TITLE

TO WHAT EXTENT COULD LOCAL GENERAL PRACTITIONERS COMMISSIONING HELP INCREASE THE EFFECTIVENESS OF NHS AT PRIMARY CARE? A META-ETHNOGRAPHIC STUDY IN THE UK

AUTHOR(S)
Regmi, Krishna; Bone, Anthony; McGowan, Fiona
PUB. DATE
September 2011
SOURCE
American Journal of Health Studies;2011, Vol. 26 Issue 3, p160
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
There have been clear policy themes in the development of primary care in the last two decades. Devolving decision-making power using localised purchasing has developed into commissioning, making health service providers part of a competitive market-based service with a user-driven approach, whilst protecting service standards through bottom-up planning and a vigorous quality system: these are the main tried and tested strategies in health systems reform across the world. More recently the UK coalition government announced in its White Paper (Department of Health (DH), 2010a, 2010b) that local general practitioners (GPs) will be given responsibility for taking these policies on to the next stage with devolved National Health Service (NHS) budgets (�80bn) given to GP consortia whereby GPs would be at the centre of commissioning nearly all healthcare services, with the important aim of producing a major impact on public health and health inequalities. This paper examines the effectiveness of local GP commissioning in improving primary care services in the UK NHS using meta-ethnographic analysis, an interpretative qualitative research approach, and review of the relevant published evidences. The evidence on GP commissioning is positive but limited and its effectiveness cannot be predicted with great certainty largely due to insufficient data on services provision, lack of commissioning skills analysis and the continuous changes in government policies. This paper concludes that local commissioning of health services should best address people's health in the community.
ACCESSION #
67310839

 

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