Future of purchasing

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6971.59b (Published 07 January 1995) Cite this as: BMJ 1995;310:59

Health authorities will have little power to implement strategies

  1. Naomi J Fulop
  1. Research fellow Department of Public Health and Policy, Health Services Research Unit, London School of Hygiene and Tropical Medicine, London WC1E 7HT

    EDITOR,—I cannot share Chris Ham's optimism that “reports of the death of health authorities may be premature.”1 Following the announcement by the secretary of state for health of the extension of the general practice fundholding scheme and the latest letter and accompanying booklet on the development of NHS purchasing from the NHS Executive,2 I am concerned that the death of health authorities seems fairly …

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