Dalhousie Law Journal


restructuring, reform, health care, purchaser provider, United Kingdom, disabilities, inequality, Canadian Charter of Rights and Freedoms


Through large-scale system restructuring, a number of jurisdictions around the world have adopted a purchaserprovider approach to the funding and delivery of health care services. In this model, a decision-making body, such as a regional board, is provided with a budget to purchase health care services on behalf of, and in response to the identified needs of a defined population. This paper reviews the purchaser provider funding model of the United Kingdom and comments on the impact of this system on the health needs of individuals with disabilities. Generally, the purchaser provider split in the U.K. appears to have resulted in greater fragmentation and inequity in care among the disabled population. The implications of the use of this type of funding method on individuals with disabilities residing in Canada are then discussed in relation to the Canadian Charter of Rights and Freedoms.