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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

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

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1998

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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 ...