Purchaser Provider Relationships and Innovation: A Case Study of GP Purchasing in Glasgow

Abstract

NHS reforms have been the subject of much debate in recent years. Evidence from the purchaser provider arrangements is fragmented and limited in its conclusions. This paper presents research focusing on the relationship which has developed, demonstrating how GP fundholders and NHS Trusts have been engaged in mutual education, partnerships, purchasing, and designing services. It identifies considerable scope for innovation and learning at the interface between primary and secondary care and concludes that policy developments need to recognize and build on the achievements which have been made during recent years so as to optimize future collaborative potential.