We use cookies to ensure that we give you the best experience on our website. You can change your cookie settings at any time. Otherwise, we'll assume you're OK to continue.


View Profile

Publication details for Professor Ian Greener

Greener, I. & Mannion, R. (2008). Will Practice-based Commissioning in the English NHS Resolve the Problems Experienced by GP Fundholding? Public Money and Management 28(4): 231-238.

Author(s) from Durham


Labour's new approach to primary health care, based around the policy of practice-based commissioning, has considerable potential for learning from the general practitioner fundholding reforms put in place by the Conservative governments of the 1990s. However, practice-based commissioning seems to repeat many of the same problems as the earlier policy. Despite the increased scope for GPs to make a significant difference to the shape of local health economies because of the incentives and opportunities offered by payment by results and patient choice reforms, the potential problems of practice-based commissioning threaten the reform's viability and long-term success.