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  • What has New Labour done for primary care? a balance sheet

    Creatore:
    King's Fund
    Publication date:
    Abstract:
    Since 1997, the Labour government has made some momentous changes to the way primary care is managed and delivered. The creation of Primary Care Groups, the development of NHS Direct and the implementation of clinical governance will all have an effect on GP services for decades to come. In "What ...

  • Clinical governance under construction : problems of design and difficulties in practice

    Creatore:
    Dewar, Steve and King's Fund
    Publication date:
    Abstract:
    This paper is for chief executives and clinical governance leads in trusts, policy makers and academics. It simplifies clinical governance as a policy and identifies questions that need answering if policy aims are to be met, reports on the development of clinical governance on the ground and highlights gaps between ...

  • Two cheers? : reflections on the health of NHS democracy

    Creatore:
    New, Bill, Klein, Rudolf, and King's Fund
    Publication date:
    Abstract:
    This paper explores the many meanings of democracy, seeks to define some criteria for assessing whether or not there is a 'democratic deficit' in the NHS, and examines the policy options that have been put forward for making the NHS more 'democratic'. The first section analyses the various ways in ...

  • Accountability of Total Purchasing Pilot Projects

    Creatore:
    Dixon, Jennifer, Mays, Nicholas, Goodwin, Nick, and King's Fund
    Publication date:
    Abstract:
    This paper looks at definitions of different types of accountability, political and administrative, and at the accountability of health authorities, GP fundholders and the pilot projects for total purchasing. The research has revealed models of financial, managerial and public accountability which are described. The paper concludes with discussion of the ...