RECENT FINANCIAL AND ACCOUNTABILITY CHANGES IN GENERAL PRACTICE: AN UNHEALTHY INTRUSION INTO MEDICAL AUTONOMY? |
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| Authors: | Richard Laughlin Jane Broadbent David Shearn |
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| Affiliation: | The authors are from Sheffield University Management School, University of Sheffield. They would like to thank Peter Armstrong, Irvine Lapsley, David Hannay, Tim Usherwood (the latter two being respectively Professor and Senior Lecturer in General Practice at the University of Sheffield), Paul Harvey and Penny Harvey (both practising GPs) for their thoughtful, helpful and supportive comments on a previous draft of the paper. The authors would also like to thank participants at the Third Interdisciplinary Workshop on Changing Notions of Accountability in the UK Public Sector in December 1991, for their helpful, critical comments at the presentation of a previous draft of this paper. Despite all this assistance the responsibility for any omissions and errors lie solely with the authors. |
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| Abstract: | ![]()
Recently General Medical Practice has been inundated with a range of financial and accountability changes. These imposed changes have been welcomed with considerable resentment by General Practitioners (GPs hereafter). This paper explores some of the key historical and contextual reasons for this resentment. The conclusion is that it is traceable to firstly, the nature of these reforms, which are seen as irrelevant at best or, at worst, run counter to the values and concerns of GPs, and secondly, and related to this, to the perceived inappropriate intrusion into medical autonomy by a Government whose forbears were previously enabling such freedom. |
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