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 draws on the findings of three studies of the management costs of total purchasing (National Management Functions and Costs Study, and two studies undertaken as part of the National Evaluation of the Total Purchasing Pilots), to shed some light on the management costs of Primary care Groups (PCGs). ...
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 is a case study of primary-secondary substitution as an achievable means of reconfiguring health care in London and the UK more generally. It systematically reviews the available local, national and international evidence on the potential for cost-effective primary-secondary substitution of emergency care. The evidence relating to substitution and ...
This report examines the findings of a national survey of NHS speech and language therapy managers and assesses the impact made by the reforms on this profession. It is divided into six parts. The introduction describes the context of the research and briefly reviews the literature which informed and seems ...
This report is a review of the evaluation of the London Initiative Zone (L.I.Z.) primary care development projects which were established through the former London Implementation Group (LIG) and which were in progress in 1995/6. It particularly focuses on the evaluation of revenue projects aimed at service development in primary ...
This book describes the trend towards more diverse and devolved forms of purchasing and combinations of purchaser organisations within health authorities in the NHS. It presents a multi-dimensional profile of each of the current models of purchaser organisation. Trends and policy developments are discussed in relation to the likelihood that ...
Total purchasing offers fundholding practices the opportunity to purchase all of the health care not included in fundholding for the patients on their lists. This report provides the first comprehensive picture of how the idea of total purchasing is being implemented in all 53 'first wave' national total purchasing pilot ...
This protocol describes those components of the national evaluation of 53 'second wave' total purchasing pilot sites commissioned by the Department of Health from a Health Research Consortium headed by the King's Fund Policy Institute which form research contract 121/6090 dated 6 December 1995
This protocol describes those components of the national evaluation of 53 second wave total purchasing pilot sites commissioned by the Department of Health from a Health Research Consortium headed by the King's Fund Policy Institute which form research contract 121/6090 dated 6 December 1995