Intended for healthcare professionals


Labour reveals plans to dismantle internal market

BMJ 1996; 313 doi: (Published 07 December 1996) Cite this as: BMJ 1996;313:1427

Cooperative groupings of GPs would be the key to dismantling the NHS internal market under a Labour government. Local commissioning by groups of general practices would replace both individual fundholding and the main purchasing role of health authorities.

Far from reversing its pledge to replace fundholding, as had been forecast, the Labour party has now supplied the details of how a collective system would operate—legislating, if necessary, in the first year of an incoming government. Labour's health spokesman, Chris Smith, in a policy speech this week, predicted that the move to locality …

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