ArticleBMJ (Clinical research ed.)1994
Non-fundholding in Nottingham: a vision of the future.
Article in BMJ (Clinical research ed.), 1994. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
7 citing papers in PubMed.
- Primary care: core values developing primary care: gatekeeping, commissioning, and managed care.BMJ (Clinical research ed.) · 1998Article
- Primary care: choice and opportunity.BMJ (Clinical research ed.) · 1996Article
- Prescribing by general practitioner fundholders. Longer study shows that costs rise again after initial savings.BMJ (Clinical research ed.) · 1996Article
- What do we known about fundholding in general practice?BMJ (Clinical research ed.) · 1995Article
- General practice fundholding: time for a cool appraisal.The British journal of general practice : the journal of the Royal College of General Practitioners · 1995Article
- The future of purchasing.BMJ (Clinical research ed.) · 1994Article
- Opportunities for non-fundholders.BMJ (Clinical research ed.) · 1994Article
Corrections and comments
- Commented on by
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The 1991 health service reforms introduced the internal market and grave individual fundholding practices budgets with which they could attempt to secure preferential access to secondary health care for their patients. In the view of many doctors this undermined the principle of equity on which the NHS was founded. In Nottingham 200 non-fundholding general practitioners have joined together to act in liaison with their purchasing health authority. A committed representative group of general practitioners can collectively offer more time and knowledge to the contracting process while minimising the impact on clinical workload. As a large purchaser with low management costs the group has secured access to quality secondary care which is equitably available to all patients, preventing the development of a local two tier service. Nottingham's non-fundholding model of commissioning is equitable and efficient.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.