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:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... Conventional wisdom ... of success. In terms of the latter, setting the bar too high can result ... more than just slow progress toward their goal. , Research from PsychTests.com ...
(Date:6/24/2016)... ... June 24, 2016 , ... Marcy was in a crisis. Her son James, eight, was ... his family verbally and physically. , “When something upset him, he couldn’t control his emotions,” ... He would throw rocks at my other children and say he was going to kill ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... Comfort Keepers® ... American Cancer Society and the Road To Recovery® program to drive cancer patients to ... and other adults to ensure the highest quality of life and ongoing independence. ...
(Date:6/24/2016)... ... June 24, 2016 , ... ... to recognize Dr. Barry M. Weintraub as a prominent plastic surgeon and the ... in the world, and the most handsome men, look naturally attractive. Plastic surgery ...
(Date:6/24/2016)... , ... June 24, 2016 , ... Venture Construction ... Classic Tournament held on June 20th at the Woodmont Country Club at 1201 ... Wings, an organization dedicated to helping service members that have been wounded in battle ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... -- Research and Markets has announced the addition ... report to their offering. ... The World Market for Companion Diagnostics covers the world ... in the report includes the following: , ... by Region (N. America, EU, ROW), 2015-2020 , World ...
(Date:6/24/2016)... , Belgium , June 24, ... VNRX), today announced the appointment of Dr. ... Directors as a Non-Executive Director, effective June 23, ... Audit, Compensation and Nominations and Governance Committees.  As ... Futcher will provide independent expertise and strategic counsel ...
(Date:6/23/2016)... , June 23, 2016 Research ... Devices Global Market - Forecast to 2022" report to ... the treatment method for the patients with kidney failure, it ... excess fluid from the patient,s blood and thus the treatment ... potassium and chloride in balance. Increasing number ...
Breaking Medicine Technology: