How to ration health care is perhaps the most contentious issue currently facing the NHS. The debate is polarised between the view that decisions over rationing should be more explicit, systematic and democratic, and those who argue that such strategies are unrealistic and fail to understand both how the NHS ...
This paper presents the issues relating to rationing in the NHS. The group holds the view that rationing is unavoidable and feels that there should be a more explicit debate about the principles and issues involved. Questions are considered under four headings: preliminaries, ethics, democracy and empirical questions. The preliminaries ...
This Review is based on the financial year 1995 to 1996. The first part examines the main events of the year in five key policy areas: creating the new NHS ; community care ; public health strategy; serving the consumer; and clinical knowledge. The second part of the work contains ...
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
The book provides a comprehensive analysis of hospital services in the United Kingdom, and examines the key factors which should be taken into account by those responsible for planning this part of the health system. It traces the changes that have taken place in recent years and, drawing on unpublished ...