Fundholding and prescribing

Fundholders with more modest prescribing history receive less recognition

EDITOR,--Jon S Dowell and colleagues report having achieved a saving in their drug budget of £137712, much of which has been used to benefit their patients and their premises.1 Their experience contrasts sharply with our experience of fundholding in the same health board area.

I work in a semirural practice that has five principals and 7800 patients. We embarked on fundholding in December 1991 as part of a pilot project among small practices. As the rules on list size for …