When it came to power in 1997 the Labour government committed to reducing health inequalities, and made extra funding available to those primary care trusts (PCTs) in areas of the country with the worst health and deprivation indicators (Spearhead areas). The General Medical Services contract introduced a pay-for-performance scheme known ...
While the principles behind resource allocation in the English NHS have changed little since the mid-1970s, the NHS has changed considerably. This paper argues that the resource allocation system needs to change accordingly.
This report outlines the challenges faced by general practice in London and the improvements needed in order to address them. The report is aimed at those who have a role in leading quality improvement in primary care, namely GPs working in London and leaders of primary care providers, clinical commissioning ...