson
Date Deposited:	28 Sep 2010 16:28
Last Modified:	13 Mar 2013 08:47
URI:	http://eprints.lincoln.ac.uk/id/eprint/3380

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