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BMJ. 1994 May 21; 308(6940): 1363–1366.
PMCID: PMC2540240

Allocating resources for health and social care in England.

Abstract

The fair allocation of resources for health and social care in relation to the needs of the population in different parts of the United Kingdom has become particularly important since the implementation of the new arrangements for community care in April 1993. These depend on close collaboration between health authorities and local authority social services departments. Yet funding reaches these authorities by different means and according to different criteria. Most health authority funds come through a weighted capitation formula that overemphasises the effects of age, while family health services funding is largely not cash limited and hence demand led. Funds to local authorities for community care are being transferred from the social security budget but on a basis that partly reflects past provision of residential and nursing home care. None of these mechanisms responds to underlying needs that give rise to demands on the health and social care system as a whole, and none makes any attempt to compensate for defects in the others. The solution includes better research and a unified weighted capitation system for all sources of funding.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Whitehead M. Who cares about equity in the NHS? BMJ. 1994 May 14;308(6939):1284–1287. [PMC free article] [PubMed]
  • Dunne FJ. Subcortical dementia. BMJ. 1993 Jul 3;307(6895):1–2. [PMC free article] [PubMed]
  • Mays N. NHS resource allocation after the 1989 white paper: a critique of the research for the RAWP review. Community Med. 1989 Aug;11(3):173–186. [PubMed]
  • Sheldon TA, Smith GD, Bevan G. Weighting in the dark: resource allocation in the new NHS. BMJ. 1993 Mar 27;306(6881):835–839. [PMC free article] [PubMed]
  • Balarajan R, Yuen P, Machin D. Socioeconomic differentials in the uptake of medical care in Great Britain. J Epidemiol Community Health. 1987 Sep;41(3):196–199. [PMC free article] [PubMed]
  • Noyce J, Snaith AH, Trickey AJ. Regional variations in the allocation of financial resources to the community health services. Lancet. 1974 Mar 30;1(7857):554–557. [PubMed]
  • Duddle M. Etiological factors in the unconsummated marriage. J Psychosom Res. 1977;21(2):157–160. [PubMed]

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