This report presents the findings from a two-year research project comprising six case studies of how primary care groups and trusts (primary care organisations, PCOs) are carrying out their health improvement role. It analyses: the approach taken by the six sites to health improvement, and the development of relevant strategies ...
The overall aim of the third year of the national evaluation of TPPs, spanning October 1997 to September 1998, was to identify the ingredients of successful devolved purchasing based in primary care by in-depth study of twelve first wave TPPs. The analysis presented here considers eleven of the case studies ...
This report presents the findings from the first phase of a two-year research project comprising six case studies of how primary care groups and trusts (PCG/Ts) are carrying out their health improvement role. Its purpose is to record the development of the health improvement role by the sites in their ...
Total purchasing was the first major 'internal market' policy initiative to be extensively evaluated by the Department of Health and Scottish Office. This report draws together the main evidence from the evaluation in order to inform the development of the new primary care organisations in the NHS, which came into ...
This report aims to describe the ways in which the structure, role and impact of TPPs may be instructive to PCGs. Practical illustrations are used to demonstrate how particular changes in services were achieved in the context of local conditions, providing useful examples for PCGs. English PCGs are the main ...