Druglink article 1992 – The state of the market by Peter Mason

The purchaser-provider split is meant to open the health market to independent (private and voluntary) but this movement is hampered by confusion between health and social care costs and by ‘steady state’ policies which favour NHS units. Fixed payment contracts can act as a disincentive to taking on extra patients, particularly due to the unnecessarily high cost of methadone treatment. In this transitional period it is important to maintain earmarked funding while purchasers and providers gear up for post 1993.

The state of the market (PDF)