The Ministry of Health plans additional supplementary incentives to improve healthcare access, limit extra billing, and foster the uptake of IT systems in practices, but P4P schemes could also be expanded further. Bundled payments could also be developed for nurses, midwives and physiotherapists, as outpatient prescriptions and spending for these care activities have increased rapidly, driven largely by hospital prescriptions (Figure 13, Panel A). Indeed, such prescriptions are less restrained than for other medical expenditures.