This publication is a comprehensive review of health care and policy issues. It contains a calendar of events for the months March to May 2000 as well as discussion of key policy issues. Specific areas dealt with in this issue include: the National Beds Inquiry; consultants' contracts; National Institute for ...
While most GP practices participating in total purchasing have some experience of contracting with health care providers, the extension of their responsibilities has, in many cases, taken them into entirely new areas and posed a set of challenges for primary care-based purchasing. This paper concentrates on a central element of ...
In a previous working paper the results of a survey of the contracting arrangements of the 53 first wave total purchasing pilot (TPP) projects during 1996-97 were given. This working paper reports the results of a follow-up survey carried out for the 1997-98 contracting round. The survey was designed to ...
The aim of this working paper is to present a profile of the thirty-five second wave Total Purchasing Pilots (TPPs) in England and Scotland as part of the national evaluation of TPPs. Its objectives are: to describe the basic characteristics of the second wave TPPs, particularly highlighting similarities and differences ...
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 ...
This report aims to describe the experience and adequacy of budgetary and risk management arrangements of all first wave Total Purchasing Pilots (TPPs) in 1996/97. The results of a postal questionnaire sent to every TPP manager were analysed. The authors conclude that TPPs have taken seriously the management of expenditure ...