Fundholders should form wider partnershipsNew medical training committee will have more GPsHealth minister threatens future of nurses' review bodyParliament comments on NHS trusts' financial managementBMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6991.1414 (Published 27 May 1995) Cite this as: BMJ 1995;310:1414
- Linda Beecham
Fundholders should form wider partnerships
The NHS Executive is calling for stronger partnerships between health authorities and general practitioners and between these and other agencies within and outside the NHS. In An Accountability Framework for GP Fundholding (EL(95)54), which is the result of consultation on a document issued in December 1994 (BMJ 1994;309:1664), the executive sets out how effective partnerships can be developed.
Through the requirements for general practitioner fundholder management accountability the framework provides a means for health authorities and doctors to work together to implement local strategies for health and service improvements. Health authorities should consult and secure the agreement of all general practitioners and not just fundholders over local plans for community care and eligibility criteria for continuing care.
The framework encourages the involvement of primary health care teams and NHS trusts in practice led purchasing and service planning and it sets out fundholders' requirements to publish key documents and encourages the participation of patients in service planning.
The document sets out the key requirements expected of fundholders. They should prepare an annual practice plan, signal major shifts in purchasing intentions, prepare an annual performance report, and review performance with the health authority within the national framework.
To be accountable to patients and the wider public fundholders should publish information—for example, in the annual practice plan—involve patients in service planning, and ensure an effective complaints system.
To ensure financial accountability fundholders should prepare annual accounts for independent audit, provide monthly information for monitoring by the health authority, secure agreement to proposed use of savings for material or equipment purchases, and state how they …