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Related Experiment Videos

Fundholding: a two tier system?

J Bain1

  • 1Tayside Centre for General Practice, Dundee.

BMJ (Clinical Research Ed.)
|August 6, 1994
PubMed
Summary
This summary is machine-generated.

Fundholding general practices in Nottinghamshire reduced outpatient waiting times and enhanced community services. While prescribing costs remained low, increased patient demand led to a 15% rise in GP workload.

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Area of Science:

  • Health Services Research
  • Primary Care Management
  • Healthcare Economics

Background:

  • Fundholding, a UK primary care initiative, allows general practices to manage their budgets.
  • The Calverton practice is one of 30 fundholding practices in Nottinghamshire.
  • Three years post-inception, fundholding's impact on service delivery and costs is under evaluation.

Purpose of the Study:

  • To assess the impact of general practice fundholding on outpatient waiting times.
  • To evaluate changes in district nursing and health visiting services under fundholding.
  • To analyze prescribing costs and overall practice workload within a fundholding model.

Main Methods:

  • Comparative analysis of outpatient waiting times between fundholding and non-fundholding practices.

Related Experiment Videos

  • Evaluation of district nursing and health visiting service provision.
  • Monitoring of prescribing costs against national averages.
  • Assessment of general practitioner workload changes.

    • Main Results:

    • The Calverton fundholding practice demonstrated lower outpatient waiting times compared to non-fundholding practices.
    • District nursing and health visiting services were strengthened.
    • Prescribing costs remained below the national average.
    • General practitioner workload increased by 15% due to increased patient demand and specialist clinics.

    Conclusions:

    • Fundholding can lead to improved efficiency in specialist clinic access.
    • Practices can enhance community-based services through fundholding.
    • Increased patient demand and service provision under fundholding can raise GP workload.
    • The development of a non-fundholders' group highlights ongoing regional efforts for equitable secondary care access.