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General practitioners in England need to understand its implications
| The first 150 words of the full text of this article appear below. |
In today's BMJ Rice and colleagues
describe the derivation of a formula for allocating prescribing budgets
to health authorities and primary care groups in England
(p 284).1 The formula is based on the most comprehensive
analysis of general practice prescribing costs so far and
despite
criticisms such as those outlined by Baines et al on
p 2882
is likely to be the best available for the
foreseeable future. The new formula will be used to help set target
allocations and has several important implications.
Firstly, the new formula represents a major change in the methods
used to allocate NHS budgets. The various formulas currently used have
four main components: a population count; weightings for age and sex;
measures of health need; and a component for unavoidable factors. The
most important is the population count. Traditionally the population
counts have been the estimated resident population for each health
authority. The