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  • Holding on while letting go

    Author:
    King's Fund College (King Edward's Hospital Fund for London) and Ham, Chris
    Publication date:
    Abstract:
    This study describes the various approaches adopted by some DHAs in separating responsibility for purchasing and providing services. The approach finding most favour involves separating the purchaser and provider functions below the DGM (District General Manager) level. The strength of this approach is in enabling the purchaser and provider functions ...