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One fundholder said that within five years he expected to see practices controlling every aspect of health care.
For me however, the biggest eye opener was when I joined the fundholder group in Grampian and their meetings with the provider units.
The GP practices had significant Fundholder savings which they were prepared to devote to the project.
Doctors in my view are medics first and fundholder and NHS planners second.
When asked how they thought patients had responded to the practice becoming a fundholder, 25 (71%) general practitioners replied 'neutrally.'
Until it's a regulatory requirement that voting rights have to pass to the ultimate owner of the shares (i.e. the fundholder), the problem will remain.
Nearly half of all referrals from the latter practice (a fundholder) went to private clinics, but this proportion remained unchanged between the two phases of the study.
Even though Dr. Vann's practice has not applied to become a fund-holding practice you mentioned the GP fundholder brochure which, while mentioning the 50 per cent.
They were there to discuss setting up 'a general fund for securing provisions to widows, sisters and other female relatives' of fundholders so that they would not be plunged into poverty on the death of the fundholder during and after the Napoleonic Wars.