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Scotland/ England; Similarities

Scotland/ England; Similarities. Founding principles Universal, comprehensive, free Strong primary care tradition GP as “gatekeeper” UK contracts Policy priority for long term conditions Performance, access and patient satisfaction. Scotland/ England; Differences.

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Scotland/ England; Similarities

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  1. Scotland/ England; Similarities • Founding principles • Universal, comprehensive, free • Strong primary care tradition • GP as “gatekeeper” • UK contracts • Policy priority for long term conditions • Performance, access and patient satisfaction

  2. Scotland/ England; Differences • E – purchaser provider split S – unified Boards • E – PCTs, Hospital Trusts, Foundation Trusts, MH Trusts etc S – Unified Boards (CHPs too) • E – Practice based commissioning S – Unified Boards

  3. More differences • E – open to competition and the market S – closed to competition and the market • E – many funding streams S – few funding streams • E – more autonomous (fragmented) S – more integrated (centralised)

  4. Shifting the balance

  5. Different improvement models From LeGrand 2007

  6. Integration; the key to the interface? • Shared outcomes • Systems/ Infrastructure • Clinical/ Provider • Financial • Service delivery and patient experience • Culture and ethos

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