title: Primary care. Ending in tiers.
abstract: Although there are many examples of fundholders' patients enjoying better access than those of non-fundholders, systematic studies comparing access between the two groups are lacking. An early end to two-tierism while the internal market exists, could have serious implications for the quality of existing services and the stability of trusts. Locality commissioning may be a way to ensure equity, while avoiding an over-centralised approach.
authors.affiliation: Trent Regional Office, NHS, UK.
authors.forename: N
authors.initials: N
authors.lastname: Salfield
mesh_terms: D003284:Contract Services / Q000191:economics; D005069:Evaluation Studies as Topic; D005194:Family Practice / Q000191:economics / Q000458:organization & administration*; D006297:Health Services Accessibility; D011320:Primary Health Care; D012935:Social Justice; D013222:State Medicine / Q000458:organization & administration* / Q000592:standards; D006113:United Kingdom