Can general practitioner commissioning deliver equity and excellence? Evidence from two studies of service improvement in the English NHS

Journal of Health Services Research & Policy, 05/15/2012

This paper questions the assumption that GPs are best placed to commission health services in a way that meets quality standards and leads to equitable outcomes. There is little evidence to suggest that GPs will succeed where others have failed and a risk that, without top–down performance management, service improvement will be patchy, leading to greater, not reduced, inequity.

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