Intended for healthcare professionals

Letters Shortage of general practitioners

Capitation based funding of general practice is not fit for purpose

BMJ 2017; 358 doi: https://doi.org/10.1136/bmj.j4075 (Published 06 September 2017) Cite this as: BMJ 2017;358:j4075
  1. David Shepherd, GP and Leicester City CCG Board Member
  1. Saffron Health, Leicester LE2 6UL, UK
  1. daveshep{at}nhs.net

I disagree with Majeed’s call for activity based funding for primary care, which would be a backwards step, ditching an important driver of cost effectiveness.1

He rightly says that this would be more expensive, but there are more fundamental problems. The current capitation based funding is not fit for purpose, for two reasons—the level of funding is inadequate, as many have …

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