The reconfiguration of acute and community hospital services in England has recently come to dominate discussions about NHS reform - both locally and nationally - and is provoking a great deal of controversy. This briefing examines the background to the current debate, identifies the main factors driving the changes, explores ...
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: ...
This is the third edition of this publication which was published for the first time in 1994. This edition is structured in three parts. The first is a calendar of events in London's health care during 1995, followed by a commentary by the editor. The second section presents the relevant ...