The report confirms the success of fundholding in reducing waiting times and outpatient follow up visits. Many fundholding practices report better communication with hospital services, more “primary care friendly” pathology and radiology services, and the development of practice based services for physiotherapy, dietetics, chiropody, psychiatric nursing, and psychology. Many fundholding practices made savings on their drugs budgets in their first fundholding year, but the effect was not maintained. Although fundholders generally spent less on drugs than non-fundholders, these differences may have predated fundholding.