Choice and Contestability in Primary Care

This paper by the SMF's Health Commission, examines the case for introducing certain kinds of choice into the primary care sector of the NHS.

It describes the evolution of the current Primary Care Trust (PCT) structure of primary care and the reasons for thinking that it is theoretically possible for PCTs to improve the quality and cut the costs of service. It also presents the case for allowing GP practices to choose the PCT to which they wish to belong, explains how this system could operate in practice and considers the limitations of such a system.

Download The Report: PDF

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