Total Purchasing: A Model for Locality CommissioningBMJ 1996; 313 doi: https://doi.org/10.1136/bmj.313.7057.634 (Published 07 September 1996) Cite this as: BMJ 1996;313:634
- William A Warin
Ed Rod Smith, Frank Butler, Mike Powell Radcliffe, £18.50, pp 144 ISBN 1 85775 146 9
Rod Smith and his colleagues at the Berkshire Integrated Purchasing Pilot have seized the opportunities offered by total purchasing to give some real meaning to the overused and underdefined phrase “a primary care led NHS.” Total Purchasing describes their experience from the viewpoint of general practitioners, the health authority, trusts, social services, and academics concerned with the evaluation of total purchasing pilot schemes. A brief account of another pilot in Wiltshire and Bath is included.
Total purchasing offers fundholding practices the opportunity to extend their purchasing to cover virtually all services for their patients. Standard fundholding covers about 20% …