This paper will concentrate on the use of technology in general practice rather than in primary care as a whole. The following items are discussed in turn: basic medical equipment, minor surgery, diagnostic technology and information technology. The results of a study of the use of fundholding...

For most individuals, the use made of health care in a given year is determined principally by unpredictable random incidents. Of course, some individuals have a predictably higher predisposition to illness than others. However, the general consensus is that only a fraction of individual...

The concept of skill mix is widely recognised in the vocabulary of the National Health Service (NHS) workforce but because of its complexity is understood, elusive to define and therefore difficult to measure. Many issues surround the concept of skill mix, some of which are concepts in their own...

Two remarkable aspects of the Thatcher ‘internal market’ reforms of the NHS were the focus on creating a market for hospital services and the way in which primary care was treated almost peripherally in the 1989 White Paper (Department of Health 1989a). The 1991 NHS reforms introduced...

Despite its potentially profound repercussions, the general practitioner fundholding scheme has received relatively little attention from researchers. We provide here a theoretical foundation for empirical studies of fundholding. We begin by reviewing the incentives of the fundholding scheme....