This Review is based on the financial year 1996 to 1997. 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 Review is based on the financial year 1996 to 1997. 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 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 ...
It is simply not possible to provide people with all the health care they need. Rationing is inevitable and the public must play a major role in the debate. This publication is about talk and action in health care rationing, and presents the latest thinking and practical experience in rationing ...
Total purchasing is potentially the most significant development in NHS purchasing of health services since the introduction of general practitioner fundholding in 1991. It offers fundholding practices the opportunity to purchase all of the health care not included in fundholding for patients on their lists. The study of 53 total ...
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 ...