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:3/24/2017)... ... March 24, 2017 , ... Northridge ... now offering treatments for sleep apnea and TMJ at their office. TMJ, or ... , specifically the obstructive type, is increasingly being treated at dental offices with ...
(Date:3/24/2017)... ... March 24, 2017 , ... Viewers who like to educate ... historical facts, cultural practices, goods, services, and societal issues tend to appreciate and love ... the popular practice of utilizing running events for causes around the world. ...
(Date:3/24/2017)... ... March 24, 2017 , ... Judy Buchanan, ... Master in Frederick, MD. Judy says, “I am passionate about sharing Reiki as ... a very difficult and challenging time.” , A Certified Medical Reiki™ Master trained ...
(Date:3/24/2017)... ... March 24, 2017 , ... “Vintage and Harvest A Cultivation of Christian ... Bible teacher residing in North Carolina with his wife, Anna Marie. He and his ... six grandchildren. David is also the author of “Shadow and Substance.” , “Love, the ...
(Date:3/23/2017)... , ... March 23, 2017 , ... In 2016 the ... estimates that there could be four million Zika-related cases in the Americas within the ... numbers of US cases reported per year skyrocketing to an estimated 329,000. Yet, Zika, ...
Breaking Medicine News(10 mins):
(Date:3/23/2017)... , March 23, 2017 Ascendis Pharma ... innovative TransCon technology to address significant unmet medical needs ... host a conference call and webcast on Monday, April ... Endocrine Society in Orlando, Florida , ... pipeline candidates (TransCon Growth Hormone, TransCon PTH and TransCon ...
(Date:3/23/2017)... DIEGO , March 23, 2017  A ... fast and accurate identification of individuals who carry ... risk for a rare yet potentially deadly side ... and bipolar disorder.  The gene HLA-B*15:02 ... reactions such as Stevens-Johnson syndrome and toxic epidermal ...
(Date:3/23/2017)... Prima BioMed has presented encouraging ... IMP321 in combination with Keytruda, with one of the ... a complete response. Recruitment in the second cohort is ... fully recruited by Q317. Preliminary efficacy data from the ... are expected mid-year (recruitment in the 226-patient Phase IIb ...
Breaking Medicine Technology: