And plans to devolve budgets from trusts to family GPs is a Labour version of the Tories' derided GP fundholder
scheme, say opponents.
Thirdly, the quasi-market has been criticised on equity grounds for leading to a two-tier service favouring GP fundholder
patients at the expense of the patients of the non-fundholders.
They have now told Hannah's family doctor that they can no longer afford to pay, and he must foot the bill because he is a GP fundholder
. In turn, the doctor says he has no budget for cases like Hannah's.
The second, which we call the GP fundholder
market, is one in which GP fundholders
in their role as agents for patients purchase health services on their behalf.
He said: "I was a reluctant GP fundholder
. But then I found out that fundholding did give me some power to be a better advocate for my patients and in getting treatment for them properly.
Upon their election success of 1997, one of the government's first attempts at NHS change was in the area of primary care with the formation of Primary Care Groups (now Primary Care Trusts) that amalgamated GP fundholders
together in an attempt to reintegrate general practitioners back into primary care systems, and also to bridge barriers between health and social care delivery.
Mr Naylor said changes in the GP system had caused problems because in the past the trust had balanced its books by taking on additional work from GP fundholders
. This was not now possible.
But Warwickshire Health Authority and the groups have inherited the debts previously accumulated by GP fundholders
in the county.
Health Secretary Frank Dobson will ban GP fundholders
from getting their patients preferential treatment by buying places on hospital waiting lists.
Under Tory rules, patients of opt-out GP fundholders
were often able to leap to the front of queues for treatment.
One element of this strategy was the creation of GP fundholders
who are given budgets with which to purchase a range of healthcare services for their patients.
What also can not be overlooked is the role of GPs, and specifically GP fundholders
. The numbers and range of influence of GP fundholders
is growing and the recent review of fundholding, initiated by Dr Mawhinney as Minister for Health, will extend that influence even further.