Fund-holding and contracting for community nursing services: a selective review of the literature.
In the context of social, political and economic pressures fund-holding has been described as the 'wild card' in the Health Care Reforms in the United Kingdom of the 1990s. Set against an international drive to reform health care and increase the efficient and effective use of resources, fund-holding by general practice is seen as one means of enhancing the contribution of a primary care led National Health Service (NHS). It is advocated that a primary care led NHS will enhance and strengthen the position of nursing in the health care context. In order to fully exploit such a position it is argued that primary care nurses must adopt a systems view, recognizing broader strategic issues upon which to base marketing approaches to the contracting process.
University of Central Lancashire and Guild Community NHS Trust, Preston, England.
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D003152:Community Health Nursing / Q000191:economics*; D003284:Contract Services; D005194:Family Practice / Q000191:economics*; D018166:Health Care Reform; D006801:Humans; D008389:Marketing of Health Services; D006113:United Kingdom