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Related Experiment Videos

Primary care. On the mend?

Alexis Nolan

    The Health Service Journal
    |March 25, 2005
    PubMed
    Summary
    This summary is machine-generated.

    Alternative provider contracts are changing how primary care trusts tender services. Private companies are seeing increased success, securing half of out-of-hours contracts and some prison and general practice wins.

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    Area of Science:

    • Healthcare Management
    • Public Health Policy
    • Contracting and Procurement

    Background:

    • Alternative provider medical services (APMS) contracts are a key mechanism for primary care trusts (PCTs) to engage external providers.
    • Historically, private companies have experienced variable success in securing these contracts.
    • Innovation in tendering processes by PCTs is influenced by the APMS framework.

    Purpose of the Study:

    • To analyze the evolving landscape of private sector involvement in primary care service delivery under APMS contracts.
    • To assess the recent trends in contract awards to private companies by primary care trusts.
    • To identify shifts in the success rates of private companies bidding for healthcare contracts.

    Main Methods:

    • Analysis of contract award data for primary care services under APMS rules.

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  • Review of tendering practices employed by primary care trusts.
  • Examination of contract wins by private companies in out-of-hours, prison, and general practice settings.

    • Main Results:

    • Approximately 50% of all out-of-hours contracts are now operating under APMS rules.
    • Private companies have achieved a notable increase in securing APMS contracts.
    • Specific successes include wins in the prison healthcare sector and general practice.

    Conclusions:

    • The contracting environment for alternative providers in primary care is shifting favorably for private companies.
    • APMS contracts are increasingly being awarded to private sector entities.
    • PCTs' innovative tendering strategies appear to be correlating with greater private sector engagement and success.