Budget holding in Calverton

Budget-holding: the answer to Australian primary care reform?

In common with other Organisation for Economic Cooperation and Development (OECD) countries, Australia is experiencing growth in expenditure on health care. However, while many other nations continue to pursue some variation of managed competition to address these problems, Australia has chosen a more incremental reform path, with initiatives such as the General Practice Strategy, restrictions ...

GP Budget Holding: Scoring a Bullseye or Missing the Target?

The New NHS: The Second Year

Nottinghamshire family health services authority serves a population of around a million people and so far eight of the 52 eligible practices have become budget holders. A further eight practices have joined the scheme this April, bringing the percentage of people in budget holding practices to 17% of the Nottinghamshire population. The Calverton practice was one of the first budget holding pra...

Shortfall of equipment for neonatal intensive care and the introduction of budget holding contracts.

As adequate allowance must be made for the costs of purchasing, maintaining, and updating equipment during the development of contracts the current standing of neonatal units with regard to available equipment was assessed. Data were collected as part of a one year prospective survey of the 17 perinatal units in the Trent region. Adequacy of provision of equipment for recognised intensive care ...

Primary care budget holding in the United Kingdom National Health Service: learning from a decade of health service reform.

1. The United Kingdom National Health Service (NHS) has experienced 10 years of primary care budget holding in a variety of forms. 2. Half of all general practitioners had joined the GP fundholding scheme by 1997, and many others had joined broader GP commissioning groups, but fundholders controlled only about 20% of the budget for hospital and community health services. 3. Research on fundhold...