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1. harvey+(OP)[view] [source] 2025-07-28 17:44:29
All the GP practices in England are private businesses working under contract to the NHS. Most people don't notice since the majority of services are covered under that contract.

https://www.kingsfund.org.uk/insight-and-analysis/long-reads...

replies(1): >>mytail+ib
2. mytail+ib[view] [source] 2025-07-28 18:51:55
>>harvey+(OP)
Yes they are but they are indeed service providers as you mention.

That's quite different from a private practice (like a solicitor here) that you pay directly and/or that seeks payment from health insurance.

replies(1): >>harvey+bI1
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3. harvey+bI1[view] [source] [discussion] 2025-07-29 06:48:03
>>mytail+ib
There are a great many things that the NHS pays practices for on a unit basis which is very much like them seeking payment from an insurer. The system has a far lower administrative cost than the USA model but the contract management process still looks more like a plate of spaghetti and not a circuit diagram.
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