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Hubs, spokes and policy cycles : an analysis of the policy implications for the NHS of changes to medical staffing : a paper for the King's Fund London Commission

Créateur:

Health Services Management Centre (University of Birmingham), London Commission (King's Fund), Temple, John, Smith, Judith, and Ham, Chris

Publication date:

1998

Abstract:

This paper examines four major policy developments which are forcing changes in medical staffing arrangements and also in the reconfiguration of clinical services within and between hospitals. These developments are the primary care-led NHS, the New Deal on junior doctors' hours, the Calman report on specialist medical training and the ...
Purchasing dilemmas : special report

Créateur:

Richards, John, Southampton and South West Hampshire Health Authority, Cochrane, Murray, King's Fund College (King Edward's Hospital Fund for London), Ham, Chris, and Heginbotham, Chris

Publication date:

1992

Abstract:

This report is based on a seminar held in Southampton in October 1991 which explored an alternative approach to health rationing from that of the Oregon experiment. A specially designed simulation exercise examined the dilemmas facing purchasers in the new NHS. Organised over 24 hours, the simulation centred on three ...