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The commissioning experience : learning the art of purchasing

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King's Fund College (King Edward's Hospital Fund for London) and Mitchell, John

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1993

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The experience of purchasing over the last two and a half years has demonstrated what might be possible. What seems clear is that the future agenda is massive, complicated and feels different both quantitatively and qualitatively. It is not just that people are busy, but they are addressing new dilemmas ...
Holding on while letting go

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King's Fund College (King Edward's Hospital Fund for London) and Ham, Chris

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1990

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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 ...