Index Catalog // The Kings Fund Digital Archive

Creador:: King's Fund, McLeod, Hugh, Raftery, James, and Health Services Management Centre (University of Birmingham)
Publication date:: 2000
Abstract:: This report focuses on the 16 TPPs in England which pursued the objective of reducing acute hospital emergency admissions and/or length of stay to at least the end of the second 'live' year, March 1998. The analysis of hospital episode statistics was undertaken in order to establish whether the action ...

Creador:: Baxter, Kate, Evans, David, Mays, Nicholas, Scott, Judith, Malbon, Gill, Goodwin, Nick, Killoran, Amanda, Abbott, Stephen, King's Fund, and Wyke, Sally
Publication date:: 2000
Abstract:: 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 ...

Creador:: Raftery, James, Health Economics Facility (Health Services Management Centre, University of Birmingham), McLeod, Hugh, and King's Fund
Publication date:: 1999
Abstract:: This report summarises the hospital activity analysis for two types of first-wave total purchasing pilots (TPPs), 'commissioner' TPPs and 'co-purchaser' TPPs. The main objective of the analysis was to compare changes in hospital activity, in the areas for which TPPs had objectives, with those of comparators. The authors conclude that: ...

Creador:: Wyke, Sally, Killoran, Amanda, Malbon, Gill, Mays, Nicholas, King's Fund, and Goodwin, Nick
Publication date:: 1999
Abstract:: This working paper from the second year of TPPs makes the following key findings: larger TPPs are becoming high achievers; a group of TPPs (43 per cent) improved their performance over two years, about a quarter remained at the same level and about a third dropped out; a greater proportion ...

Creador:: Lee, John, Donnan, Stuart, King's Fund, National Primary Care Research and Development Centre (University of Manchester), Gask, Linda, and Roland, Martin
Publication date:: 1999
Abstract:: This report describes the evaluation of total purchasing and extended purchasing sites with an interest in mental health services. A consistent objective of these sites was the improvement of communication and information flows between primary and secondary care. The priority was the development of services for people with common mental ...

Creador:: King's Fund, Abbott, Stephen, Goodwin, Nick, Killoran, Amanda, Mays, Nicholas, Wyke, Sally, and Malbon, Gill
Publication date:: 1999
Abstract:: 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 ...

Creador:: King's Fund, Page, Lesley, Macleod, Linda, Young, Gavin, Wyke, Sally, Piercy, James, Posnett, John, and Hewison, Jenny
Publication date:: 1998
Abstract:: Many of the potential pitfalls of increasing purchaser plurality in the NHS are relevant in planning and developing general practitioner led locality commissioning. However, this involvement in commissioning or purchasing maternity care may actually provide the 'bite' necessary to move reluctant provider trusts more quickly towards services which meet the ...

Creador:: York Health Economics Consortium (University of York), King's Fund, Street, Andrew, and Place, Michael
Publication date:: 1998
Abstract:: Considerable management challenges must be faced in order to ensure the successful operation of primary care groups (PCGs). The insights to be gained from those involved in total purchasing pilots (TPPs) are likely to prove valuable in informing the development of PCGs, and workshops were held to capture some of ...

Creador:: Ham, Chris, Health Services Management Centre (University of Birmingham), Smith, Judith, King's Fund, Barnes, Marian, and Martin, Geraldine
Publication date:: 1998
Abstract:: This report summarises the main results of a survey of approaches to commissioning. All health authorities were surveyed and a 100 per cent response was achieved. The survey sought to map different approaches to commissioning and to assess the impact of these approaches from the perspective of health authorities. The ...

Creador:: Robinson, Ray, Robison, Judy, Raftery, James, and King's Fund
Publication date:: 1998
Abstract:: 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 ...

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