Mary Hawking <[log in to unmask]> writes
>we seem to be being pushed towards a model of "primary led purchasing"
>at a very local level, and I need to know - urgently - whether the same
>is happening in other parts of the country.
You perhaps need to clarify a bit. ALL health Authorities have been
encouraged for years to push for practice based purchasing, ie
fundholding. I wonder if it is that your HA is pushing for "locality
commissioning", whereby groups of practices work together with the HA to
determine purchasing decisions?
Certainly in Avon, all practices are part of one of thirteen
"localities" covering the whole HA area. This has been pushed mainly by
practices and the LMC, with support and encouragement from Avon HA.
--
Jon Rogers Tel: 44 117 950 7100
Southmead Health Centre Fax: 44 117 944 5498
Bristol BS10 6DF UK e-mail: [log in to unmask]
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