Audit Commission says fundholders could do better

BMJ 1996; 312 doi: (Published 25 May 1996) Cite this as: BMJ 1996;312:1317

Benefits to patients may not justify the cost of general practitioner fundholding, according to a report published by the Audit Commission this week. The report criticises fundholders for lack of evidence based decision making, failure to maximise their influence to improve services, and poor management.

The report highlights the widespread failure to collect accurate data and use them to inform practice. Only a third of fundholders surveyed, for example, said that the literature on evidence based …

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