Navigation Links
Care reforms raise concerns over patient access to GP services
Date:9/7/2007

GP services could be compromised by new provisions enabling commercial companies to provide primary care through locally negotiated contracts, researchers warn.

A study, led by the Centre for International Public Health Policy at the University of Edinburgh, cautions that, as a result of changes to how contracts are drawn up, GPs are no longer bound to provide patients with integrated and comprehensive services.

The research, carried out in collaboration with the University of Glasgow and published in the British Medical Journal, focuses on changes made in 2003 to general medical services contracts, which open up GP provision to private companies across the UK.

It states that GPs have a reduced control over the range of services provided, with contractors - including the commercial sector - now responsible for providing services appropriate to meet the reasonable needs of patients.

Professor Allyson Pollock, of the Centre for International Public Health Policy at the University of Edinburgh, said: The threat, which comes from allowing GP services to be opened up to private companies, has been played down by governments in England, Scotland and Wales. Government argues that GP practices have always been small businesses. However, this argument overlooks the loss of strong public and professional controls and the commercialisation that has been introduced under the latest reforms.

Under the new contracts the commercial sector has an enormous amount of flexibility to reduce and change the level of service provision. The concern is that when the commercial sector is providing services, profits and the needs of shareholders come before those of the patients. Research in the US shows that the commercialisation of health care is accompanied by loss of professional autonomy and reductions in standards and quality of care and access.

The researchers warn that nationally agreed frameworks for pay and conditions also may not be adhered to because commercial primary care providers have the freedom to manage financial risk by restructuring staff costs and thereby reduce levels and quality of provision.

In the UK, there are more than 30 commercial corporations now delivering GP services through commercial contracts.

Professor Pollock said: The commercialisation of GP services will further erode fairness in the system. All of these changes amount to a loss of public accountability and government control and that is very worrying for the public and for patients. The legislation which introduced the new GP contract should be reviewed as a matter of urgency, especially in Scotland and Wales where health is devolved and where governments are choosing to eschew markets in health care.


'/>"/>

Contact: Tara Womersley
tara.womersley@ed.ac.uk
01-316-509-836
University of Edinburgh
Source:Eurekalert

Related medicine news :

1. Reforms Required With Regard To Mental Health Facilities
2. An urgent need for prison reforms: California!
3. NHS Dentistry Would Worsen After the New Reforms
4. Indian American Doctor Wants Healthcare Reforms
5. Indian American Doctor Wants Healthcare Reforms
6. Foster: Make Way to the New Hospital Reforms
7. NHS reforms not benefiting patients
8. Stagnant IMR calls for improved health sector reforms
9. Reforms Suggested By TN Doctors’ Foru
10. Manmohan Calls for Statistical Reforms in Healthcare and Education
11. Comprehensive Reforms to Move Toward Patient-Centered Care
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... , ... October 13, 2017 , ... ... serving communities in the greater Dallas, Miami, and Raleigh regions, is organizing an ... to overcome a rare and deadly chromosome abnormality. , After struggling since birth ...
(Date:10/13/2017)... ... October 13, 2017 , ... ... certification process to promote standards of excellence for the field of eating disorders, ... March 22 – 25, 2018 in Orlando, Florida at the Omni Resort at ...
(Date:10/13/2017)... LUIS OBISPO, Calif. (PRWEB) , ... October 13, 2017 , ... ... Alzheimer’s or dementia. However, many long-term care insurance companies have a waiver for care ... is the 90-day elimination period, when the family pays for care, is often waived, ...
(Date:10/13/2017)... ... October 13, 2017 , ... Talented host, ... lowdown on sciatica in a new episode of "Success Files," which is an ... and innovation and investigates each subject in-depth with passion and integrity. , Sciatica ...
(Date:10/12/2017)... ... October 12, 2017 , ... CitiDent and San Francisco dentists, ... cutting-edge Oventus O2Vent technology. As many as 18 million Americans are estimated to ... breathing. Oral appliances can offer significant relief to about 75 percent of people ...
Breaking Medicine News(10 mins):
(Date:10/11/2017)... , Oct. 11, 2017  BioPharmX Corporation (NYSE MKT: ... that developed an innovative way to use nonlinear optical ... delivery of new drugs. ... Dermatology Conference will show how researchers from BioPharmX and ... Medical School used a suite of imaging techniques in ...
(Date:10/10/2017)... Pa. , Oct. 10, 2017   West ... in innovative solutions for injectable drug administration, today shared ... West,s ID Adapter for improving the intradermal administration of ... Fourth Skin Vaccination Summit in May 2017 by Dr. ... Lead, Polio Department, World Health Organization (WHO), and recently ...
(Date:10/4/2017)... Oct. 4, 2017 OBP Medical ... illuminating medical devices, today announced regulatory approval from ... Agency (or Agência Nacional de Vigilância Sanitária (ANVISA)) ... cordless surgical retractor with integrated LED light source ... illumination and exposure of a tissue pocket or ...
Breaking Medicine Technology: