Use of capitation formulas for primary care groups could result in chaos

BMJ 1998; 317 doi: https://doi.org/10.1136/bmj.317.7152.210b (Published 18 July 1998) Cite this as: BMJ 1998;317:210
  1. Yvonne Baker, Information services manager.
  1. Warwickshire Health Authority, Warwick CV34 4DE

    EDITOR–Bevan is right in asserting that it will not be possible to have both clinical and financial equity for the new primary care groups.1 In Warwickshire the locality budgeting working party (a group of general practitioners and health authority staff) has attempted to determine unified budgets for five localities; these budgets would incorporate hospital and community services, prescribing, and cash limited general medical services.

    Budgets based on historical activity were calculated with 1996-7 outturn applied to 1997-8 contract values; …

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