Letters
The future of fundholding
EDITOR,--An important issue that Chris Ham and Jonathan Shapiro omit from their list of concerns about the government's policy for developing fundholding is the importance of fundholders in the development of strategy, either national or local.1 If the government wishes to see a primary care led NHS then clearly the involvement of general practitioners, both fundholders and non-fundholders, in the development of strategy is crucial. This is highlighted by the publication of a report on cancer by an expert advisory group.2 Similarly, at a local level general practitioners need to help to map out the future of services in their area.
Our experience in involving general practitioners in developing strategy has shown two difficulties. Firstly, strategic thinking is foreign to many general practitioners. This is understandble as the essence of general practitioners' role is dealing with the "here and now" rather than thinking five to 10 years ahead. General practitioners'
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- The future of fundholding
- Chris Ham and Jonathan Shapiro
BMJ 1995 310: 1150-1151.[Extract] [Full Text]
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