Primary Care Groups: Trade-Offs in Managing Budgets and Risk

Posted: 25 Aug 2000

See all articles by Kate Baxter

Kate Baxter

University of Bristol - Department of Social Medicine

Max Bachmann

University of the Free State

Gwyn Bevan

London School of Economics & Political Science (LSE)

Abstract

The NHS reforms introduced on 1 April 1999 were intended to remove competition and promote co-operation in the delivery of health care. This was to be achieved in part by the development of joint working by groups of General Practitioner (GP) practices covering populations of around 100,000-known as Primary Care Groups (PCGs). A key element is the integration of responsibility for managing both the clinical and financial aspects of delivering health care. The authors report on the success of this new joint role, based on findings from a national survey. There are trade-offs in choosing the scale at which to encourage GPs to take on their new roles. Smaller groups will be better able to integrate practices's clinical and financial responsibilities, while larger groups will have less financial risk due to random variation.

JEL Classification: I11, I12

Suggested Citation

Baxter, Kate and Bachmann, Max and Bevan, Gwyn, Primary Care Groups: Trade-Offs in Managing Budgets and Risk. Available at SSRN: https://ssrn.com/abstract=234562

Kate Baxter (Contact Author)

University of Bristol - Department of Social Medicine ( email )

Canynge Hall
Whiteladies Road
BRISTOL BS8 2PR
UNITED KINGDOM
0117 9287348 (Phone)

Max Bachmann

University of the Free State

PO Box 339
Department of Community Health
Bloemfontein 9300
SOUTH AFRICA

Gwyn Bevan

London School of Economics & Political Science (LSE) ( email )

Houghton Street
London, WC2A 2AE
United Kingdom

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