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Disinvestment in health— the challenges facing general practitioner (GP) commissioners

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  • Suzanne Robinson
  • Helen Dickinson
  • Tim Freeman
  • Iestyn Williams

Abstract

The economic downturn is placing increasing pressure on the financing of health care. For many health care providers, this means difficult decisions need to be made over what will and will not be funded. The NHS has not typically been good at decommissioning and disinvesting in services. The recent proposed changes to the commissioning function will mean that clinicians will have a leading role in population-based priority-setting. This could well enhance the quest for legitimacy in relation to difficult resource allocation decisions. However, it is unlikely that GPs alone will be able to meet the challenges ahead, and reasonable disinvestment decisions will require GPs to engage with a number of stakeholders including government, interest groups and the wider civic society.

Suggested Citation

  • Suzanne Robinson & Helen Dickinson & Tim Freeman & Iestyn Williams, 2011. "Disinvestment in health— the challenges facing general practitioner (GP) commissioners," Public Money & Management, Taylor & Francis Journals, vol. 31(2), pages 145-148, March.
    • Handle: RePEc:taf:pubmmg:v:31:y:2011:i:2:p:145-148
    DOI: 10.1080/09540962.2011.560714
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    References listed on IDEAS

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    1. Daniels, Norman & Sabin, James E., 2008. "Setting Limits Fairly: Learning to share resources for health," OUP Catalogue, Oxford University Press, edition 2, number 9780195325959.
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    1. Rotteveel, Adriënne H. & Lambooij, Mattijs S. & van Exel, Job & de Wit, G. Ardine, 2022. "To what extent do citizens support the disinvestment of healthcare interventions? An exploration of the support for four viewpoints on active disinvestment in the Netherlands," Social Science & Medicine, Elsevier, vol. 293(C).
    2. Rotteveel, A.H. & Reckers-Droog, V.T. & Lambooij, M.S. & de Wit, G.A. & van Exel, N.J.A., 2021. "Societal views in the Netherlands on active disinvestment of publicly funded healthcare interventions," Social Science & Medicine, Elsevier, vol. 272(C).
    3. Rooshenas, Leila & Owen-Smith, Amanda & Hollingworth, William & Badrinath, Padmanabhan & Beynon, Claire & Donovan, Jenny L., 2015. "“I won't call it rationing…”: An ethnographic study of healthcare disinvestment in theory and practice," Social Science & Medicine, Elsevier, vol. 128(C), pages 273-281.
    4. Garpenby, Peter & Nedlund, Ann-Charlotte, 2016. "Political strategies in difficult times – The “backstage” experience of Swedish politicians on formal priority setting in healthcare," Social Science & Medicine, Elsevier, vol. 163(C), pages 63-70.
    5. Robinson, Suzanne & Williams, Iestyn & Dickinson, Helen & Freeman, Tim & Rumbold, Benedict, 2012. "Priority-setting and rationing in healthcare: Evidence from the English experience," Social Science & Medicine, Elsevier, vol. 75(12), pages 2386-2393.

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