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The irony is that Payment by Results replaced the block contract for secondary care just as the Red Book activity based payments were reduced and the payment of GPs shifted to a more capitation based system. After a number of years involvement in various forms of commissioning (from Total Purchasing onwards) PbR is a major blocker
No competing interests
23 September 2015
Gleadless Medical Centre, 636 Gleadless Road, Sheffield, S14 1PQ