When it came to power in 1997 the Labour government committed to reducing health inequalities, and made extra funding available to those primary care trusts (PCTs) in areas of the country with the worst health and deprivation indicators (Spearhead areas). The General Medical Services contract introduced a pay-for-performance scheme known ...
This is an overall response and reflection on the White Paper Healthy Lives, Healthy People (Department of Health 2010) and the associated consultations on the outcomes framework and commissioning and funding mechanisms. We welcome the opportunity to respond to the Department’s proposals in the spirit of improving them further and ...